ACFI

[clownlove]

So things are going well and have overcome alot of obstacles and have been also learning heaps. I have recently been taking a vested intrest in ACFI's and want to learn more about it especially as the nursing home I work in has recently lost alot of funding due to insufficient ACFI documentation.

Can anyone provide me with some good resources and even more so some good examples of how I can enhance what my carers document that would reflect the ACFI catagories.

Some of out staff just write things like .... "Mrs Jones was toileted today x2 staff and voided x3" I'm looking to create a template that can be universal so that we can be more specific across all shifts so that the morning shift would write notes reflecting from the moment they get somebody up for a shower/breakfast and what steps were impacted and how they can word it properly.

Hope this makes sense.

Cheers

[jmolinaRN]

So things are going well and have overcome alot of obstacles and have been also learning heaps. I have recently been taking a vested intrest in ACFI's and want to learn more about it especially as the nursing home I work in has recently lost alot of funding due to insufficient ACFI documentation.

Can anyone provide me with some good resources and even more so some good examples of how I can enhance what my carers document that would reflect the ACFI catagories.

Some of out staff just write things like .... "Mrs Jones was toileted today x2 staff and voided x3" I'm looking to create a template that can be universal so that we can be more specific across all shifts so that the morning shift would write notes reflecting from the moment they get somebody up for a shower/breakfast and what steps were impacted and how they can word it properly.

Hope this makes sense.

Cheers

I love your idea but expecting the care staff to write in a specific way is more of like a dream... they never will do it especially if they are crunched for time. I remember a year or two ago when I was working in aged, our ACFI driver would write them out in a specific way, and has a standardised form during the assessment periods where the staff would only have to tick a box or initial what they had done. As far as I remember, when discussing ACFI, nurses would have to look at the assessment period and drive the Care Plan from there. The care plan must match the funding level. If a resident is not due to have his assessments done, it'll be pointless for staff to be writing about toileting.

As for toileting, it'll have to be specified if the resident incontinent or not, how incontinent, etc.

If you want to learn more about ACFI, I suggest reading through the ACFI pack found here:

https://agedcare.health.gov.au/sites/g/files/net1426/f/documents/12_2016/final-assessment-pack-accessible_2017_1.pdf

Additional training can be done in order to improve your knowledge base (and be made aware of loopholes to maximize funding). There are heaps of training events happening, ANMF hosts one, just Google around.

All the best in your endeavour, and remember, at the end of it all, it is the RNs, EENs, and the ACFI driver whose signatures will be on the finalized assessment packs. I have nothing against maximizing as long as there is basis for it (and Aged Care is hard work), but always be guided ethically when making claims.

Cheers!

-J