Non-Emergency Patient Transport Regulation For Private Referring Health

Non-Emergency Patient Transport Regulation For Private Referring Health

Non-Emergency Patient Transport Regulation For Private Referring Health Services November 2019 Regulation Unit Department of Health Welcome Housekeeping Introduction Overview of new NEPT Regulations Implementation Scenarios group discussion

Questions Evaluation Regulation Unit Department of Health NEPT service providers There are currently five licensed private NEPT service providers Ambulance Private Medical Edge Royal Flying Doctors Tasmania St Johns Ambulance

The Moreton Group Ambulance Tasmania provides NEPT services for: public patients to and from public health facilities public patients to and from private facilities Regulation Unit Department of Health New NEPT Regulatory Provisions Purpose Outline responsibilities of NEPT Service Providers Clinical Governance

Specify quality assurance requirements Systems and processes Define scope of service and patient suitability Enforcement Regulation Unit Department of Health NEPT Services Safety and Quality Appropriately trained crew

Can only accept NEPT suitable patients Secretary Approved Forms Maintain records for each patient transport Report critical incidents and near misses Regulation Unit Department of Health NEPT suitable patients: Definition NEPT patients are patients (a) whose medical needs have been assessed by a member of an

approved health profession (Registered Nurse, Registered Paramedic or Medical Practitioner) as: (i) requiring patient transport; and (ii) not being time-critical or acute; and (b) who may require (i) basic care and observation; or (ii) clinical care and monitoring; (from Ambulance Service Act 1982) Regulation Unit Department of Health

Low Acuity / Medium Acuity All patients must be stable: Not time critical or acute Not likely to deteriorate during transport Have NOT had recent deterioration in respiratory rate as a result of a diagnosed illness or disease Low Acuity Not a paediatric (14 years or older) Require only basic care and observation Regulation Unit

Department of Health Medium Acuity Can be a paediatric (between 2 - 14 years) Requires clinical care and monitoring by a clinical escort FORM 10A PATIENT ASSESSMENT RECORD FORM 10A PATIENT

ASSESSMEN T RECORD Regulation Unit Department of Health Patient Assessment Referring Facility Critical thinking regarding patient suitability: is a clinical escort required? Patients needs on-route Likelihood of patient deterioration Likelihood of any unforeseen risks

Regulation Unit Department of Health Assessment criteria Diagnosis Relevant comorbidities Existing conditions Current care or treatments Allergies Post-operative? Pain? Vital signs Alert and cooperative

IS PATIENT LOW OR MEDIUM ACUITY? Regulation Unit Department of Health Assessment Forms For private patients in private facilities: NEPT assessment must be completed using Patient Assessment Form 10A, and this form must be provided to the private NEPT crew. For public patients in private facilities: NEPT assessment must be completed using Patient Assessment Form 10A,

ATs NEPT booking form must be completed and faxed/emailed to AT. Regulation Unit Department of Health Booking process - private patient in a private facility Private patient in a private facility (HSE / Residential): Low or medium acuity - private NEPT Any question re acuity - discuss with AT (HTSCC) If assessed as borderline medium / high - transfer by AT Regulation Unit

Department of Health Booking process - public patient in a private facility Public patient in a private HSE Low or medium acuity Complete NEPTA online booking form AT NEPT resources assessed Transfer by AT NEPT Referred to private NEPT Regulation Unit Department of Health

Patient handover to private NEPT There must be a verbal patient handover from the referring facility that is to the satisfaction of the NEPT crew member ISBAR The NEPT crew must be provided with a copy of the Patient Assessment Form (Form 10A) Regulation Unit Department of Health NEPT crew must refuse transport

If the patient is not NEPT suitable If the crew does not meet the clinical escort requirements If specific equipment is required and cant be provided If transport would pose a risk to the health and safety of patient/crew/public Regulation Unit Department of Health Scenarios Group Instructions 1. Work through assessment criteria use checklist tool 2. Determine the patients acuity level, any special

equipment needs, clinical escort requirements 3. Determine the booking process for the patient NEPT service, how to book, pick-up times etc 4. Identify any issues for clinical handover 5. Consider your facility's interhospital transfer requirements, other documents - patient records, xrays etc Regulation Unit Department of Health Comments / Issues Evaluation Email: [email protected]

Website: www.dhhs.tas.gov.au/nept Regulation Unit Department of Health S l i d e

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