Resuscitation Plan 7 Step Pathway for health professionals

Quality of life can be improved by health care teams by partnering early with a patient, Substitute Decision-Makers (SDMs), Person Responsible or significant others in making and documenting shared decisions about end-of-life treatment and care.

What is Resuscitation Planning - 7 Step Pathway?

A standardised process for the development and implementation of a clinical care plan which documents treatment decisions relating to a patient’s resuscitation and end-of-life care.

About the Resuscitation Planning - 7 Step Pathway

SA Health has developed a Clinical Directive and Toolkit, which will support health services to focus action on delivering safe and high-quality end-of–life care

Resuscitation Planning Clinical Directive and toolkit

Clinical Directive – Resuscitation Planning- 7 Step Pathway - outlines the requirements for SA Health employees to provide a standardised, patient-centred, best practice approach to planning for resuscitation and other care for an adult patient who is at end-of-life.

This complements and promotes compliance with:

• National Safety and Quality Health Service Standards
• National Consensus Statement: essential elements for safe and quality end-of-care
• SA Health Consent to Medical Assessment or Treatment Where Patient Consent Cannot Be Obtained Policy Directive (PDF 1.1MB)
• SA Health Consent to Medical Treatment and Health Care Policy Guideline (PDF 2MB)
• SA Health Advance Care Policy Directive (PDF 507KB)
• Advance Care Directives Act 2013 (SA)
• Consent to Medical Treatment and Palliative Care Act 1995 (SA)

The map of documents (PDF 59KB) will assist also in navigating the other related policy and legislation requirements.

Tools

• Tool 1 – Resuscitation Plan - 7 Step Pathway (PDF 105KB) - Provides a summary of each step within the pathway; trigger, assessment, consultation, document the clinical care plan, transparency and communication, implementation and support of the patient, Substitute Decision-Maker(s) / person responsible, family and/ or carers.
• Tool 2 – Recognising when a person is at end-of-life (PDF 535KB) - Identifies the five standard triggers that can be used to identify when a person may be at end-of-life and where a person is likely to die either in the medium term (ie within the next 12 months), or short term (ie within days to weeks).
• Tool 3 – Resuscitation Plan- 7 Step Pathway – consultation (PDF 105KB) - Outlines a best practice approach to supporting health practitioners in having a conversation with a patient /family about end-of-life, with compassion, sensitivity and skill.
• Tool 4 – Education and Training Framework for Resuscitation Planning - 7 Step Pathway (PDF 134KB) - Assists health services in identifying and meeting their obligations to ensure that all workers receive sufficient training, instruction and supervision.
• Tool 5 – Resuscitation Plan- 7 Step Pathway evaluation and metrics (PDF 126KB) - Provides health services with an overview of the minimum standards for governance, including metrics for evaluation and monitoring of resuscitation planning.
• Tool 6 – Enabling Nursing Roles in Resuscitation Planning 7 Step Pathway (PDF 94KB) – outlines the governance and education, training and assessment requirements to enable nurse practitioners and specialist palliative care registered nurses (RNs) to develop and document Resuscitation Planning- 7 Step Pathway in SA Health.
  

Fact sheets

• Using the SPICT^TM Tool as a trigger for resuscitation planning (PDF 75KB) - A guide to describing clinical signs that can help identify patients who are at risk of deteriorating and dying from one or more advanced conditions.
• Information for SA Health allied health staff on Advance Care Directives (PDF 76KB) - Assists staff in supporting people to document their wishes, values and preferences for their future health care, accommodation, personal matters and dying wishes.
• Paramedic’s role in resuscitation planning (PDF 76KB) - A guide to making the right decisions about whether resuscitation is appropriate and the extent of resuscitation that should occur.

Forms

• Resuscitation Alert – Resuscitation plan- 7 step pathway (MR-RESUS) (PDF 1MB) example only
• Resuscitation Alert – Resuscitation plan- 7 step pathway (Community version external to SA Health) (PDF 61KB) example only
• Resuscitation Alert Confirmation (MR-RESUS-A) (PDF 514KB)
• Envelope: Next steps: What to do with your resuscitation plan (37KB)

Education and training

• Tool 4 – Education and Training Framework for Resuscitation Planning- 7 Step Pathway (PDF 134KB) - Assists health services in identifying and meeting their obligations to ensure that all workers receive sufficient training, instruction and supervision.
• eLearning course Resuscitation Planning – 7 Step Pathway - This course is in two tiers. The first tier focuses on introducing the Resuscitation Plan- 7 Step Pathway, guiding all staff on how they can ensure safe and high-quality resuscitation planning that is patient and family/carer centred. The second tier is aimed at health care workers providing direct clinical care, using case studies to explore how to successfully put resuscitation planning into practice. The course will take approximately 75 minutes to complete. Access to the course is via SA Health internal education portals.
• Access for Nurse Practitioners and Specialist Palliative Care RNs external to SA Health is via the Launch Learning Online page or email Health.nursingandmidwifery@sa.gov.au

Contact

Clinical Governance Unit
Email:  Health.DHWClinicalGovernanceEnquiries@sa.gov.au