Factor 1 - Guidlines : Guidelines Should Be Less Than 2 Yrs Old: They Must Be Evidence/Research
Continuous Renal Replacement Therapy (CRRT)– STATEMENT OF BEST PRACTICE
Patient’s will receive appropriate Continuous Renal Replacement Therapy (CRRT) to meet their individual needs, optimising comfort and with the minimal adverse effects.
FACTOR / BENCHMARK OF BEST PRACTICE1 / Guidelines / Guidelines are available which are evidence based, up-to date (> 2 yrs old), and used by everyone
2 / Education & Training / Evidence / research based education is available with identified professionals (clinical educators) to train, educate and supervise staff in the assessment and management of patients having CRRT and in the use of the equipment.
3 / Equipment and Resources / All equipment will be readily available for all patients requiring CRRT, including fluids and machines
4 / Assessment of the need for CRRT by the multi-disciplinary team / Assessment for CRRT is carried out using a standardised, evidence based protocol and this is acted upon according to unit guidelines and individual patient need
5 / Availability of trained competent team / A trained, competentmulti-disciplinary team available on site, 24 hours a day.
6 / Care delivery and continuous evaluation of CRRT / All patients will have continuous, timely education of their care which will be delivered by trained staff, using evidence based guidelines and / or protocols of care.
Factor 1 - Guidelines : Guidelines should be less than 2 yrs old: They must be evidence/research based
Guidelines are not available / Guidelines are available but they are not used / Guidelines are available, up-to-date but not used by everyone / Guidelines are available, evidence-based, up-to-date, and used by everyone
0 / 3 / 8 / 10
Factor 2- Education Training: Training Packages / competencies: Documentation available to prove competence.
Education and training is not given / Some staff education/training available but no formal programme exists / Evidence / research based education is available with identified professionals (ie Clinical Educator / renal specialists) to train, educate and supervise staff in the assessment and management of patients having CRRT and in the use of that equipment
0 / 5 / 10
Factor 3 –Equipment and resources : Equipment training records
No equipment / resources available / Limited equipment / resources available which may effect patients standard of care / All equipment / resources readily available for all patients requiring CRRT (includes fluids and machines)
0 / 5 / 10
Factor 4:- Assessment audit Documentation Care Plans
No evidence of assessment available / Evidence of assessment for CRRT is available but this is not carries out by the multi- disciplinary team / Assessment for CRRT is carried out by MDT but is not available 24 hours a day / There is a 24 hour assessment of the need for CRRT carried out by the MDT using a standardised, evidence based protocol and this is acted upon according to Unit guidelines and individual patient needs
0 / 3 / 8 / 10
Factor 5:- Availability of trained MDT: Guidelines evidence of referrals
No Specialist MDT is available / All trained and competent MDT is available on site, but it is not 24hours a day / A trained competent MDT is available on site 24 hours a day.
0 / 5 / 10
Factor 6: - Care delivery and evaluation Guidelines Documentation
Care is delivered but it is not evaluated / Care is delivered and evaluated but not in a timely or continuous way / All patients will have continuous, timely evaluation of their care which will be delivered by trained staff, using evidence based guidelines and / or protocols of care.
0 / 5 / 10