Sample documents are available to download for information below.
Documents for Download
Documents are available to download for information below.
The Baseline Assessment
Each individual using the ACC will have a baseline assessment completed to highlight under each of the domains what is normal for that person on a day to day basis. For example, how would someone demonstrate they were in pain, what are the normal bowel habits of someone, what is the normal sleep pattern etc.? The baseline assessments must be completed thoroughly by as many members of the staff team as possible as individual staff members may see different things within an individual. Where appropriate carers should also be encouraged to contribute to the baseline assessment. This process allows a thorough analysis of each person and often helps staff to understand someone better. The baseline assessments must be completed prior to the ACC commencing so there is a benchmark for staff to refer to.
The Anticipator Care Calendar
How does the calendar work?
The calendar works on a traffic light system:
- Green recordings indicate that everything is normal.
- Amber recordings will require an intervention, usually in the form of monitoring or to give pain killers if prescribed.
- Red indicates an immediate action will be needed as it is likely to be an emergency or an on-going problem that has got worse.
The calendar needs to be completed at the end of each shift unless there is a specific problem.
Staff will work their way through the relevant sections, putting their initials in the green box indicating ‘no problems’ (assuming this is the case). However, if a problem has been picked up during the day and amber or red recording has been made, the calendar will need completing immediately after the issue to ensure that the information is captured as soon as possible. If there have been any problems during the day that have been dealt with, people will see them clearly recorded within the calendar and on the "significant communication" sheet.
There is a supporting document that accompanies the tool, should an amber or red recording be made. This document details the action that needs to be taken. This document is known as the descriptions and action sheets (see Description and Action sheet section below).
Also, on the back of the calendar is a significant communication sheet which must be completed should an amber or red recording be made; the sheet details the issue and also the actions that have been taken. This also allows for any health professional’s actions to be recorded detailing what has been done about the issue and then finally it allows the overall outcome to be recorded which completes the episode of care. Previous evidence shows that outcomes are not usually recorded.
Description and Action sheets
The description and action sheets are a guidance document and are used alongside the calendar. These have been designed by a multi-disciplinary team of health professionals and detail indicators to help staff identify what the issue could be and what action they may need to take.
The documents are there to provide guidance and are recommended as best practice however, staff do need to apply some degree of common sense when using the tool and act how they feel best in any given situation by referring to the organisations policy and procedures. If staff are in any doubts about a patient’s condition or have concerns they should seek medical advice immediately.