{"text_format":"1","workbook":"xlsx","n_sheets":9,"sheets":["Introduction","SelfAssessment","FacilityLookup","ComboBoxResponsesLookup","HistoricResponses","Recommendations-and-ActionPlan","CommentLookup","DataForGraphs","Dashboard"],"not_rendered":{"charts":0,"images":7,"macros":1,"external_links":0,"defined_names":13,"comments":1,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Introduction","index":0,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[[5,4,5,10],[7,2,8,13],[9,6,9,15]]}

{"sheet":"SelfAssessment","index":1,"n_rows":107,"n_cols":118,"rows_kept":107,"cut":false,"hidden":false,"merged":[[30,5,30,7],[37,5,37,7],[38,5,38,7],[39,5,39,7],[40,5,40,7],[64,5,64,7],[57,5,57,7],[63,5,63,7],[0,5,0,6],[1,5,1,6],[29,5,29,7],[35,5,35,7],[16,5,16,7],[27,5,27,7],[23,5,23,7],[24,5,24,7],[28,5,28,7],[10,5,10,7],[11,5,11,7],[12,5,12,7],[13,5,13,7],[26,0,33,0],[35,3,35,4],[10,0,14,0],[16,0,24,0],[35,0,41,0],[26,3,26,4],[16,3,16,4],[14,5,14,7],[48,5,48,7],[55,5,55,7],[58,5,58,7],[44,5,44,7],[45,5,45,7],[46,5,46,7],[43,5,43,7],[36,5,36,7],[41,5,41,7],[52,5,52,7],[50,5,50,7],[26,5,26,7],[31,5,31,7],[32,5,32,7],[22,5,22,7],[43,3,43,4],[51,5,51,7],[49,5,49,7],[59,5,59,7],[33,5,33,7],[53,5,53,7],[54,5,54,7],[17,5,17,7],[18,5,18,7],[19,5,19,7],[20,5,20,7],[21,5,21,7],[9,1,9,2],[0,2,0,4],[1,2,1,4],[7,0,7,1],[0,0,0,1],[1,0,1,1],[4,0,6,1],[71,5,71,7],[43,0,46,0],[48,0,55,0],[57,0,61,0],[63,0,66,0],[68,0,71,0],[68,3,68,4],[70,5,70,7],[69,5,69,7],[60,5,60,7],[61,5,61,7],[66,5,66,7],[68,5,68,7],[63,3,63,4],[65,5,65,7],[48,3,48,4]]}
[null,null,"Perioperative Toolkit"]
[null,null,"Self Assessment Tool"]
[]
[null,null,"Name(s)","Email(s)","Status"]
["Names(s) of respondent(s)",null,"werwer","ytsdf@test.com",0]
[]
[]
["Date of assessment:",null,{"$f":"TODAY()","v":"2016-12-05"},null,0]
[null,null,null,null,{"$f":"COUNTIF((E5:E8),1)","v":0}]
["Elements","Recommended Standards",null,null,null,null,null,null,"Scores","Which answer is considered as \"Meeting the Standards\"","Final Status(Meeting Status) Y/N"]
["Element 1: Perioperative process supports the surgical / procedural journey",null,null,"Responses",null," Comments"]
[null,"1.1","Does the hospital have and use agreed and documented processes to support the perioperative journey for patients, families and carers?",null,0,null,null,null,{"$f":"E12","v":0},"3,4",{"$f":"IF(I12>2,\"Y\",\"N\")","v":"N"}]
[null,"1.2","A standardised format (electronic or paper based) is used for documenting the patient's preoperative status? ",null,0,null,null,null,{"$f":"E13","v":0},"3,4",{"$f":"IF(I13>2,\"Y\",\"N\")","v":"N"}]
[null,"1.3","The patient's preoperative summary can be accessed by all members of the perioperative health care team?",null,0,null,null,null,0,"3,4",{"$f":"IF(I14>2,\"Y\",\"N\")","v":"N"}]
[null,"1.4","The hospital uses a documented process for identifying and supporting patients who require additional services e.g. professional interpreters, Aboriginal hospital liaison service?",null,0,null,null,null,0,"3,4",{"$f":"IF(I15>2,\"Y\",\"N\")","v":"N"}]
[]
["Element 2: Pre admission review and triage",null,null,"Responses"]
[null,"2.1","The hospital uses an agreed and documented triage process, developed locally in consultation with anaesthetists, for reviewing all patients scheduled for a surgery / procedure?",null,0,null,null,null,{"$f":"E18","v":0},"3,4",{"$f":"IF(I18>2,\"Y\",\"N\")","v":"N"}]
[null,"2.2","The Patient Health Questionnaire (or equivalent) is screened within two working days of receipt?",null,0,null,null,null,0,"3,4",{"$f":"IF(I19>2,\"Y\",\"N\")","v":"N"}]
[null,"2.3","The triage process for each patient, including review of the completed Patient Health Questionnaire and Transfer of Care Planning Questionnaire (or equivalent), is completed two - four weeks prior to surgery?",null,0,null,null,null,0,"3,4",{"$f":"IF(I20>2,\"Y\",\"N\")","v":"N"}]
[null,"2.4","The Perioperative Service uses a Patient Health Questionnaire (or equivalent) as a preliminary screening/triage tool for each patient?",null,0,null,null,null,0,4,{"$f":"IF(I21=4,\"Y\",\"N\")","v":"N"}]
[null,"2.5","The hospital has an agreed process for following up incomplete PHQs/screening tools?",null,0,null,null,null,0,"3,4",{"$f":"IF(I22>2,\"Y\",\"N\")","v":"N"}]
[null,"2.6","The hospital's triage process includes planning for the patient's transfer of care from hospital?",null,0,null,null,null,0,"3,4",{"$f":"IF(I23>2,\"Y\",\"N\")","v":"N"}]
[null,"2.7","Patients are provided with clear instructions and education (written and verbal) appropriate to their needs and health literacy?",null,0,null,null,null,0,4,{"$f":"IF(I24=4,\"Y\",\"N\")","v":"N"}]
[null,"2.8","Patients receive a telephone call on the day prior to surgery outlining instructions e.g. for fasting, admission times, medication management?",null,0,null,null,null,0,4,{"$f":"IF(I25=4,\"Y\",\"N\")","v":"N"}]
[]
["Element 3: Pre procedure preparation",null,null,"Responses",null,"Comments"]
[null,"3.1","The hospital has documented risk assessment / stratification pathways for all patients to determine who may require follow up / further preoperative testing? ",null,0,null,null,null,{"$f":"E28","v":0},"3,4",{"$f":"IF(I28>2,\"Y\",\"N\")","v":"N"}]
[null,"3.2","The hospital has an agreed and documented process and/or tool for liaising with other health care providers, e.g. the patient's GP, to idenitfy additional information necessary for determing the patient's level of perioperative risk?",null,0,null,null,null,0,"3,4","N"]
[null,"3.3","The hospital has documented triage criteria, endorsed by local anaesthetists, used to determine which patients require review at the pre admission clinic?  ",null,0,null,null,null,0,"3,4","N"]
[null,"3.4","The hospital has a documented process for planning the level of postoperative care required, e.g. Intensive Care, Close Observation (also know as High Dependency)?",null,0,null,null,null,0,"3,4","N"]
[null,"3.5","The hospital has an anaesthetist/s within the PPP/PAC responsible for the medical leadership of the pre procedure preparation process?",null,0,null,null,null,0,"3,4","N"]
[null,"3.6","The hospital has a nurse within the PAC responsible for nursing leadership of the pre procedure preparation process?",null,0,null,null,null,0,"3,4","N"]
[null,"3.7","Details of the patient's pre procedure preparation are documented in a central location and communicated to other members of the health care team, especially the procedural anaesthetist and surgeon/proceduralist?",null,0,null,null,null,0,4,{"$f":"IF(I34=4,\"Y\",\"N\")","v":"N"}]
[]
["Element 4: Multidisciplinary team",null,null,"Responses",null,"Comments"]
[null,"4.1","The members of the multidisciplinary perioperative health care team are communicated to those involved in the patient's planned perioperative journey? ",null,0,null,null,null,null,4,{"$f":"IF(I37=4,\"Y\",\"N\")","v":"N"}]
[null,"4.2","The hospital has a clear process for ensuring all members of the multidisciplinary team who are involved in the patient's perioperative journey, are informed of relevant information for the patient's upcoming surgery / procedure?",null,0,null,null,null,{"$f":"E38","v":0},"3,4",{"$f":"IF(I38>2,\"Y\",\"N\")","v":"N"}]
[null,"4.3","There is a clear communication process for involving and updating members of the multidisciplinary team about changes to the triage and pre procedure preparation processes managed by the Perioperative Service?",null,0,null,null,null,0,"3,4",{"$f":"IF(I39>2,\"Y\",\"N\")","v":"N"}]
[null,"4.4","There is a documented process for idenitfying other services which may be required by the patient, their family or carers e.g. professional interpreters, Aboriginal hospital liaison services?",null,0,null,null,null,0,"3,4",{"$f":"IF(I40>2,\"Y\",\"N\")","v":"N"}]
[null,"4.5","There is a local protocol for accessing these services (or providing access to these services) for patients, their families and carers?",null,0,null,null,null,null,"3,4",{"$f":"IF(I41>2,\"Y\",\"N\")","v":"N"}]
[null,"4.6","There is a point of contact within the Perioperative Service for members of the health care team, including the GP, to contact if they need to clarify aspects of the patient's planned perioperative journey?",null,0,null,null,null,{"$f":"E42","v":0},"3,4",{"$f":"IF(I42>2,\"Y\",\"N\")","v":"N"}]
[]
["Element 5: Standardised Perioperative Pathway / Enhance Recovery or Clinical Pathways",null,"To be answered if the SPP (or equivalent) tool is in use. Will not contribute to assessment rating.","Responses",null,"Comments"]
[null,"5.1","A Standardised Perioperative Pathway (SPP) tool (or equivalent) is completed for each patient's perioperative journey?",null,0,null,null,null,{"$f":"E45","v":0},"3,4",{"$f":"IF(I45>2,\"Y\",\"N\")","v":"N"}]
[null,"5.2","Formal clinical pathways or enhanced recovery tools are completed each patient's planned perioperative journey?",null,0,null,null,null,0,"3,4",{"$f":"IF(I46>2,\"Y\",\"N\")","v":"N"}]
[null,"5.3","The Perioperative Service is informed when a patient's planned perioperative is varied e.g. unplanned return to theatre, unplanned admission to ICU, cancellation on the day of surgery?",null,0,null,null,null,0,"3,4",{"$f":"IF(I47>2,\"Y\",\"N\")","v":"N"}]
[]
["Element 6: Measuring for quality improvement",null,null,"Responses",null,"Comments"]
[null,"6.1","There is a documented process for continuous quality improvement within the Perioperative Service?",null,0,null,null,null,{"$f":"E50","v":0},"3,4",{"$f":"IF(I50>2,\"Y\",\"N\")","v":"N"}]
[null,"6.2","The Perioperative Service team meets regularly to review, analyse and discuss local data?",null,0,null,null,null,0,"3,4","N"]
[null,"6.3a","Local continuous quality improvement review and analysis includes:\nPerformance indicators?",null,0,null,null,null,0,"3,4","N"]
[null,"6.3b","Process measures?",null,0,null,null,null,0,"3,4","N"]
[null,"6.3c","Health Outcomes?",null,0,null,null,null,0,"3,4","N"]
[null,"6.3d","Patient reported measures?",null,0,null,null,null,0,"3,4","N"]
[null,"6.4","Review and analysis is regularly shared with the perioperative multidisciplinary team for action?",null,0,null,null,null,0,"3,4","N"]
[]
["Element 7: Integration with primary care",null,null,"Responses",null,"Comments"]
[null,"7.1","There is an agreed and documented process for communicating with the patient's primary health care practitioner and other specialists as needed to optimise the patient's perioperative journey?",null,0,null,null,null,{"$f":"E59","v":0},"3,4",{"$f":"IF(I59>2,\"Y\",\"N\")","v":"N"}]
[null,"7.2","There is a point of contact within the peroperative service for the patient's other health care providers to contact to support the patient's planned perioperative journey?",null,0,null,null,null,0,"3,4",{"$f":"IF(I60>2,\"Y\",\"N\")","v":"N"}]
[null,"7.3","The primary health care practitioner is provided with a written transfer of care within 48 hours of the transfer?",null,0,null,null,null,0,4,{"$f":"IF(I61=4,\"Y\",\"N\")","v":"N"}]
[null,"7.4","Significant variance in the patient's planned perioperative journey, e.g. unplanned admission to ICU, is communicated to the primary health care practitioner?",null,0,null,null,null,0,"3,4",{"$f":"IF(I62>2,\"Y\",\"N\")","v":"N"}]
[]
["Element 8: Partnering with patients",null,null,"Responses",null,"Comments"]
[null,"8.1","The Perioperative Service actively supports shared decision making with the patient, carer and family for the patient's planned perioperative journey?",null,0,null,null,null,{"$f":"E65","v":0},4,{"$f":"IF(I65=4,\"Y\",\"N\")","v":"N"}]
[null,"8.2","The Perioperative Service actively engages with patients, families and carers to identify agreed outcomes for the patient's planned perioperative journey?",null,0,null,null,null,0,"3,4",{"$f":"IF(I66>2,\"Y\",\"N\")","v":"N"}]
[null,"8.3","The patient, family and carer are provided with key perioperative information and education to support the patient's planned perioperative journey?",null,0,null,null,null,0,4,{"$f":"IF(I67=4,\"Y\",\"N\")","v":"N"}]
[]
["Element 9: Clinical and corporate governance",null,null,"Responses",null,"Comments"]
[null,"9.1a","The Perioperative Service is underpinned by structured clinical AND corporate governance at the:\nLHD/Network Level?",null,0,null,null,null,{"$f":"E70","v":0},1,{"$f":"IF(I70=1,\"Y\",\"N\")","v":"N"}]
[null,"9.1b","Hospital Level?",null,0,null,null,null,0,1,{"$f":"IF(I71=1,\"Y\",\"N\")","v":"N"}]
[null,"9.1c","Perioperative Service Level?",null,0,null,null,null,0,1,{"$f":"IF(I72=1,\"Y\",\"N\")","v":"N"}]
[null,null,null,"No of answers provided",{"$f":"SUM(UserResponses)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 106",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 144",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 145",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 146",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 147",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 148",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 149",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 150",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 151",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 152",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 153",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 154",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 155",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 156",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 157",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 158",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 159",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 160",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 161",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 162",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 163",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 164",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 165",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 166",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 167",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 168",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Drop Down 170",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"cmdClear",12]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Picture 1",13]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"cmdClearGaps",12]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"cmdSave",12]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"cboFacility",12]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Combo Box 1",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Combo Box 3",8]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CommandButton1",12]

{"sheet":"FacilityLookup","index":2,"n_rows":20,"n_cols":1,"rows_kept":20,"cut":false,"hidden":true,"merged":[]}
["<Please make a selection>"]
["Auburn                              "]
["Armidale               "]
["Dubbo                   "]
["Bathurst               "]
["Bega                      "]
["Bowral       "]
["Broken Hill"]
["Fairfield"]
["Canterbury"]
["Goulburn"]
["Grafton"]
["Griffith"]
["Kempsey"]
["Maitland"]
["Manning"]
["Mona Vale"]
["Ryde"]
["Shoalhaven"]
["Wyong"]

{"sheet":"ComboBoxResponsesLookup","index":3,"n_rows":5,"n_cols":4,"rows_kept":5,"cut":false,"hidden":true,"merged":[]}
[]
[1,"Never/a little 0.-30%","Last month","Yes"]
[2,"Sometimes 31-59","6 months","No"]
[3,"Mostly 60-84","1 year"]
[4,"Almost always/always 85-100","longer than a year"]

{"sheet":"HistoricResponses","index":4,"n_rows":141,"n_cols":4,"rows_kept":141,"cut":false,"hidden":true,"merged":[[15,1,19,1],[15,2,15,3],[0,2,0,5],[1,2,1,5],[10,1,10,3],[4,0,6,3],[11,0,19,0],[11,1,14,1],[11,2,11,3],[31,1,32,1],[31,2,31,3],[21,1,21,3],[22,1,26,1],[22,2,22,3],[27,1,28,1],[27,2,27,3],[29,1,30,1],[29,2,29,3],[33,2,33,3],[35,1,43,1],[35,2,35,3],[36,2,36,3],[40,2,40,3],[53,1,54,1],[53,2,53,3],[56,1,56,3],[57,0,66,0],[57,1,58,1],[57,2,57,3],[59,1,60,1],[59,2,59,3],[22,0,54,0],[61,1,62,1],[61,2,61,3],[63,1,64,1],[63,2,63,3],[65,1,66,1],[65,2,65,3],[33,1,34,1],[44,1,46,1],[44,2,44,3],[47,1,50,1],[47,2,47,3],[51,1,52,1],[51,2,51,3],[69,0,83,0],[69,1,71,1],[69,2,69,3],[72,1,73,1],[72,2,72,3],[79,1,81,1],[79,2,79,3],[82,1,83,1],[82,2,82,3],[74,1,75,1],[74,2,74,3],[76,1,78,1],[76,2,76,3],[68,1,68,3],[99,1,99,3],[100,0,131,0],[100,1,102,1],[100,2,100,3],[103,1,107,1],[103,2,103,3],[108,1,112,1],[108,2,108,3],[85,1,85,3],[86,0,97,0],[86,1,91,1],[86,2,86,3],[92,1,97,1],[92,2,92,3],[119,1,131,1],[133,1,133,3],[134,0,140,0],[134,1,137,1],[134,2,134,3],[138,1,140,1],[138,2,138,3],[113,1,115,1],[113,2,113,3],[116,1,118,1],[116,2,116,3],[125,2,125,3],[119,2,119,3]]}
[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[]
["Historic data is stored here. Each time the users submit a response it is stored here with the date of assessment"]
[]
[]
[]
[]
[]
["Functions","Recommended Standards"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit."]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?"]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?"]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?"]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,null,"1.2a","Is there a designated Medical Director for your ICU?"]
[null,null,"1.2b","Is the designated Medical Director a Fellow of CICM?"]
[null,null,"1.2c","Is there a NUM allocated  to your ICU?"]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?"]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n"]
[null,null,"2.1a","Does your Unit function under a closed model?"]
[null,null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?"]
[null,null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?"]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant/Specialist to provide phone advice?"]
[null,"2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?"]
[null,"2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?"]
[null,"2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied Health   "]
[null,null,"2.6b","Medical"]
[null,null,"2.6c","Nursing"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied Health   "]
[null,null,"2.6e","Medical"]
[null,null,"2.6f","Nursing"]
[null,"2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,"2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?"]
[null,"2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?"]
[null,"2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,null,2.1,"Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?"]
[]
["Functions","Recommended Standards"]
["Function 3:                Standard Protocol & Procedures","3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n"]
[null,null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?"]
[null,"3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?"]
[null,"3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?"]
[null,"3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?"]
[null,"3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?"]
[]
["Functions","Recommended Standards"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?"]
[null,null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?"]
[null,"4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?"]
[null,"4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?"]
[null,"4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?"]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?"]
[null,"4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?"]
[null,null,"4.5b","Does your Unit collect ACHS clinical indicators?"]
[null,"4.6","Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?"]
[]
["Functions","Recommended Standards"]
["Function 5:                            Education, Training & Supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,null,"5.1a","Does your Unit have a structured orientation program for nursing?"]
[null,null,"5.1b","Does your Unit have a structured orientation program for medicine?"]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  "]
[null,null,"5.1d","Does your Unit have a structured education program for nursing?"]
[null,null,"5.1e","Does your Unit have a structured education program for medicine?"]
[null,"5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?"]
[null,null,"5.2c","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?"]
[null,null,"5.2b","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?"]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?"]
[]
["Functions","Recommended Standards"]
["Function 6:                            Education, Training & Supervision","6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current credentialed airway skills?"]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?"]
[null,null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?"]
[null,null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? "]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?"]
[null,"6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?"]
[null,"6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?"]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a Clinical pharmacist?"]
[null,null,"6.6b","How frequently do you have access to Physiotherapy?"]
[null,null,"6.6c","How frequently do you have access to a Dietician?"]
[null,null,"6.6d","How frequently do you have access to a Social Worker?"]
[null,null,"6.6e","How frequently do you have access to a Speech Pathologist?"]
[null,null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","How frequently do you have access to a Data Manager?"]
[null,null,"6.7b","How frequently do you have access to a Bio Medical Engineer?"]
[null,null,"6.7c","How frequently do you have access to Clerical Support?"]
[null,null,"6.7d","How frequently do you have access to a Wards Person?"]
[null,null,"6.7e","How frequently do you have access to a Cleaner?"]
[null,null,"6.7f","How frequently do you have access to IT support?"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?"]
[null,null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?"]
[null,null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?"]
[null,"7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your Unit?  "]
[null,null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  "]

{"sheet":"Recommendations-and-ActionPlan","index":5,"n_rows":167,"n_cols":19,"rows_kept":167,"cut":false,"hidden":true,"merged":[[79,9,79,11],[82,9,82,11],[86,9,86,11],[72,9,72,11],[74,9,74,11],[76,9,76,11],[59,9,59,11],[61,9,61,11],[63,9,63,11],[65,9,65,11],[69,9,69,11],[134,9,134,11],[138,9,138,11],[119,9,119,11],[113,9,113,11],[116,9,116,11],[103,9,103,11],[108,9,108,11],[92,9,92,11],[100,9,100,11],[51,9,51,11],[53,9,53,11],[57,9,57,11],[40,9,40,10],[44,9,44,11],[47,9,47,11],[35,9,35,11],[36,9,36,11],[22,9,22,11],[27,9,27,11],[29,9,29,11],[10,9,10,11],[15,9,15,11],[0,2,0,4],[1,2,1,4],[4,0,6,2],[7,0,7,2],[8,0,8,2],[10,1,10,3],[15,6,15,8],[4,4,4,6],[5,4,5,6],[6,4,6,6],[3,4,3,6],[16,6,16,8],[17,6,17,8],[18,6,18,8],[19,6,19,8],[21,1,21,3],[11,0,19,0],[11,1,14,1],[11,2,11,3],[11,6,11,8],[12,6,12,8],[13,6,13,8],[14,6,14,8],[15,1,19,1],[15,2,15,3],[31,1,32,1],[31,2,31,3],[31,6,31,8],[32,6,32,8],[33,1,34,1],[33,2,33,3],[33,6,33,8],[34,6,34,8],[27,2,27,3],[27,6,27,8],[28,6,28,8],[29,1,30,1],[29,2,29,3],[29,6,29,8],[30,6,30,8],[27,1,28,1],[47,1,50,1],[47,2,47,3],[47,6,47,8],[48,6,48,8],[49,6,49,8],[50,6,50,8],[40,6,40,7],[41,6,41,8],[42,6,42,8],[43,6,43,8],[44,1,46,1],[44,2,44,3],[44,6,44,8],[45,6,45,8],[46,6,46,8],[35,1,43,1],[35,2,35,3],[35,6,35,8],[36,2,36,3],[36,6,36,8],[37,6,37,8],[38,6,38,8],[39,6,39,8],[40,2,40,3],[56,1,56,3],[57,0,66,0],[57,1,58,1],[57,2,57,3],[57,6,57,8],[58,6,58,8],[59,1,60,1],[59,2,59,3],[51,1,52,1],[51,2,51,3],[51,6,51,8],[52,6,52,8],[53,1,54,1],[53,2,53,3],[53,6,53,8],[54,6,54,8],[22,0,54,0],[22,1,26,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,6,24,8],[25,6,25,8],[26,6,26,8],[63,1,64,1],[63,2,63,3],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[59,6,59,8],[60,6,60,8],[61,1,62,1],[61,2,61,3],[61,6,61,8],[62,6,62,8],[68,1,68,3],[69,1,71,1],[69,2,69,3],[72,1,73,1],[72,2,72,3],[76,1,78,1],[76,2,76,3],[74,1,75,1],[74,2,74,3],[85,1,85,3],[79,1,81,1],[79,2,79,3],[79,6,79,8],[80,6,80,8],[81,6,81,8],[92,1,97,1],[92,2,92,3],[92,6,92,8],[93,6,93,8],[94,6,94,8],[95,6,95,8],[96,6,96,8],[97,6,97,8],[86,0,97,0],[86,1,91,1],[86,2,86,3],[86,6,86,8],[87,6,87,8],[88,6,88,8],[89,6,89,8],[90,6,90,8],[91,6,91,8],[99,1,99,3],[100,0,131,0],[100,1,102,1],[100,2,100,3],[100,6,100,8],[101,6,101,8],[102,6,102,8],[103,1,107,1],[103,2,103,3],[108,1,112,1],[108,2,108,3],[108,6,108,8],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[113,1,115,1],[113,2,113,3],[113,6,113,8],[114,6,114,8],[115,6,115,8],[127,6,127,8],[128,6,128,8],[129,6,129,8],[130,6,130,8],[131,6,131,8],[133,1,133,3],[119,1,131,1],[119,2,119,3],[119,6,119,8],[120,6,120,8],[121,6,121,8],[122,6,122,8],[123,6,123,8],[124,6,124,8],[126,6,126,8],[125,2,125,3],[134,0,140,0],[134,1,137,1],[134,2,134,3],[134,6,134,8],[135,6,135,8],[136,6,136,8],[137,6,137,8],[138,1,140,1],[138,2,138,3],[144,2,144,3],[144,4,144,8],[145,2,145,3],[145,4,145,8],[146,2,146,3],[146,4,146,8],[138,6,138,8],[139,6,139,8],[140,6,140,8],[143,1,143,3],[143,4,143,8],[150,2,150,3],[150,4,150,8],[151,2,151,3],[151,4,151,8],[152,2,152,3],[152,4,152,8],[147,2,147,3],[147,4,147,8],[148,2,148,3],[148,4,148,8],[149,2,149,3],[149,4,149,8],[156,2,156,3],[156,4,156,8],[157,2,157,3],[157,4,157,8],[158,2,158,3],[158,4,158,8],[153,2,153,3],[153,4,153,8],[154,2,154,3],[154,4,154,8],[155,2,155,3],[155,4,155,8],[166,1,166,3],[167,1,173,8],[162,2,162,3],[162,4,162,8],[163,2,163,3],[163,4,163,8],[164,2,164,3],[164,4,164,8],[159,2,159,3],[159,4,159,8],[160,2,160,3],[160,4,160,8],[161,2,161,3],[161,4,161,8],[73,6,73,8],[72,6,72,8],[71,6,71,8],[70,6,70,8],[69,6,69,8],[69,0,83,0],[83,6,83,8],[82,6,82,8],[82,2,82,3],[82,1,83,1],[78,6,78,8],[77,6,77,8],[76,6,76,8],[75,6,75,8],[74,6,74,8]]}
[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[null,null,null,"Name(s)","Email(s)"]
["Names(s) of respondent(s)",null,null,"ytsdf@test.com",0]
[]
[]
["Facility",null,null,"Dubbo                   ","Canterbury"]
["Date of assessment:"]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit.",null,"Responses",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?",{"$f":"IF(F13=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,"rdtydryt","drytd","tydrty",1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},null,"drty",null,null,"dryt","drytd","dryt",1,null,null,null,null,null,"qwerwqe"]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?",{"$f":"IF(F15=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,"dryt","drytd","dryt",1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,null,"1.2a","Is there a designated Medical Director for your ICU?",{"$f":"IF(F17=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Medical Director a Fellow of CICM?",{"$f":"IF(F18=1,\"Yes\",\"No\")","v":"No"},"sdfgsdfgsdfg",{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated  to your ICU?",{"$f":"IF(F19=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(OR(F20=3,F20=4,F20=5),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n"]
[null,null,"2.1a","Does your Unit function under a closed model?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(F25=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant to provide phone advice?",{"$f":"IF(F27=1,\"Yes\",\"No\")","v":"No"},"Comments",{"$f":"IF(E27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU  does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,"2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(F29=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,"2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(F31=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,"2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null," "]
[null,null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(F33=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,"2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(F35=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,"2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,null,"Comments"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied Health   ",{"$f":"IF(F38=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(F40=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied Health   ",{"$f":"IF(F42=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(F44=1,\"Yes\",\"No\")","v":"No"},"Comments",{"$f":"IF(E44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,"2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?",{"$f":"IF(OR(F47=1,F47=2),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,"2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(F49=1,\"Yes\",\"No\")","v":"No"},"Comments",{"$f":"IF(E49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,"2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?",{"$f":"IF(F53=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,"2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,null,2.1,"Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(F55=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3:                Standard Protocol & Procedures","3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n",null,null,"Comments"]
[null,null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(F59=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,"3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(F61=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,"3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(F63=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,"3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,null,"Comments"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"????????"},null,null,null,null,null,1]
[null,"3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?",{"$f":"IF(OR(F67=1,F67=2,F67=3),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards",null,null,null,"Comments"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?",{"$f":"IF(OR(F71=4,F71=5,F71=6,F71=7),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(OR(F72=4,F72=5,F72=6,F72=7,F72=8,F72=9,F72=10,F72=11,F72=12),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,"4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(OR(F74=1,F74=2),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,"4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?",{"$f":"IF(F76=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,"4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?",{"$f":"IF(F78=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,"4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your Unit collect ACHS clinical indicators?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,"4.6","Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5:                            Education, Training & Supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,null,"5.1a","Does your Unit have a structured orientation program for nursing?",{"$f":"IF(F88=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your Unit have a structured orientation program for medicine?",{"$f":"IF(F89=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(F90=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your Unit have a structured education program for nursing?",{"$f":"IF(F91=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your Unit have a structured education program for medicine?",{"$f":"IF(F92=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,"5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?",{"$f":"IF(F94=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?",{"$f":"IF(F95=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?",{"$f":"IF(OR(F96=1,F96=2),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(F97=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6:                  Workforce Management & Support Services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(F102=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills?",{"$f":"IF(F103=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,"6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? ",{"$f":"IF(OR(F107=1,F107=2,F107=3,F107=4,F107=5),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,"6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?",{"$f":"IF(OR(F110=1,F110=2),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?",1,null,{"$f":"IF(E111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?",{"$f":"IF(OR(F112=1,F112=2,F112=3,F112=4,F112=5),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?",{"$f":"IF(OR(F113=1,F113=2,F113=3,F113=4,F113=5),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,"6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",2,null,{"$f":"IF(E115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."}]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(OR(F116=1,F116=2,F116=3,F116=4),\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",3,null,{"$f":"IF(E118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",5,null,{"$f":"IF(E119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a Clinical pharmacist?",2,null,{"$f":"IF(E121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to Physiotherapy?",2,null,{"$f":"IF(E122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a Dietician?",1,null,{"$f":"IF(E123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a Social Worker?",2,null,{"$f":"IF(E124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a Speech Pathologist?",1,null,{"$f":"IF(E125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","How frequently do you have access to a Data Manager?",2,null,{"$f":"IF(E127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a Bio Medical Engineer?",2,null,{"$f":"IF(E128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to Clerical Support?",3,null,{"$f":"IF(E129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a Wards Person?",2,null,{"$f":"IF(E130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a Cleaner?",2,null,{"$f":"IF(E131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?",2,null,{"$f":"IF(E132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?","No",null,{"$f":"IF(E136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?",{"$f":"IF(F137=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?",{"$f":"IF(F138=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,"7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your Unit?  ",{"$f":"IF(F140=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"IF(F141=1,\"Yes\",\"No\")","v":"No"},null,{"$f":"IF(E141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any Additional Gaps?"]
[null,"Sno.","Gap",null,"Recommendations"]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[]
[null,"Additional Comments:"]

{"sheet":"CommentLookup","index":6,"n_rows":167,"n_cols":8,"rows_kept":167,"cut":false,"hidden":true,"merged":[[0,2,0,4],[1,2,1,4],[4,0,6,2],[7,0,7,2],[8,0,8,2],[10,1,10,3],[21,1,21,3],[22,0,54,0],[22,1,26,1],[22,2,22,3],[31,1,32,1],[31,2,31,3],[51,1,52,1],[51,2,51,3],[47,1,50,1],[47,2,47,3],[22,6,22,7],[11,0,19,0],[11,1,14,1],[11,2,11,3],[15,1,19,1],[15,2,15,3],[29,1,30,1],[29,2,29,3],[29,6,29,7],[47,6,47,7],[61,1,62,1],[61,2,61,3],[61,6,61,7],[31,6,31,7],[27,1,28,1],[27,2,27,3],[27,6,27,7],[44,1,46,1],[44,2,44,3],[44,6,44,7],[40,2,40,3],[40,6,40,7],[33,1,34,1],[33,2,33,3],[33,6,33,7],[35,1,43,1],[35,2,35,3],[35,6,35,7],[36,2,36,3],[36,6,36,7],[56,1,56,3],[57,0,66,0],[57,1,58,1],[57,2,57,3],[57,6,57,7],[59,1,60,1],[59,2,59,3],[59,6,59,7],[51,6,51,7],[53,1,54,1],[53,2,53,3],[53,6,53,7],[65,1,66,1],[65,2,65,3],[65,6,65,7],[68,1,68,3],[69,1,71,1],[69,2,69,3],[69,6,69,7],[63,1,64,1],[63,2,63,3],[63,6,63,7],[82,1,83,1],[82,2,82,3],[82,6,82,7],[85,1,85,3],[86,0,97,0],[86,1,91,1],[86,2,86,3],[86,6,86,7],[76,1,78,1],[76,2,76,3],[76,6,76,7],[79,1,81,1],[79,2,79,3],[79,6,79,7],[69,0,83,0],[72,1,73,1],[72,2,72,3],[72,6,72,7],[74,1,75,1],[74,2,74,3],[74,6,74,7],[103,2,103,3],[103,6,103,7],[99,1,99,3],[100,0,131,0],[100,1,102,1],[100,2,100,3],[100,6,100,7],[103,1,107,1],[92,1,97,1],[92,2,92,3],[92,6,92,7],[113,1,115,1],[113,2,113,3],[113,6,113,7],[116,1,118,1],[116,2,116,3],[116,6,116,7],[108,1,112,1],[108,2,108,3],[108,6,108,7],[138,1,140,1],[138,2,138,3],[138,6,138,7],[133,1,133,3],[134,0,140,0],[134,1,137,1],[134,2,134,3],[134,6,134,7],[119,1,131,1],[119,2,119,3],[119,6,119,7],[146,2,146,3],[146,4,146,7],[147,2,147,3],[147,4,147,7],[148,2,148,3],[148,4,148,7],[143,1,143,3],[143,4,143,7],[144,2,144,3],[144,4,144,7],[145,2,145,3],[145,4,145,7],[152,4,152,7],[153,2,153,3],[153,4,153,7],[154,2,154,3],[154,4,154,7],[149,2,149,3],[149,4,149,7],[150,2,150,3],[150,4,150,7],[151,2,151,3],[151,4,151,7],[164,2,164,3],[164,4,164,7],[166,1,166,3],[167,1,173,7],[125,2,125,3],[161,2,161,3],[161,4,161,7],[162,2,162,3],[162,4,162,7],[163,2,163,3],[163,4,163,7],[158,2,158,3],[158,4,158,7],[159,2,159,3],[159,4,159,7],[160,2,160,3],[160,4,160,7],[155,2,155,3],[155,4,155,7],[156,2,156,3],[156,4,156,7],[157,2,157,3],[157,4,157,7],[152,2,152,3]]}
[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[null,null,null,"Name(s)","Email(s)"]
["Names(s) of respondent(s)",null,null,"Name 1","test@test.com"]
[null,null,null,"Name 2","email2@test.com"]
[null,null,null,"Name 3","email3@test.com"]
["Facility",null,null,"2016-02-19","Canterbury"]
["Date of assessment:",null,null,"2016-02-19"]
[]
["Functions","Recommended Standards"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit.",null,"Meets recommendation (where there are Y/N answers Y is taken as 1)","Comments for yes(meeting Recommendation","Doesn't meet recommendation","Comments for Not meeting recommendations"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?",1,"There is a formal Intensive Care Service network agreement between  the Unit and a linked 5 or 6 Unit.",null,"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",1,"There is a Director for the LHD Intensive Care Service/Stream.",null,"There is no Director for the LHD Intensive Care Service/Stream."]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?",1,"There are clearly defined roles for the Intensive Care Directors at each Unit.",null,"There are not clearly defined roles for the Intensive Care Directors at each Unit."]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,null,"1.2a","Is there a designated Medical Director for your ICU?",1,"There is a designated Medical Director for the ICU.",null,"There is no designated Medical Director for the ICU."]
[null,null,"1.2b","Is the designated Medical Director a Fellow of CICM?",1,"The Medical Director is a Fellow of CICM",null,"The Medical Director is not a Fellow of CICM"]
[null,null,"1.2c","Is there a NUM allocated  to your ICU?",1,"There is a Nurse Unit Manager allocated to the ICU.",null,"There is no Nurse Unit Manager allocated to the ICU."]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?","3,4,5","The   NUM manages other clinical areas in conjunction to the ICU, if some of the time, this should be reviewed in conjunction with other complementary recommendations)","1,2","The  NUM manages other clinical areas is not within the recommended standard"]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n"]
[null,null,"2.1a","Does your Unit function under a closed model?",1,"Unit functions under a closed model.",null,"Unit does not function under a closed model."]
[null,null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?",1,"The primary responsibility for patient management lies with the intensive care team rather than the admitting team.",null,"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."]
[null,null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?",1,"Unit has an intensivist/designated specialist within hours Monday-Friday.","2,3,4,5","Unit does not have an intensivist/designated specialist within hours Monday-Friday."]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant to provide phone advice?",1,"ICU always/mostly always has after-hours access to senior critical care advice through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/specialist to provide phone advice.","2,3,4,5","ICU  does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."]
[null,"2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",1,"There is always/mostly always a medical officer onsite primarily responsible for the Intensive Care Service 24 hours per day.","2,3,4,5","There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."]
[null,"2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",1,"All patients always/mostly always have management plans documented daily by the intensivist or designated specialist .","2,3,4,5","All patients do not have management plans documented daily by the intensivist or designated specialist "]
[null,"2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",1,"Combined medical/nursing ward rounds are always/mostly always  carried out daily.","2,3,4,5","Combined medical/nursing ward rounds are infrequently carried out daily."]
[null,"2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",1,"Multidisciplinary ward rounds are  always/mostly always held twice weekly .","2,3,4,5","Multidisciplinary ward rounds are held twice weekly infrequently"]
[null,"2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied Health   ",1,"Clinical handover is   always/mostly always documented at every transfer of care by allied health.","2,3,4,5","Clinical handover is documented at every transfer of care by allied health infrequently."]
[null,null,"2.6b","Medical",1,"Clinical handover is always/mostly always documented at every transfer of care by medical staff.","2,3,4,5","Clinical handover is documented at every transfer of care by medical Staff infrequently."]
[null,null,"2.6c","Nursing",1,"Clinical handover is documented  always/mostly always at every transfer of care by nursing staff.","2,3,4,5","Clinical handover is documented at every transfer of care by nursing staff infrequently."]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied Health   ",1,"Handover is  always/mostly always carried out using a standardised process at every transfer of care by allied health.","2,3,4,5","Handover is infrequently carried out using a standardised process at every transfer of care by allied health."]
[null,null,"2.6e","Medical",1,"Handover is  always/mostly always carried out using a standardised process at every transfer of care by medical staff.","2,3,4,5","Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."]
[null,null,"2.6f","Nursing",1,"Handover is  always/mostly always carried out using a standardised process at every transfer of care by nursing staff.","2,3,4,5","Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."]
[null,"2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?",1,"There is a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit.",null,"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."]
[null,null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?","1,2","The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is utilised frequently.","3,4,5","The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."]
[null,"2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",1,"A nursing discharge summary is always/mostly always completed when patients are discharged from ICU to the ward.","2,3,4,5","A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",1,"A medical discharge summary is always/mostly always completed when patients are discharged from ICU to the ward.","2,3,4,5","A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",1,"An allied health discharge summary is always/mostly always completed when patients are discharged from ICU to the ward.","2,3,4,5","An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."]
[null,"2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?",1,"There is a formalised process for the admission and transfer of patients in the Unit.",null,"There is no formalised process for the admission and transfer of patients in the Unit."]
[null,"2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,null,"2.10","Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?",1,"The admission process includes the documentation of the name and contact details of the patient's substitute decision maker.",null,"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."]
[]
["Functions","Recommended Standards"]
["Function 3:                Standard Protocol & Procedures","3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n"]
[null,null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?",1,"There is a formal agreement between the Unit and the networked referral hospital outlining functional linkages.",null,"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."]
[null,"3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?",1,"The Unit has a written escalation plan for upgrade of care that is signed off at executive level.",null,"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."]
[null,"3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",1,"A high proportion of guidelines and procedures are standardised across the LHD Intensive Care Network.",null,"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."]
[null,"3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",1," Guidelines are updated always/almost always using the best available evidence.  What is the frequency of the locally agreed process(including evidenced based and input from  multidisciplinary team members) used for updating guidelines?","2,3,4,5","????????"]
[null,"3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?","1,2,3","Telehealth is frequently utilised by the unit where appropriate.","4,5","Telehealth is infrequently utilised by the unit where appropriate."]
[]
["Functions","Recommended Standards"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?","4,5,6,7","The Unit  runs regular Morbidity and Mortality meetings.","0,1,2,3","The Unit does not run regular Morbidity and Mortality meetings."]
[null,null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?","4,5,6,7,8,9,10,11,12","Combined multidisciplinary meetings are run regularly by the Unit with the networked hospital.","0,1,2,3","Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."]
[null,"4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?","1,2","The results of incident and audit reports are frequently fed back to staff.","3,4,5","The results of incident and audit reports are infrequently fed back to staff."]
[null,"4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?",1,"The Unit frequently takes part in antibiotic stewardship.","2,3,4,5","The Unit infrequently takes part in antibiotic stewardship."]
[null,"4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?",1,"Patient/carer experience surveys are performed at a minimum annually in the Unit.",null,"Patient/carer experience surveys are not performed at least annually in the Unit."]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",1,"Staff experience surveys are performed at a minimum annually in the Unit.",null,"Staff experience surveys are not performed at least annually in the Unit."]
[null,"4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?",1,"The Unit does collect a minimum clinical indicator / quality data set.",null,"The Unit does not collect a minimum clinical indicator / quality data set."]
[null,null,"4.5b","Does your Unit collect ACHS clinical indicators?",1,"The Unit does collect ACHS clinical indicators.",null,"The Unit does not collect ACHS clinical indicators."]
[null,"4.6","Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?",1,"The Unit does have a risk register that can be used in relation to the Service Model.",null,"The Unit does not have a risk register that can be used in relation to the Service Model."]
[]
["Functions","Recommended Standards"]
["Function 5:                            Education, Training & Supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,null,"5.1a","Does your Unit have a structured orientation program for nursing?",1,"The Unit has a structured orientation program for nursing.",null,"The Unit does not have a structured orientation program for nursing."]
[null,null,"5.1b","Does your Unit have a structured orientation program for medicine?",1,"The Unit has a structured orientation program for medicine.",null,"The Unit does not have a structured orientation program for medicine."]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",1,"Supernumerary time is allocated to staff as part of orientation.",null,"Supernumerary time is not allocated to staff as part of orientation."]
[null,null,"5.1d","Does your Unit have a structured education program for nursing?",1,"The Unit has a structured education program for nursing.",null,"The Unit does not have a structured education program for nursing."]
[null,null,"5.1e","Does your Unit have a structured education program for medicine?",1,"The Unit has a structured education program for medicine.",null,"The Unit does not have a structured education program for medicine."]
[null,"5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?",1,"There are defined scopes of practice for Senior Medical Officer roles in the ICU.",null,"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."]
[null,null,"5.2c","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?",1,"There are defined scopes of practice for Junior Medical Officer roles in the ICU.",null,"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."]
[null,null,"5.2b","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?","1,2","A large proportion of medical staff responsible for the Unit are credentialed within a defined scope of practice.","3,4,5","A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",1,"A large proportion of junior medical staff have clinical supervision requirements documented.","2,3,4,5","A large proportion of junior medical staff do not have clinical supervision requirements documented."]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",1,"Clinical supervision requirements are always/almost always clearly communicated.","2,3,4,5","Clinical supervision requirements are clearly communicated infrequently."]
[]
["Functions","Recommended Standards"]
["Function 6:                  Workforce Management & Support Services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills?",1,"The Unit always/almost always has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills.","2,3,4,5","The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills?",1,"The Unit frequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills.","2,3,4,5","The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."]
[null,"6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?",1,"The nursing profile of the Unit is based on the funded bed base.",null,"The nursing profile of the Unit is not based on the funded bed base."]
[null,null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",1,"The nursing profile of the Unit is based on patient severity of illness (as clinically determined).",null,"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."]
[null,null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? ","1,2,3,4,5","???????/ Not sure what to put here as there is no wrong answer"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?",1,"Additional services are provided outside the ICU, with funded nursing positions to support these services above the nursing staff profile.","no","Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."]
[null,"6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?","1,2","The recommended number of senior nurses in charge have post graduate qualifications in critical care.","3,4,6","Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?",null,"A senior nurse in charge with post graduate critical care qualifications is often rostered on when the NUM is not on duty.",null,"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?","1,2,3,4,5","???????/ Not sure what to put here as there is no wrong answer"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?","1,2,3,4,5","???????/ Not sure what to put here as there is no wrong answer"]
[null,"6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",null,"At least 50% of nursing staff have post graduate qualifications in critical care.",null,"Less than 50% of nursing staff have post graduate qualifications in critical care."]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?","1,2,3,4","A n acceptable proportion of nursing staff without post graduate qualifications have extensive experience in critical care ≥ 5 years.",5,"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",null,"The Unit has frequent access to an onsite CNE",null,"Unit does not have frequent access to an onsite CNE"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",null,"The Unit has frequent access to an ICU CNC",null,"Unit does not have frequent access to an ICU CNC"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a Clinical pharmacist?",null,"The Unit has frequent access to a Clinical Pharmacist",null,"The Unit does not have frequent access to a Clinical Pharmacist"]
[null,null,"6.6b","How frequently do you have access to Physiotherapy?",null,"The Unit has frequent access to Physiotherapy",null,"The Unit does not have frequent access to Physiotherapy"]
[null,null,"6.6c","How frequently do you have access to a Dietician?",null,"The Unit has frequent access to a Dietitian",null,"The Unit does not have frequent access to a Dietitian"]
[null,null,"6.6d","How frequently do you have access to a Social Worker?",null,"The Unit has frequent access to a Social Worker",null,"The Unit does not have frequent access to a Social Worker"]
[null,null,"6.6e","How frequently do you have access to a Speech Pathologist?",null,"The Unit has frequent access to a Speech Pathologist",null,"The Unit does not have frequent access to a Speech Pathologist"]
[null,null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","How frequently do you have access to a Data Manager?",null,"The Unit has frequent access to a Data Manager",null,"The Unit does not have frequent access to a Data Manager"]
[null,null,"6.7b","How frequently do you have access to a Bio Medical Engineer?",null,"The Unit has frequent access to a Biomedical Engineer",null,"The Unit does not have frequent access to a Biomedical Engineer"]
[null,null,"6.7c","How frequently do you have access to Clerical Support?",null,"The Unit has frequent access to Clerical support",null,"The Unit does not have frequent access to Clerical support"]
[null,null,"6.7d","How frequently do you have access to a Wards Person?",null,"The Unit has frequent access to a Wards person",null,"The Unit does not have frequent access to a Wards person"]
[null,null,"6.7e","How frequently do you have access to a Cleaner?",null,"The Unit has frequent access to a Cleaner",null,"The Unit does not have frequent access to a Cleaner"]
[null,null,"6.7f","How frequently do you have access to IT support?",null,"The Unit has frequent access to Information Technology support",null,"The Unit does not have frequent access to Information Technology support"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?",null,"Unit meets a large number of the National Safety and Quality Health Service Standards",null,"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"]
[null,null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?",1,"The Unit meets the CICM minimum standards for Intensive Care Units",null,"The Unit does not meet the CICM minimum standards for Intensive Care Units"]
[null,null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?",1,"The Unit meets ACCCN Nursing Staffing standards",null,"The Unit does not meet ACCCN Nursing Staffing standards"]
[null,"7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your Unit?  ",1,"The Unit has frequent access to essential equipment","2,3,4,5","The Unit does not have frequent access to essential equipment"]
[null,null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",1,"A Replacement, Maintenance and Repair (RMR) register is utilised by the Unit","no","A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"]
[null,null,null,null,0,0]
[]
[null,"Any Additional Gaps?"]
[null,"Sno.","Gap"]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]
[null,20]
[]
[null,"Additional Comments:"]

{"sheet":"DataForGraphs","index":7,"n_rows":59,"n_cols":12,"rows_kept":59,"cut":false,"hidden":true,"merged":[]}
[null,{"$f":"HistoricResponses!B12","v":"1.1"}]
[null,{"$f":"HistoricResponses!$C13","v":"1.1a"},{"$f":"HistoricResponses!$C14","v":"1.1b"},{"$f":"HistoricResponses!$C15","v":"1.1c"},{"$f":"HistoricResponses!$C17","v":"1.2a"},{"$f":"HistoricResponses!$C18","v":"1.2b"},{"$f":"HistoricResponses!$C19","v":"1.2c"},{"$f":"HistoricResponses!$C20","v":"1.2d"},{"$f":"HistoricResponses!$C24","v":"2.1a"},{"$f":"HistoricResponses!$C25","v":"2.1b"},{"$f":"HistoricResponses!$C26","v":"2.1c"},{"$f":"HistoricResponses!$C27","v":"2.1d"}]
[null,"Question","Question","Question"]
["Date",{"$f":"HistoricResponses!D13","v":"Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?"},{"$f":"HistoricResponses!D14","v":"Is there a Director for the LHD Intensive Care Service/Stream?"},{"$f":"HistoricResponses!D15","v":"Are there clearly defined roles for the Intensive Care Directors at each Unit?"},{"$f":"HistoricResponses!$D17","v":"Is there a designated Medical Director for your ICU?"},{"$f":"HistoricResponses!$D17","v":"Is there a designated Medical Director for your ICU?"},{"$f":"HistoricResponses!$D17","v":"Is there a designated Medical Director for your ICU?"},{"$f":"HistoricResponses!$D17","v":"Is there a designated Medical Director for your ICU?"},{"$f":"HistoricResponses!$D24","v":"Does your Unit function under a closed model?"},{"$f":"HistoricResponses!$D25","v":"Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?"},{"$f":"HistoricResponses!$D26","v":"What frequency does an intensivist/designated specialist work within hours Monday-Friday?"},{"$f":"HistoricResponses!$D27","v":"What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant/Specialist to provide phone advice?"}]
["2016-02-18",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-18",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-18",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,1,1,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",2,2,2,1,1,1,1,1,1,1,1]
["2016-02-19",2,2,2,1,1,1,1,1,1,1,1]
["2016-02-21",2,2,2,1,1,1,1,1,1,1,1]
["2016-02-21",2,2,2,1,1,1,1,1,1,1,1]
["2016-02-21",2,2,2,1,1,1,1,1,1,1,1]

{"sheet":"Dashboard","index":8,"n_rows":18,"n_cols":11,"rows_kept":18,"cut":false,"hidden":false,"merged":[[1,0,1,10],[0,0,0,10],[7,9,7,10],[7,1,7,5],[17,1,17,5],[16,1,16,5],[8,1,8,5],[9,1,9,5],[10,1,10,5],[11,1,11,5],[12,1,12,5],[13,1,13,5],[14,1,14,5],[15,1,15,5]]}
["Perioperative Toolkit"]
["Self Assessment Tool"]
[]
[]
[null,"Dated:",{"$f":"AssessmentDate","v":"2016-12-05"}]
[]
[]
[null,"List of elements",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)"]
[null,"Element 1: Perioperative process supports the surgical / procedural journey",null,null,null,null,4,{"$f":"COUNTIF(SelfAssessment!K12:K15,\"Y\")","v":0},{"$f":"G9-H9","v":4},{"$f":"H9/G9","v":0},{"$f":"J9","v":0}]
[null,"Element 2: Pre admission review and triage",null,null,null,null,8,{"$f":"COUNTIF(SelfAssessment!K18:K25,\"Y\")","v":0},{"$f":"G10-H10","v":8},{"$f":"H10/G10","v":0},{"$f":"J10","v":0}]
[null,"Element 3: Pre procedure preparation",null,null,null,null,7,{"$f":"COUNTIF(SelfAssessment!K28:K34,\"Y\")","v":0},7,0,0]
[null,"Element 4: Multidisciplinary team",null,null,null,null,6,{"$f":"COUNTIF(SelfAssessment!K37:K42,\"Y\")","v":0},6,0,0]
[null,"Element 5: Standardised Perioperative Pathway / Enhance Recovery or Clinical Pathways",null,null,null,null,3,{"$f":"COUNTIF(SelfAssessment!K45:K47,\"Y\")","v":0},3,0,0]
[null,"Element 6: Measuring for quality improvement",null,null,null,null,7,{"$f":"COUNTIF(SelfAssessment!K50:K56,\"Y\")","v":0},7,0,0]
[null,"Element 7: Integration with primary care",null,null,null,null,4,{"$f":"COUNTIF(SelfAssessment!K59:K62,\"Y\")","v":0},4,0,0]
[null,"Element 8: Partnering with patients",null,null,null,null,3,{"$f":"COUNTIF(SelfAssessment!K65:K67,\"Y\")","v":0},3,0,0]
[null,"Element 9: Clinical and corporate governance",null,null,null,null,3,{"$f":"COUNTIF(SelfAssessment!K70:K72,\"Y\")","v":0},3,0,0]
[null,"Totals",null,null,null,null,{"$f":"SUM(G9:G17)","v":45},{"$f":"SUM(H9:H17)","v":0},45,{"$f":"H18/G18","v":0},0]