February 2004 - Intensive Care & Coordination Monitoring Unit
February 2004 - Intensive Care & Coordination Monitoring Unit
February 2004 - Intensive Care & Coordination Monitoring Unit
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Items and Actions Responsibility<br />
Actions Arising<br />
- Development of the Nurse Liaison concept and model (Kate<br />
Needham)<br />
Mary Chiarella has indicated her support for the principle.<br />
It was suggested that this role be viewed at nurse practitioner level.<br />
The nurse liaison concept may not be appropriate for smaller hospitals<br />
(base hospitals and smaller metro sites). The model for larger sites<br />
would entail management of sicker patients in the ward areas.<br />
ACTION: Nurse Liaison document to be recirculated to ICIG and the<br />
Chief Nursing Officer.<br />
- Funding of ICU RNs to conferences – outcome of discussions with<br />
the CNO (Kate Needham)<br />
The feedback has been that there is money with the Area DONs for the<br />
purpose of supporting nurses for education and conferences. There<br />
are also nursing scholarships available through a number of agencies<br />
which can be applied for.<br />
ACTION: Letter from ICIG to Area CEOs re provision of funding<br />
support for ICU nurses.<br />
- Results of Influenza Pandemic Exercise (Tony Burrell)<br />
Dr Burrell was not at the meeting to provide an update, Dr Steevie<br />
Chan provided an update.<br />
Dr Chan contacted Dr Alex Warner, the Report has not been finalised ,<br />
once finalised and released it will be circulated to ICIG. Dr Warner has<br />
indicated her willingness to present the findings to ICIG at a<br />
subsequent meeting following release of the report.<br />
System monitoring – Report – Ron Manning<br />
Adult activity was slightly higher than for the same period last year but<br />
otherwise it is on par. The increased workload has been due to increased<br />
care requirements.<br />
Area Health Services are transferring largely within their Area. Out of Area<br />
transfers have generally been for appropriate reasons.<br />
There have been some problems noted within IAHS such as inappropriate<br />
admissions. It was noted that IAHS did receive additional funding to open<br />
extra beds.<br />
ACTION: Professor Fisher to contact Dr Grant Simmons at IAHS to<br />
discuss issues.<br />
Steevie Chan and Malcolm Fisher to try and attend the next meeting<br />
of the Area Critical <strong>Care</strong> Committee.<br />
There was a request for workload from rural Areas (by AHS) to be included<br />
in the report provided. Dr Manning stressed that while this was possible,<br />
the MRU data only records retrievals conducted by the Sydney based<br />
retrieval services, therefore patient retrieval conducted by the regional<br />
retrieval services may not be captured, so the data provided may not<br />
provide a complete picture of patient movement statewide.<br />
SARS Taskforce – update on final report<br />
The Report was released in January <strong>2004</strong>.<br />
The SARS Hospitals recommended in the Report still need to be<br />
designated. There will be a need to implement staff training at these<br />
hospitals.<br />
Generally the staffing ratio required for SARS patients is 3:1 which will<br />
have implications for staffing in ICU.<br />
The Chief Nursing Officer will be meeting with the Chief Nurses from the<br />
Asia-Pacific Region to discuss nursing implications of SARS.<br />
Following discussions it was recommended that all ICUs should be looking<br />
at surge planning.<br />
Kate Needham and Lisa<br />
Chytra<br />
Kate Needham<br />
Malcolm Fisher<br />
Steevie Chan, Malcolm<br />
Fisher.