Managing Elective Surgery patients in act public hospitals contents
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- 2.4 Completion of the Request for Admission Form (RFA)
- 2.5 Submitting a RFA
- 2.6 Processing a RFA
- 2.7 Listing Date
New ProceduresThe Health Technologies Assessment Committee must formally approve new procedures not previously undertaken. Clinicians must also be appropriately accredited to undertake the procedure before patients are added to the elective surgery waiting list. A doctor may only refer patients for addition to the elective surgery waiting list for procedures when the clinician has been accredited by Medical and Dental Appointments Advisory Committee. Surgical procedures should only be conducted at the hospital by an appropriately skilled clinician and where the infrastructure exists to enable the proposed procedure to be performed.2.4 Completion of the Request for Admission Form (RFA)The following minimum data set on the RFA Form is to be obtained by the Referring Doctor: Patient’s full name Patient’s address Patient’s contact information (home, work & mobile telephone) Patient’s gender Patient’s date of birth Medicare number Clinical priority urgency category and a clinically verifiable rationale if required If classified as staged, the time interval when the patient will be ready for surgery should be indicated. The category selected should reflect the time window of when the surgery is to be performed. Discharge intention (i.e. day only, or indication of number of nights in hospital) Presenting problem Planned procedure/treatment Estimated operating time Treating doctor (if different) General Practitioner’s name and address Doctor to sign and date the RFA on page 4 Other relevant information should be included on the RFA that may include: Significant medical history Specific preadmission requirements Special operating theatre equipment Requirement for an ICU/HDU bed post procedure 2.5 Submitting a RFACompleted RFAs must be submitted directly to the Central Wait List Service (CWLS) within 5 working days of RFA being signed and dated on page 4, either via secure email or for collection by the courier. RFAs for urgent category one patients requiring surgery within 7 days can be taken directly to the Surgical Bookings Office (SBO) at the hospital site or emailed as URGENT to the Central Wait List Service. A confirmation email will be sent on receipt of the RFA. 2.6 Processing a RFAAll RFAs will be date stamped on receipt and the patient registered on ACTPAS. Category 1 RFAs will be managed as a priority. Category 2 and 3 RFAs will be processed differently. Category 1 patients Urgent Category 1 RFAs (less than 7 days to surgery) may be submitted to the Central Wait List Service or the surgical bookings office. Alternatively, emailed RFAs ‘flagged’ as urgent Category 1 can be sent directly to the Central Wait List Service. Central Wait List Service nursing staff will contact the patient by phone and conduct a health assessment and obtain any other relevant health information from other health professionals. The Central Wait List Service Nurse will contact the Elective Surgery Liaison Nurse (ESLN) and discuss the case, including surgery requirements and the patient’s readiness for surgery. Patients will be added to the Elective Surgery Waiting List (ESWL), with an auto-generated letter from ACTPAS sent to the patient and General Practitioner. All information will then be sent to the ESLN and the Medical Records Department for scanning into CRIS. Category 2 & 3 patients Following registration in ACTPAS, an administrative check will be conducted and patients sent a letter stating their paperwork has been received. A Patient Health Questionnaire (PHQ) will also be sent to the patient for completion and return in the reply paid envelope. Patients will be advised they will not be processed onto the ESWL until after their PHQ is returned. Nursing staff will have processes in place to monitor the return of these forms. Patients who have a PHQ sent to them by mail will have their ESWL listing dated as the date the RFA was accepted (see below “acceptance”), not the date the PHQ is received; when returned. Nursing staff will review the patient information and obtain any relevant health information from other health professionals and raise any significant issues with the Elective Surgery Liaison Nurses at the hospital site. Patients will then be added to the ESWL, and an auto-generated letter from ACTPAS sent to the patient and GP. All information will then be sent to the surgical bookings office and Medical Records Department for scanning into CRIS. 2.7 Listing DateA patients listing date will be the date the RFA is accepted. The acceptance date can be the same as the received date “Acceptance” will be deemed when the following are complete:- The minimum RFA data set is completed The RFA form is signed and dated on page 4 It is not an excluded procedure It is within National Elective Surgery Urgency Category (ESUC) guidelines, or a clinically verifiable rationale is documented supporting the change in category The surgeon is available and able to provide the patient with a date for surgery within the clinical priority urgency category timeframe that they assign (excepting patients who may require multimodality therapies as part of their treatment plan e.g. some colorectal surgery) Patients should be placed on the electronic elective surgery waiting list within 3 working days of acceptance of a completed RFA RFAs received 3 months or more after being signed and dated by the referring surgeon will not be accepted and will be returned to the referring surgeon for review. RFAs not accepted will be returned to the referring surgeon accompanied by a letter explaining the reason for return. It is the referring surgeon’s responsibility to progress any further action required and inform the patient should they not be placed on the elective surgery waiting list for a procedure. Download 0.95 Mb. Share with your friends:
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