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Communities of Practice Agency for Clinical Innovation

Details: NSW Health established clinical communities of practice to support the NSW Health response to COVID-19. The ACI is leading 12 of these communities, bringing our networks of clinicians together with representatives from local health districts and specialty health networks in NSW. The ACI has produced the following information to support clinical

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› Url: https://aci.health.nsw.gov.au/covid-19/communities-of-practice Go Now

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Audit Tools Agency for Clinical Innovation

Details: +61 2 9464 4666. [email protected]health.nsw.gov.au. Feedback. View all contact details. Street map showing ACI address: 67 Albert Avenue, Chatswood, NSW, 2057

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› Url: https://aci.health.nsw.gov.au/resources/audit-tools Go Now

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Technology in healthcare Consumer Enablement Guide

Details: improve communication and collaboration between health professionals. Telehealth is used across the health system by ambulance services, community health services, emergency departments and hospital units including intensive care, mental health, maternity, paediatrics, medical and surgical units. Videoconferencing

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› Url: https://aci.health.nsw.gov.au/resources/primary-health/consumer-enablement/guide/how-to-support-enablement/technology-in-healthcare Go Now

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Specialist Medical Clinics for Rural

Details: Healthy dictionary definition | healthy defined

› Verified 8 days ago

› Url: https://aci.health.nsw.gov.au/ie/projects/specialist-medical-clinics Go Now

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Developing and Implementing Clinical Guidelines

Details: The Centre for Health Care Redesign can provide capability building for staff across the health system in skills needed for innovation, redesign and change management, which are key to the development, implementation and evaluation of clinical guidelines. The Health Economics and Evaluation Team (HEET) can conduct economic, financial and

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0011/255944/developing-and-implementing-clinical-guidelines.pdf Go Now

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Local Policies and References Agency for Clinical Innovation

Details: Local health district policies and procedures. The following local health district clinical resources which were reviewed and content adapted for inclusion in the Pleural Drain in Adults - Consensus Guideline. Sydney South Western Area Health Service, Intercostal Catheters (ICC) and Underwater Seal Drains (UWSD) Clinical Manual, MC_PD2011_422.

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› Url: https://aci.health.nsw.gov.au/resources/respiratory/pleural-drains/pleural-drains-in-adults/local-policies-and-references Go Now

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Neurovascular Assessment

Details: E [email protected]health.nsw.gov.au | aci.health.nsw.gov.au (ACI) 180821; ISBN 978-1-76081-037-5 Produced by: Musculoskeletal Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at aci.health.nsw.gov.au Disclaimer: Content within this publication was accurate at the time of publication.

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› Url: https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/458185/ACI_0147-MSK-compartment-guide_V4.pdf Go Now

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PARENTERAL NUTRITION POCKETBOOK

Details: health care services in NSW, for implementation on a state-wide basis. Parenteral nutrition (PN) is a life sustaining therapy for patients who cannot eat or tolerate enteral nutrition. However, there are significant infection risks and complications associated with intravenous feeding.

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0010/159805/aci_parenteral_nutrition_pb.pdf Go Now

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Procedural Sedation

Details: A further dose of 0.5mg/kg can be given if required. IM dose 3-5mg/kg. See Sydney Children’s Hospital Drug Protocol. Effective within 2-5 minutes. Sedation effect lasting 15-20 minutes. Repeat 2-4mg/kg dose can be given after 10-15 minutes. The obvious benefit to IM route is when IV access in children is problematic.

› Verified 3 days ago

› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/procedural-sedation-ed/procedural-sedation---medications Go Now

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Neurovascular Assessment

Details: South Western Sydney Local Health District and Sydney Local Health District and are used with permission. Neurovascular assessment • Involves the evaluation of the neurological and vascular integrity of a limb (Judge 2007:39). • Evaluates sensory and motor function (Blair & Clarke 2013;

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0005/458186/Neurovascular-Assessment-presentation.pdf Go Now

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Enhanced Recovery After Surgery report Agency for

Details: Enhanced Recovery After Surgery. The purpose of the web resource is to support sites interested in implementing an ERAS Model of Care and will provide: detailed information on one specialty specific example, colorectal surgery. The web resource will also provide examples of established ERAS services in NSW public hospitals and outline the

› Verified 8 days ago

› Url: https://aci.health.nsw.gov.au/resources/surgical-services/enhanced-recovery-after-surgery/enhanced_recovery_after_surgery-report Go Now

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Wound management Agency for Clinical Innovation

Details: Wound management Follow principles of optimal wound management. Optimal wound bed preparation includes (TIME) 32:. Tissue management (including removal of non-viable tissue); Infection and inflammation control; Moisture balance, and; Epithelial edge advancement; Cleanse the wound. Use normal saline, sterile water, lukewarm tap water (water suitable for drinking) or pH-balanced wound …

› Verified 7 days ago

› Url: https://aci.health.nsw.gov.au/networks/spinal-cord-injury/pi-toolkit/management/cleanse-the-wound Go Now

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Non-invasive Ventilation Guidelines for Adult Patients

Details: Nursing, Masters in Public Health CNC Intensive Care Unit, Liverpool Hospital Dr. Amanda Piper BAppSc (Phty), MEd, PhD Senior Physiotherapist, Royal Prince Alfred Hospital MEMBERS Karla Lopez RN, BHSc (Nur), Crit Care Cert, Clinical Education Cert, Masters of Health Sc CNE, Liverpool ICU

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0007/239740/ACI14_Man_NIV_1-2.pdf Go Now

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Temperature Measurement for Critically Ill Adults

Details: initiatives to benefit the NSW health system. • Implementation support – working with ACI Networks, consumers and healthcare providers to assist delivery of healthcare innovations into practice across metropolitan and rural NSW.

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0004/240178/ACI14_Temperature-1-4.pdf Go Now

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Updated guidelines for the management of paracetamol

Details: [email protected]health.nsw.gov.au doi: 10.5694/mja2.50428 Abstract Introduction: Paracetamol is a common agent taken in deliberate self-poisoning and in accidental overdose in adults and children. Paracetamol poisoning is the commonest cause of severe acute liver injury. Since the publication of the previous guidelines in 2015,

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0004/558526/Guideline-Summary-management-of-paracetamol-poisoning.pdf Go Now

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Medication Standing Orders Emergency Care Institute

Details: Medication Standing Orders. The Nurse Delegated Emergency Care (NDEC) Medication Standing Orders describe procedures for ordering, storing, administering, and supplying (for take-home use) specified medications described in the NDEC model. They may only be used in conjunction with the applicable NDEC Nursing Management Guideline (NMG).

› Verified 7 days ago

› Url: https://www.aci.health.nsw.gov.au/networks/eci/clinical/ndec/medication-standing-orders Go Now

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Models of Care Agency for Clinical Innovation

Details: Models of Care. The Agency for Clinical Innovation ( ACI) places a high priority on developing flexible, evidence-based patient-focused models of care. The models of care are supported by easy to use guides and workshops to describe how best to provide care across …

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› Url: https://aci.health.nsw.gov.au/resources/models-of-care Go Now

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Clinical Practice Guidelines Nutrition Burn Patient

Details: 8. Occupational Health & Safety 8.1 The dietitian must be aware of the occupational health and safety guidelines relevant to the patient setting These are available from hospital and department managers. 9. …

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› Url: https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0009/162639/SBIS_Nutrition_CPG_new_format.pdf Go Now

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Envenomation Emergency Care Institute

Details: NSW Health Snakebite and Spiderbite Guidelines 2014. Clinical resource document to advise on the management of patients with actual or suspected snakebite or spiderbite, and the appropriate levels, type and location of stored antivenom in NSW health facilities. The ECI recommends early consultation with NSW Poisons Information Centre (13 11 26

› Verified 9 days ago

› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/envenomation Go Now

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Triage and admission Emergency Care Institute

Details: Emergency Department Patients Awaiting Care, PD2018_010, NSW Health, 16 March 2018. Details the procedures and guidelines required to address the needs of patients and their carers while in Emergency Department waiting area. Emergency Department – Direct Admission to Inpatient Wards, PD2009_055, NSW Health, 7 September 2009

› Verified 7 days ago

› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/triage-and-admission Go Now

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Culturally responsive practice Consumer Enablement Guide

Details: Evidence shows that when there is a lack of cultural responsiveness, health outcomes are much poorer. 2 Improving cultural responsiveness can not only remove barriers to accessing healthcare, but may also reduce inequitable health outcomes for marginalised and vulnerable groups. In Australia, there is a movement towards cultural support planning in health, social and community services. 3 4

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› Url: https://aci.health.nsw.gov.au/resources/primary-health/consumer-enablement/guide/how-to-support-enablement/culturally-responsive-practice Go Now

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Clinical Information System ICNSW

Details: A clinical information system (CIS) is an information system designed specifically for use in the critical care environment, such as in an Intensive Care Unit (ICU). It can network with the many computer systems in a modern hospital, such as pathology and radiology. It draws information from all these systems into an electronic patient record

› Verified 8 days ago

› Url: https://www.aci.health.nsw.gov.au/networks/icnsw/patients-and-families/equipment/clinical-information-system Go Now

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Anti-platelet medications Emergency Care Institute

Details: Abciximab (ReoPro) Eptifibatide (Integrilin) Tirofiban (Aggrastat) Adenosine reuptake inhibitors. Dipyridamole (Persantin / Asasantin) Thromboxane inhibitors and phosphodiesterase inhibitors. Asprin is recommended for all patients with ACS, in the absence of hypersensitivity. It should be given along with one of the following anti-platelet

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› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/cardiology/anti-platelet-medications Go Now

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First Line Emergency Care Course (FLECC) Emergency Care

Details: FLECC is a state-wide, standardised course offered across the rural Local Health Districts in NSW. The course runs for six months and is underpinned by: Theoretical component - provided by the Australian College of Nursing ‘ Principles of Emergency Care’ (PEC) package.

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› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/learning-hub/learning-centre/flecc Go Now

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Electrocardiogram (ECG) ICNSW

Details: Electrocardiogram (ECG) What is an ECG?. An ECG is an electrocardiogram. It records the electrical activity of the heart, such as the rate and regularity of the heartbeat. Why is ECG done?. An ECG is used by doctors and nurses for many different reasons.. It can be used as a …

› Verified 9 days ago

› Url: https://www.aci.health.nsw.gov.au/networks/icnsw/patients-and-families/treatment-and-monitoring/ecg Go Now

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QUICK GUIDE TO GASTROSTOMY FEEDING TUBES AND DEVICES

Details: Health care organisations providing care to patients with a gastrostomy tube or device should have local policies . and guidelines in place to ensure best practice across the continuum of care including:19 • patient selection • selection process for optimal access route where .

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› Url: https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/273365/types-of-gastrostomy-tubes.pdf Go Now

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Headache Emergency Care Institute

Details: Headache is a frequent presentation to the Emergency Department. Identifying red flags and common features is essential to safe management for serious diagnoses. A clear and detailed history is often overlooked in order to expedite obtaining CT scans. A thorough examination focusing on neurological findings is often as important as the CT scan.

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› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/neurology/headache Go Now

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Emergency Treatment Performance (ETP) Emergency Care

Details: Allan Cumming, General Manager, Southern District Health Board, New Zealand A talk by Allan Cumming at the ECI Symposium 2012 detailing what works well in achieving NEAT. There is a particular focus on the role of the hospital executive and senior manamgement in leadership and management of timely patient flow.

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› Url: https://www.aci.health.nsw.gov.au/networks/eci/administration/performance/neat Go Now

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People with Specific Needs Consumer Enablement Guide

Details: The following strategies and approaches may be useful when working with people with specific needs. Health coaching - a strength-based approach that recognises the person’s strengths and abilities to overcome problems and reach their goals.; Patient reported experience measures to help you understand what is important to the person and what will motivate them to manage their health.

› Verified 9 days ago

› Url: https://aci.health.nsw.gov.au/resources/primary-health/consumer-enablement/guide/life-contexts/specific-needs Go Now

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Collaborative Navigating the Healthcare Neighbourhood

Details: Collaborative Healthcare Neighbourhoods Collaborative. One in six Australians sees three or more health professionals for the same condition, and many people report problems caused by a lack of communication between their health professionals. 1 When people receive more coordinated, continuous care they experience improved clinical outcomes and greater satisfaction with care. 2, 3

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Sepsis Emergency Care Institute

Details: The Clinical Excellence Commission holds the most up to date sepsis pathways that include: Adult Pathway. Paediatric Pathway. Maternal Pathway. Newborn Pathway.

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Chest pain Emergency Care Institute

Details: National Institute for Health and Care Excellence (NICE), UK guidelines - For assessment and diagnosis of acute chest pain (updated November 2016) Does recommend offering CTCA for intermediate risk patients. R.E.B.E.L.EM Review of NEJM (2012) articles above.

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› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/cardiology/ctca Go Now

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Intellectual Disability Resources Agency for Clinical

Details: The Service Framework aims to reduce health inequalities for children, adolescents and adults with intellectual disability and is NSW Health’s response to: promote a broader understanding of the health needs of people with intellectual disability and their right to effective services and care; and improve the quality, range, consistency

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Renal Colic in the ED Emergency Care Institute

Details: Renal Colic in the ED. Renal colic is a common presentation to the ED, the key management principles are that of analgesia and safely excluding serious alternative diagnoses. Follow the links below to clear guidelines on managing renal colic presentations:

› Verified 4 days ago

› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/renal/renal-colic Go Now

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Pneumonia Scores Emergency Care Institute

Details: Scoring: 0 - 2 points: Low risk ( < 2% 30 day mortality) 3 - 4 points: Moderate risk (5- 13% 30 day mortality) 5 - 6 points: High risk (11 - 18% 30 day mortality) 7 or more points: Very high risk (33% 30 day mortality) In the Australian Community-Acquired Pneumonia Study (ACAPS) cohort, the accuracy for predicting patients who required IRVS (a

› Verified 5 days ago

› Url: https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/respiratory/pneumonia/pneumonia-scores Go Now

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Pain Management Resources Agency for Clinical Innovation

Details: Pain Management Resources. These resources relate to pain management services for patients with chronic pain, integration and co-ordination of care between hospital-based specialist multi-disciplinary pain clinics and community and primary health services.

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