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{"sheet":"FacilityLookup","index":1,"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":2,"n_rows":17,"n_cols":4,"rows_kept":17,"cut":false,"hidden":true,"merged":[]}
[null,null,"For question 3.3,3.4","For questions: \"How many times ….\")"]
[1,"Always / almost always (90-100%)","All / almost all (90-100%)",0]
[2,"Most of the time (60-89%)","Most (60-89%)",1]
[3,"Sometimes (30-59%)","Some (30-59%)",2]
[4,"A little (1-29%)","A few (1-29%)",3]
[5,"Never (0%)","None (0%)",4]
[null,"N/A",null,5]
[null,null,null,6]
[null,null,null,7]
[null,null,null,8]
[null,null,null,9]
[null,"Yes",null,10]
[null,"No",null,11]
[null,null,null,12]
[null,"Yes"]
[null,"No"]
[null,"N/A"]

{"sheet":"SelfAssessment","index":3,"n_rows":187,"n_cols":120,"rows_kept":187,"cut":false,"hidden":false,"merged":[[116,0,118,0],[62,0,74,0],[44,7,44,9],[45,7,45,9],[48,7,48,9],[49,7,49,9],[46,7,46,9],[47,7,47,9],[50,7,50,9],[51,7,51,9],[64,7,64,9],[69,7,69,9],[44,4,44,5],[103,7,103,9],[104,7,104,9],[105,7,105,9],[73,7,73,9],[56,7,56,9],[58,7,58,9],[62,7,62,9],[63,7,63,9],[65,7,65,9],[66,7,66,9],[67,7,67,9],[145,1,151,9],[139,4,139,9],[140,4,140,9],[141,4,141,9],[142,4,142,9],[122,2,122,3],[123,2,123,3],[124,2,124,3],[125,2,125,3],[126,2,126,3],[127,2,127,3],[128,2,128,3],[129,2,129,3],[130,2,130,3],[131,2,131,3],[132,2,132,3],[144,1,144,3],[132,4,132,9],[133,4,133,9],[134,4,134,9],[135,4,135,9],[136,4,136,9],[137,4,137,9],[138,4,138,9],[121,1,121,3],[43,4,43,5],[48,4,48,5],[62,1,64,1],[67,1,69,1],[72,1,74,1],[74,7,74,9],[43,7,43,9],[48,2,48,3],[115,1,115,3],[116,1,118,1],[116,2,116,3],[77,4,77,5],[95,7,95,9],[65,4,65,5],[82,4,82,5],[67,4,67,5],[70,4,70,5],[72,4,72,5],[88,4,88,5],[84,7,84,9],[85,7,85,9],[88,7,88,9],[89,7,89,9],[142,2,142,3],[131,4,131,9],[140,2,140,3],[141,2,141,3],[133,2,133,3],[134,2,134,3],[135,2,135,3],[136,2,136,3],[137,2,137,3],[138,2,138,3],[139,2,139,3],[129,4,129,9],[130,4,130,9],[77,7,77,9],[78,7,78,9],[79,7,79,9],[80,7,80,9],[81,7,81,9],[82,7,82,9],[83,7,83,9],[107,7,107,9],[109,7,109,9],[110,7,110,9],[111,7,111,9],[112,7,112,9],[113,7,113,9],[98,7,98,9],[99,7,99,9],[100,7,100,9],[101,7,101,9],[102,7,102,9],[117,7,117,9],[118,7,118,9],[106,7,106,9],[121,4,121,9],[41,4,41,5],[41,7,41,9],[42,7,42,9],[43,1,51,1],[43,2,43,3],[44,2,44,3],[62,4,62,5],[54,4,54,5],[56,4,56,5],[58,4,58,5],[55,7,55,9],[57,7,57,9],[22,7,22,9],[24,7,24,9],[26,7,26,9],[30,1,36,1],[30,2,30,3],[37,2,37,3],[39,1,40,1],[39,2,39,3],[38,7,38,9],[37,1,38,1],[30,7,30,9],[37,7,37,9],[39,7,39,9],[40,7,40,9],[39,4,39,5],[28,2,28,3],[25,7,25,9],[27,7,27,9],[26,1,27,1],[26,2,26,3],[23,7,23,9],[88,2,88,3],[91,2,91,3],[87,1,87,3],[88,1,90,1],[91,1,92,1],[88,0,113,0],[93,1,95,1],[102,1,107,1],[108,1,113,1],[93,2,93,3],[96,1,98,1],[99,1,101,1],[108,2,108,3],[96,2,96,3],[102,2,102,3],[99,2,99,3],[7,0,7,2],[8,0,8,2],[76,1,76,3],[70,1,71,1],[67,2,67,3],[77,0,85,0],[77,1,81,1],[77,2,77,3],[82,1,85,1],[82,2,82,3],[11,1,11,3],[28,1,29,1],[12,1,15,1],[16,1,18,1],[65,2,65,3],[70,2,70,3],[72,2,72,3],[61,1,61,3],[62,2,62,3],[65,1,66,1],[12,2,12,3],[21,1,21,3],[41,1,42,1],[41,2,41,3],[12,0,18,0],[22,1,23,1],[22,2,22,3],[24,1,25,1],[24,2,24,3],[54,0,59,0],[54,2,54,3],[56,1,57,1],[56,2,56,3],[58,1,59,1],[58,2,58,3],[53,1,53,3],[54,1,55,1],[22,0,40,0],[127,4,127,9],[126,4,126,9],[96,7,96,9],[97,7,97,9],[128,4,128,9],[108,4,108,5],[96,4,96,5],[99,4,99,5],[102,4,102,5],[116,4,116,5],[116,7,116,9],[122,4,122,9],[123,4,123,9],[124,4,124,9],[125,4,125,9],[94,7,94,9],[70,7,70,9],[71,7,71,9],[72,7,72,9],[36,7,36,9],[29,7,29,9],[31,7,31,9],[32,7,32,9],[33,7,33,9],[34,7,34,9],[35,7,35,9],[68,7,68,9],[59,7,59,9],[90,7,90,9],[0,0,0,6],[1,0,1,6],[91,4,91,5],[93,4,93,5],[54,7,54,9],[3,5,3,7],[4,5,4,7],[5,5,5,7],[6,5,6,7],[91,7,91,9],[92,7,92,9],[93,7,93,9],[28,7,28,9],[22,4,22,5],[24,4,24,5],[30,4,30,5],[12,7,12,9],[13,7,13,9],[14,7,14,9],[15,7,15,9],[16,7,16,9],[17,7,17,9],[18,7,18,9],[4,0,6,2]]}
["Close Observation Unit"]
["Self-assessment tool"]
[]
[null,null,null,"Name","Role","Email",null,null,"Status"]
["Names(s) of respondent(s)",null,null,null,null,null,null,null,{"$f":"COUNTBLANK((D5:F5))","v":3}]
[]
[]
["Facility",null,null,null,null,{"$f":"COUNTBLANK((D8))","v":1}]
["Date of assessment: (overwrite the date if needed)",null,null,"2018-01-01",null,{"$f":"COUNTBLANK((D9))","v":0}]
[null,null,null,null,null,{"$f":"COUNTIF((F5:F9),1)","v":1}]
[]
["Principle","Recommended standards"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,null,"Your Comments"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",null,0]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?",null,0]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",null,0]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?",null,0]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?",null,0]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?",null,0]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer ",null,"Responses",null,null,"Your  comments (self-assessment 6)"]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",null,0]
[null,"2.2","Formalised admission and discharge criteria",null,"Responses"]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",null,0]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,"Responses"]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",null,0]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,"Responses"]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",null,0]
[null,"2.5","Between the flags and escalation of care plans",null,"Responses"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",null,0]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?",null,0]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?",null,0]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?",null,0]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?",null,0]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",null,0]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,"Responses"]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",null,0]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,"Responses"]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",null,0]
[null,"2.8","Referral process to allied health",null,"Responses"]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",null,0]
[null,"2.9","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,"Responses"]
[null,null,"2.9a","Medical",null,0]
[null,null,"2.9b","Nursing",null,0]
[null,null,"2.9c","Allied health   ",null,0]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,"Responses"]
[null,null,"2.9d","Medical",null,0]
[null,null,"2.9e","Nursing",null,0]
[null,null,"2.9f","Allied health   ",null,0]
[]
["Principle","Recommended standards"]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,"Responses"]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",null,0]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,"Responses"]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",null,0]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,"Responses"]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",null,0]
[]
["Principle","Recommended standards"]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,"Responses"]
[null,null,"4.1a","Is there an auditing program for the COU?",null,0]
[null,null,"4.1b","Is there a process for the regular review of incidents?",null,0]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings",null,"Responses"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",null,0]
[null,"4.3"," Close observation unit activity and resources data collection",null,"Responses"]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",null,0]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",null,0]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit",null,"Responses"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",null,0]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,"Responses"]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",null,0]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",null,0]
[]
["Principle","Recommended standards"]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive",null,"Responses"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",null,0]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",null,0]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",null,0]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",null,0]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated",null,"Responses"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",null,0]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",null,0]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",null,0]
[]
["Principle","Recommended standards"]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day",null,"Responses"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",null,0]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",null,0]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered",null,"Responses"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",null,0]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty",null,"Responses"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",null,0]
[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 or acute care?",null,0]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care",null,"Responses"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",null,0]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",null,0]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,"Responses"]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",null,0]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",null,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,null,"Drop Down 84",8]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,"Responses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 85",8]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",null,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,null,"Drop Down 86",8]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",null,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,null,"Drop Down 87",8]
[null,null,"6.6c","Does the COU have access to a dietician?",null,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,null,"Drop Down 88",8]
[null,null,"6.6d","Does the COU have access to a social worker?",null,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,null,"Drop Down 89",8]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",null,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,null,"Drop Down 90",8]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses"]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",null,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,null,"Drop Down 92",8]
[null,null,"6.7b","Does the COU have access to clerical support?",null,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,null,"Drop Down 93",8]
[null,null,"6.7c","Does the COU have access to a wards person?",null,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,null,"Drop Down 94",8]
[null,null,"6.7d"," Does the COU have access to a cleaner?",null,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,null,"Drop Down 95",8]
[null,null,"6.7e","Does the COU have access to IT support?",null,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,null,"Drop Down 96",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,null,null,"Drop Down 97",8]
["Principle","Recommended Standards",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 98",8]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,"Responses",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 103",8]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",null,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,null,"Drop Down 104",8]
[null,null,"7.1b","Do you have a RMR register?  ",null,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,null,"Drop Down 105",8]
[null,null,null,null,null,{"$f":"COUNTIF((F14:F119),0) + COUNTIF((F5:F9),1)","v":65},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,"Drop Down 107",8]
[null,"Any additional gaps?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 108",8]
[null,"No.","Gap",null,"Recommendations",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 109",8]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 110",8]
[null,2,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 111",8]
[null,3,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 112",8]
[null,4,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 113",8]
[null,5,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 114",8]
[null,6,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 115",8]
[null,7,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 116",8]
[null,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 117",8]
[null,9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 118",8]
[null,10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 119",8]
[null,11,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 120",8]
[null,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,"Drop Down 121",8]
[null,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,"Drop Down 122",8]
[null,14,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 123",8]
[null,15,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 124",8]
[null,16,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 125",8]
[null,17,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 126",8]
[null,18,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 127",8]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,"Picture 1",13]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,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,null,null,"Combo Box 1",8]
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{"sheet":"HistoricResponses","index":4,"n_rows":119,"n_cols":4,"rows_kept":119,"cut":false,"hidden":true,"merged":[[88,0,113,0],[22,1,23,1],[22,2,22,3],[24,2,24,3],[26,2,26,3],[24,1,25,1],[26,1,27,1],[77,0,85,0],[76,1,76,3],[54,0,59,0],[62,0,74,0],[43,1,51,1],[72,1,74,1],[108,2,108,3],[108,1,113,1],[99,2,99,3],[93,1,95,1],[65,2,65,3],[102,2,102,3],[102,1,107,1],[93,2,93,3],[96,2,96,3],[70,1,71,1],[116,2,116,3],[115,1,115,3],[116,1,118,1],[37,1,38,1],[39,2,39,3],[56,2,56,3],[56,1,57,1],[58,2,58,3],[58,1,59,1],[96,1,98,1],[88,2,88,3],[87,1,87,3],[88,1,90,1],[91,2,91,3],[91,1,92,1],[99,1,101,1],[30,2,30,3],[28,1,29,1],[30,1,36,1],[37,2,37,3],[43,2,43,3],[4,0,6,3],[77,1,81,1],[77,2,77,3],[0,0,0,6],[1,0,1,6],[12,2,12,3],[41,2,41,3],[41,1,42,1],[39,1,40,1],[44,2,44,3],[48,2,48,3],[53,1,53,3],[54,2,54,3],[54,1,55,1],[70,2,70,3],[72,2,72,3],[116,0,118,0],[12,1,15,1],[16,1,18,1],[11,1,11,3],[12,0,18,0],[22,0,40,0],[21,1,21,3],[82,2,82,3],[82,1,85,1],[61,1,61,3],[62,2,62,3],[62,1,64,1],[65,1,66,1],[67,1,69,1],[67,2,67,3],[28,2,28,3]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
[]
["Historic data is stored here. Each time the users submit a response it is stored here with the date of assessment.\nThese responses can be linked with the corresponding comments using Assessment ID."]
[]
[]
[]
[null,null,null,"ASSESSMENT ID:"]
[null,null,null,"Name:"]
[null,null,null,"Role:"]
["Principle","Recommended standards"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?"]
[null,"2.2","Formalised admission and discharge criteria"]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area"]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care"]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?"]
[null,"2.5","Between the flags and escalation of care plans"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients"]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available"]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?"]
[null,"2.8","Referral process to allied health"]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?"]
[null,"2.9","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,"2.9a","Medical"]
[null,null,"2.9b","Nursing"]
[null,null,"2.9c","Allied health   "]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.9d","Medical"]
[null,null,"2.9e","Nursing"]
[null,null,"2.9f","Allied health   "]
[]
["Principle","Recommended standards"]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members"]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals"]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?"]
[]
["Principle","Recommended standards"]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes"]
[null,null,"4.1a","Is there an auditing program for the COU?"]
[null,null,"4.1b","Is there a process for the regular review of incidents?"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?"]
[null,"4.3"," Close observation unit activity and resources data collection"]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually"]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?"]
[]
["Principle","Recommended standards"]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  "]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?"]
[null,"5.2","Medical staff responsible for the COU 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 COU?"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?"]
[]
["Principle","Recommended standards"]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?"]
[null,"6.3","Senior nurse in charge 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 or acute 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 or acute care?"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant"]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?"]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist"]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?"]
[null,null,"6.6c","Does the COU have access to a dietician?"]
[null,null,"6.6d","Does the COU have access to a social worker?"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?"]
[null,null,"6.7b","Does the COU have access to clerical support?"]
[null,null,"6.7c","Does the COU have access to a wards person?"]
[null,null,"6.7d"," Does the COU have access to a cleaner?"]
[null,null,"6.7e","Does the COU have access to IT support?"]
[]
["Principle","Recommended Standards"]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used"]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?"]
[null,null,"7.1b","Do you have a RMR register?  "]

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["Close Observation Unit"]
["Self Assessment Tool"]
[]
[]
["Historic comments is stored here. Each time the users submit a response it is stored here with the date of assessment. \nThese comments can be linked to the self-assessment responses using Assessment ID."]
[]
[]
[]
[null,null,null,"ASSESSMENT ID:",734]
[null,null,null,"Name:","lauren saunders"]
[null,null,null,"Role:","data manager"]
["Functions","Date:",null,null,"2017-08-15"]
["Function 1:            Leadership and Governance","1.1","Close Observation Unit Leadership and Goverance Model"]
[null,null,"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the esculation and transfer of patients requiring a higher level of care than the COU can safely provide?"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?"]
[null,1.2,"1.2a","Is there a documented nursing leadership and goverance model for the COU?"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the alied clinicians providing care to the patients within the COU?"]
[]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1"," Each patient has a primary responsibility admitting officer ",null,"Your  comments (self-assessment 6)"]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?"]
[null,"2.2","Formalised  admission and discharge criteria"]
[null,null,2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area."]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care."]
[null,null,2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?"]
[null,"2.5","Between the flags and esculation of care plans"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?"]
[null,null,"2.5b","Does each patient have a documented escalaton of care plan on admission?"]
[null,null,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarly repsonisble medical officer/team?"]
[null,null,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarly repsonisble medical officer/team?"]
[null,null,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarly repsonisble medical officer/team prior to transfer to the ward?"]
[null,null,"2.5f","Is each patients' escalation of care plan reviewed  by the primarly repsonisble medical officer/team prior to transfer to the ward?"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer/team for all admitted patients."]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available."]
[null,null,2.7,"What frequency are daily combined medical/nursing ward rounds carried out?"]
[null,"2.8","Referral process to allied health"]
[null,null,2.8,"Is there a documented referral process for patient requiring an allied health consultation"]
[null,"2.9","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,"2.9a","Medical"]
[null,null,"2.9b","Nursing"]
[null,null,"2.9c","Allied Health   "]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.9d","Medical"]
[null,null,"2.9e","Nursing"]
[null,null,"2.9f","Allied Health   "]
[]
["Functions","Recommended Standards"]
["Function  3:                   Standard Protocols & Procedures / Treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU."]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?"]
[null,"3.3","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.3,"Is there a teleheath model inplace to support clinical decision making?"]
[]
["Functions","Recommended Standards"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Mandatory auditing and incident review processes."]
[null,null,"4.1a","Is there a auditing program for the COU?"]
[null,null,"4.1b","Is there a process for the regular review of incidents?"]
[null,"4.2","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?"]
[null,"4.3"," Close Observation Unit  activity and resources data collection"]
[null,null,"4.3a","Is there a minumum COU activity data set routinely collected and reviewed?"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?"]
[null,"4.5","Undertake patient/carer & staff experience activities at a minimum annually."]
[null,null,"4.5a","Are patient/carer experience activities performed at least annually in the COU?"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?"]
[]
["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."]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  "]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?"]
[null,"5.2","Medical staff responsible for the Close Observation Unit 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 COU?"]
[null,null,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?"]
[]
["Functions","Recommended Standards"]
["Function 6:                  Workforce Management & Support Services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered."]
[null,null,6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?"]
[null,"6.3","Senior nurse in charge 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/acute 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/acute care?"]
[null,"6.4","AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical care/acute care."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care/acute care?"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care/acute care ≥ 5 years?"]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to a 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 a 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","Does the COU have access to a clinical pharmacist?"]
[null,null,"6.6b","Does the COU have access to a Physiotherapy?"]
[null,null,"6.6c","Does the COU have access to  a Dietician?"]
[null,null,"6.6d","Does the COU have access to  a Social Worker?"]
[null,null,"6.6e","Does the COU have access to a Speech Pathologist?"]
[null,"6.7","Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","Does the COU have access to a Bio Medical Engineer?"]
[null,null,"6.7b","Does the COU have access to Clerical Support?"]
[null,null,"6.7c","Does the COU have access to a Wards Person?"]
[null,null,"6.7d"," Does the COU have access to a Cleaner?"]
[null,null,"6.7e","Does the COU have access to IT support?"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.1a","How frequently do you have access to essential equipment in your Unit?"]
[null,null,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  "]

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["Close Observation Unit"]
["Self-assessment tool"]
[]
["NB: These recommendations are based on responses entered for the first self assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!E10","v":0},{"$f":"HistoricResponses!E11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of first assessment:",null,null,{"$f":"TEXT(HistoricResponses!$E$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by COU"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-assessment comments","Proposed solution",null,"SCORING \nThe following values need to be selected in order for standard to be met"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E14),\"\",HistoricResponses_Comments!E14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!E15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E15),\"\",HistoricResponses_Comments!E15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!E16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E16),\"\",HistoricResponses_Comments!E16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!E17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E17),\"\",HistoricResponses_Comments!E17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!E18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E18),\"\",HistoricResponses_Comments!E18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!E19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E19),\"\",HistoricResponses_Comments!E19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E24),\"\",HistoricResponses_Comments!E24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria"]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E26),\"\",HistoricResponses_Comments!E26)","v":""},null,null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area"]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E28),\"\",HistoricResponses_Comments!E28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care"]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E30),\"\",HistoricResponses_Comments!E30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E32),\"\",HistoricResponses_Comments!E32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!E33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E33),\"\",HistoricResponses_Comments!E33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!E34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E34),\"\",HistoricResponses_Comments!E34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!E35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E35),\"\",HistoricResponses_Comments!E35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!E36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E36),\"\",HistoricResponses_Comments!E36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!E37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E37),\"\",HistoricResponses_Comments!E37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients"]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E39),\"\",HistoricResponses_Comments!E39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available"]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E41),\"\",HistoricResponses_Comments!E41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health"]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E43),\"\",HistoricResponses_Comments!E43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E46),\"\",HistoricResponses_Comments!E46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E47),\"\",HistoricResponses_Comments!E47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!E48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E48),\"\",HistoricResponses_Comments!E48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E50),\"\",HistoricResponses_Comments!E50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E51),\"\",HistoricResponses_Comments!E51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!E52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E52),\"\",HistoricResponses_Comments!E52)","v":""},null,null,"Always / Almost always, or N/A"]
[]
["Principle","Recommended standards"]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E56),\"\",HistoricResponses_Comments!E56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members"]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E58),\"\",HistoricResponses_Comments!E58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals"]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E60),\"\",HistoricResponses_Comments!E60)","v":""},null,null,"Yes"]
[]
["Principle","Recommended standards"]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes"]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E64),\"\",HistoricResponses_Comments!E64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E65),\"\",HistoricResponses_Comments!E65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E67),\"\",HistoricResponses_Comments!E67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection"]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E69),\"\",HistoricResponses_Comments!E69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E70),\"\",HistoricResponses_Comments!E70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E72),\"\",HistoricResponses_Comments!E72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually"]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E74),\"\",HistoricResponses_Comments!E74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E75),\"\",HistoricResponses_Comments!E75)","v":""},null,null,"Yes"]
[]
["Principle","Recommended standards"]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E79),\"\",HistoricResponses_Comments!E79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E80),\"\",HistoricResponses_Comments!E80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E81),\"\",HistoricResponses_Comments!E81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E82),\"\",HistoricResponses_Comments!E82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E84),\"\",HistoricResponses_Comments!E84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!E85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E85),\"\",HistoricResponses_Comments!E85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E86),\"\",HistoricResponses_Comments!E86)","v":""},null,null,"Yes"]
[]
["Principle","Recommended standards"]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E90),\"\",HistoricResponses_Comments!E90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E91),\"\",HistoricResponses_Comments!E91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E93),\"\",HistoricResponses_Comments!E93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E95),\"\",HistoricResponses_Comments!E95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E96),\"\",HistoricResponses_Comments!E96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E98),\"\",HistoricResponses_Comments!E98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E99),\"\",HistoricResponses_Comments!E99)","v":""},null,null,"more than \"None\" (i.e.: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant"]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E101),\"\",HistoricResponses_Comments!E101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E102),\"\",HistoricResponses_Comments!E102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist"]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E104),\"\",HistoricResponses_Comments!E104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E105),\"\",HistoricResponses_Comments!E105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E106),\"\",HistoricResponses_Comments!E106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E107),\"\",HistoricResponses_Comments!E107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E108),\"\",HistoricResponses_Comments!E108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E110),\"\",HistoricResponses_Comments!E110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E111),\"\",HistoricResponses_Comments!E111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!E112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E112),\"\",HistoricResponses_Comments!E112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!E113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E113),\"\",HistoricResponses_Comments!E113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!E114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E114),\"\",HistoricResponses_Comments!E114)","v":""},null,null,"Yes"]
[]
["Principle","Recommended Standards"]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used"]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E118),\"\",HistoricResponses_Comments!E118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E119),\"\",HistoricResponses_Comments!E119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any additional gaps?"]
[null,"No.","Gap",null,null,null,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":"Recommendations-and-Solutions2","index":7,"n_rows":145,"n_cols":13,"rows_kept":145,"cut":false,"hidden":true,"merged":[[142,2,142,6],[142,7,142,10],[144,1,144,3],[145,1,151,10],[139,2,139,6],[139,7,139,10],[140,2,140,6],[140,7,140,10],[141,2,141,6],[141,7,141,10],[136,2,136,6],[136,7,136,10],[137,2,137,6],[137,7,137,10],[138,2,138,6],[138,7,138,10],[133,2,133,6],[133,7,133,10],[134,2,134,6],[134,7,134,10],[135,2,135,6],[135,7,135,10],[130,2,130,6],[130,7,130,10],[131,2,131,6],[131,7,131,10],[132,2,132,6],[132,7,132,10],[127,2,127,6],[127,7,127,10],[128,2,128,6],[128,7,128,10],[129,2,129,6],[129,7,129,10],[124,2,124,6],[124,7,124,10],[125,2,125,6],[125,7,125,10],[126,2,126,6],[126,7,126,10],[121,1,121,3],[121,4,121,8],[122,2,122,6],[122,7,122,10],[123,2,123,6],[123,7,123,10],[115,1,115,3],[116,0,118,0],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[108,1,113,1],[108,2,108,3],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[113,6,113,8],[108,6,108,8],[92,6,92,8],[93,1,95,1],[93,2,93,3],[93,6,93,8],[94,6,94,8],[95,6,95,8],[102,1,107,1],[102,2,102,3],[102,6,102,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[96,1,98,1],[96,2,96,3],[96,6,96,8],[97,6,97,8],[98,6,98,8],[99,1,101,1],[99,2,99,3],[99,6,99,8],[100,6,100,8],[101,6,101,8],[82,6,82,8],[83,6,83,8],[84,6,84,8],[85,6,85,8],[87,1,87,3],[88,0,113,0],[88,1,90,1],[88,2,88,3],[88,6,88,8],[89,6,89,8],[77,0,85,0],[77,1,81,1],[77,2,77,3],[77,6,77,8],[78,6,78,8],[79,6,79,8],[80,6,80,8],[81,6,81,8],[82,1,85,1],[82,2,82,3],[90,6,90,8],[91,1,92,1],[91,2,91,3],[91,6,91,8],[76,1,76,3],[67,1,69,1],[67,2,67,3],[68,6,68,8],[69,6,69,8],[70,1,71,1],[70,2,70,3],[70,6,70,8],[71,6,71,8],[67,6,67,8],[62,0,74,0],[62,1,64,1],[62,2,62,3],[62,6,62,8],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[72,1,74,1],[72,2,72,3],[72,6,72,8],[73,6,73,8],[74,6,74,8],[57,6,57,8],[58,1,59,1],[58,2,58,3],[58,6,58,8],[59,6,59,8],[61,1,61,3],[51,6,51,8],[53,1,53,3],[54,0,59,0],[54,1,55,1],[54,2,54,3],[54,6,54,8],[55,6,55,8],[56,1,57,1],[56,2,56,3],[56,6,56,8],[46,6,46,8],[47,6,47,8],[48,2,48,3],[49,6,49,8],[50,6,50,8],[41,1,42,1],[41,2,41,3],[41,6,41,8],[42,6,42,8],[43,1,51,1],[43,2,43,3],[43,6,43,8],[44,2,44,3],[44,6,44,8],[45,6,45,8],[48,6,48,8],[37,1,38,1],[37,2,37,3],[38,6,38,8],[39,1,40,1],[39,2,39,3],[40,6,40,8],[30,1,36,1],[30,2,30,3],[31,6,31,8],[32,6,32,8],[33,6,33,8],[34,6,34,8],[35,6,35,8],[36,6,36,8],[30,6,30,8],[37,6,37,8],[39,6,39,8],[17,6,17,8],[25,6,25,8],[26,1,27,1],[26,2,26,3],[26,6,26,8],[27,6,27,8],[28,1,29,1],[28,2,28,3],[28,6,28,8],[29,6,29,8],[22,0,40,0],[0,0,0,6],[1,0,1,6],[7,0,7,2],[8,0,8,2],[11,1,11,3],[18,6,18,8],[21,1,21,3],[22,1,23,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,1,25,1],[24,2,24,3],[24,6,24,8],[12,0,18,0],[12,1,15,1],[12,2,12,3],[12,6,12,8],[13,6,13,8],[14,6,14,8],[15,6,15,8],[16,1,18,1],[16,6,16,8]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
["NB: These recommendations are based on responses entered for the 2nd self-assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!F10","v":0},{"$f":"HistoricResponses!F11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of self-assessment:",null,null,{"$f":"TEXT(HistoricResponses!$F$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by Unit"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-Assessment Comments","Proposed Solution",null,"SCORING \nThe following values need to be selected in order for standard to be met"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F14),\"\",HistoricResponses_Comments!F14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!F15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F15),\"\",HistoricResponses_Comments!F15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!F16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F16),\"\",HistoricResponses_Comments!F16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!F17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F17),\"\",HistoricResponses_Comments!F17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!F18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F18),\"\",HistoricResponses_Comments!F18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!F19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F19),\"\",HistoricResponses_Comments!F19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F24),\"\",HistoricResponses_Comments!F24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F25),\"\",HistoricResponses_Comments!F25)","v":""}]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F26),\"\",HistoricResponses_Comments!F26)","v":""},"Addmision and dischareg policy devleoped, planning  to be implmented",null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F27),\"\",HistoricResponses_Comments!F27)","v":""}]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F28),\"\",HistoricResponses_Comments!F28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F29),\"\",HistoricResponses_Comments!F29)","v":""}]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F30),\"\",HistoricResponses_Comments!F30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F31),\"\",HistoricResponses_Comments!F31)","v":""}]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F32),\"\",HistoricResponses_Comments!F32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!F33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F33),\"\",HistoricResponses_Comments!F33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!F34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F34),\"\",HistoricResponses_Comments!F34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!F35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F35),\"\",HistoricResponses_Comments!F35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!F36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F36),\"\",HistoricResponses_Comments!F36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!F37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F37),\"\",HistoricResponses_Comments!F37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F38),\"\",HistoricResponses_Comments!F38)","v":""}]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F39),\"\",HistoricResponses_Comments!F39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F40),\"\",HistoricResponses_Comments!F40)","v":""}]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F41),\"\",HistoricResponses_Comments!F41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F42),\"\",HistoricResponses_Comments!F42)","v":""}]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F43),\"\",HistoricResponses_Comments!F43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F44),\"\",HistoricResponses_Comments!F44)","v":""}]
[null,null,"What frequency is handover documented at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F45),\"\",HistoricResponses_Comments!F45)","v":""}]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F46),\"\",HistoricResponses_Comments!F46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F47),\"\",HistoricResponses_Comments!F47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!F48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F48),\"\",HistoricResponses_Comments!F48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F49),\"\",HistoricResponses_Comments!F49)","v":""}]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F50),\"\",HistoricResponses_Comments!F50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F51),\"\",HistoricResponses_Comments!F51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!F52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F52),\"\",HistoricResponses_Comments!F52)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F53),\"\",HistoricResponses_Comments!F53)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F54),\"\",HistoricResponses_Comments!F54)","v":""}]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F55),\"\",HistoricResponses_Comments!F55)","v":""}]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F56),\"\",HistoricResponses_Comments!F56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F57),\"\",HistoricResponses_Comments!F57)","v":""}]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F58),\"\",HistoricResponses_Comments!F58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F59),\"\",HistoricResponses_Comments!F59)","v":""}]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F60),\"\",HistoricResponses_Comments!F60)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F61),\"\",HistoricResponses_Comments!F61)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F62),\"\",HistoricResponses_Comments!F62)","v":""}]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F63),\"\",HistoricResponses_Comments!F63)","v":""}]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F64),\"\",HistoricResponses_Comments!F64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F65),\"\",HistoricResponses_Comments!F65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F67),\"\",HistoricResponses_Comments!F67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F68),\"\",HistoricResponses_Comments!F68)","v":""}]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F69),\"\",HistoricResponses_Comments!F69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F70),\"\",HistoricResponses_Comments!F70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F72),\"\",HistoricResponses_Comments!F72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F73),\"\",HistoricResponses_Comments!F73)","v":""}]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F74),\"\",HistoricResponses_Comments!F74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F75),\"\",HistoricResponses_Comments!F75)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F76),\"\",HistoricResponses_Comments!F76)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F77),\"\",HistoricResponses_Comments!F77)","v":""}]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F79),\"\",HistoricResponses_Comments!F79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F80),\"\",HistoricResponses_Comments!F80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F81),\"\",HistoricResponses_Comments!F81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F82),\"\",HistoricResponses_Comments!F82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F84),\"\",HistoricResponses_Comments!F84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!F85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F85),\"\",HistoricResponses_Comments!F85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F86),\"\",HistoricResponses_Comments!F86)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F87),\"\",HistoricResponses_Comments!F87)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F88),\"\",HistoricResponses_Comments!F88)","v":""}]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F90),\"\",HistoricResponses_Comments!F90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F91),\"\",HistoricResponses_Comments!F91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F93),\"\",HistoricResponses_Comments!F93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F95),\"\",HistoricResponses_Comments!F95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F96),\"\",HistoricResponses_Comments!F96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F98),\"\",HistoricResponses_Comments!F98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F99),\"\",HistoricResponses_Comments!F99)","v":""},null,null,"more than \"None\" (ie: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F100),\"\",HistoricResponses_Comments!F100)","v":""}]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F101),\"\",HistoricResponses_Comments!F101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F102),\"\",HistoricResponses_Comments!F102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F103),\"\",HistoricResponses_Comments!F103)","v":""}]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F104),\"\",HistoricResponses_Comments!F104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F105),\"\",HistoricResponses_Comments!F105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F106),\"\",HistoricResponses_Comments!F106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F107),\"\",HistoricResponses_Comments!F107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F108),\"\",HistoricResponses_Comments!F108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F109),\"\",HistoricResponses_Comments!F109)","v":""}]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F110),\"\",HistoricResponses_Comments!F110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F111),\"\",HistoricResponses_Comments!F111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!F112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F112),\"\",HistoricResponses_Comments!F112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!F113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F113),\"\",HistoricResponses_Comments!F113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!F114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F114),\"\",HistoricResponses_Comments!F114)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F115),\"\",HistoricResponses_Comments!F115)","v":""}]
["Principle","Recommended Standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F116),\"\",HistoricResponses_Comments!F116)","v":""}]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F117),\"\",HistoricResponses_Comments!F117)","v":""}]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F118),\"\",HistoricResponses_Comments!F118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!F119),\"\",HistoricResponses_Comments!F119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,null,null,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":"Recommendations-and-Solutions3","index":8,"n_rows":145,"n_cols":13,"rows_kept":145,"cut":false,"hidden":true,"merged":[[142,2,142,6],[142,7,142,10],[144,1,144,3],[145,1,151,10],[139,2,139,6],[139,7,139,10],[140,2,140,6],[140,7,140,10],[141,2,141,6],[141,7,141,10],[136,2,136,6],[136,7,136,10],[137,2,137,6],[137,7,137,10],[138,2,138,6],[138,7,138,10],[133,2,133,6],[133,7,133,10],[134,2,134,6],[134,7,134,10],[135,2,135,6],[135,7,135,10],[130,2,130,6],[130,7,130,10],[131,2,131,6],[131,7,131,10],[132,2,132,6],[132,7,132,10],[127,2,127,6],[127,7,127,10],[128,2,128,6],[128,7,128,10],[129,2,129,6],[129,7,129,10],[124,2,124,6],[124,7,124,10],[125,2,125,6],[125,7,125,10],[126,2,126,6],[126,7,126,10],[121,1,121,3],[121,4,121,8],[122,2,122,6],[122,7,122,10],[123,2,123,6],[123,7,123,10],[115,1,115,3],[116,0,118,0],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[108,1,113,1],[108,2,108,3],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[113,6,113,8],[108,6,108,8],[92,6,92,8],[93,1,95,1],[93,2,93,3],[93,6,93,8],[94,6,94,8],[95,6,95,8],[102,1,107,1],[102,2,102,3],[102,6,102,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[96,1,98,1],[96,2,96,3],[96,6,96,8],[97,6,97,8],[98,6,98,8],[99,1,101,1],[99,2,99,3],[99,6,99,8],[100,6,100,8],[101,6,101,8],[82,6,82,8],[83,6,83,8],[84,6,84,8],[85,6,85,8],[87,1,87,3],[88,0,113,0],[88,1,90,1],[88,2,88,3],[88,6,88,8],[89,6,89,8],[77,0,85,0],[77,1,81,1],[77,2,77,3],[77,6,77,8],[78,6,78,8],[79,6,79,8],[80,6,80,8],[81,6,81,8],[82,1,85,1],[82,2,82,3],[90,6,90,8],[91,1,92,1],[91,2,91,3],[91,6,91,8],[76,1,76,3],[67,1,69,1],[67,2,67,3],[68,6,68,8],[69,6,69,8],[70,1,71,1],[70,2,70,3],[70,6,70,8],[71,6,71,8],[67,6,67,8],[62,0,74,0],[62,1,64,1],[62,2,62,3],[62,6,62,8],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[72,1,74,1],[72,2,72,3],[72,6,72,8],[73,6,73,8],[74,6,74,8],[57,6,57,8],[58,1,59,1],[58,2,58,3],[58,6,58,8],[59,6,59,8],[61,1,61,3],[51,6,51,8],[53,1,53,3],[54,0,59,0],[54,1,55,1],[54,2,54,3],[54,6,54,8],[55,6,55,8],[56,1,57,1],[56,2,56,3],[56,6,56,8],[22,0,51,0],[41,6,41,8],[42,6,42,8],[43,1,51,1],[43,2,43,3],[43,6,43,8],[44,2,44,3],[44,6,44,8],[45,6,45,8],[48,6,48,8],[46,6,46,8],[47,6,47,8],[48,2,48,3],[49,6,49,8],[50,6,50,8],[41,1,42,1],[41,2,41,3],[37,1,38,1],[37,2,37,3],[38,6,38,8],[39,1,40,1],[39,2,39,3],[40,6,40,8],[30,1,36,1],[30,2,30,3],[31,6,31,8],[32,6,32,8],[33,6,33,8],[34,6,34,8],[35,6,35,8],[36,6,36,8],[37,6,37,8],[30,6,30,8],[39,6,39,8],[26,1,27,1],[26,2,26,3],[26,6,26,8],[27,6,27,8],[28,1,29,1],[28,2,28,3],[28,6,28,8],[29,6,29,8],[21,1,21,3],[22,1,23,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,1,25,1],[24,2,24,3],[24,6,24,8],[25,6,25,8],[14,6,14,8],[15,6,15,8],[16,1,18,1],[16,6,16,8],[17,6,17,8],[18,6,18,8],[0,0,0,6],[1,0,1,6],[7,0,7,2],[8,0,8,2],[11,1,11,3],[12,0,18,0],[12,1,15,1],[12,2,12,3],[12,6,12,8],[13,6,13,8]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
["NB: These recommendations are based on responses entered for the 3rd self-assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!G10","v":0},{"$f":"HistoricResponses!G11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of self-assessment:",null,null,{"$f":"TEXT(HistoricResponses!$G$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by Unit"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-Assessment Comments","Proposed Solution",null,"SCORING \nThe following values need to be selected in order for standard to be met"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G14),\"\",HistoricResponses_Comments!G14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!G15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G15),\"\",HistoricResponses_Comments!G15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!G16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G16),\"\",HistoricResponses_Comments!G16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!G17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G17),\"\",HistoricResponses_Comments!G17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!G18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G18),\"\",HistoricResponses_Comments!G18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!G19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G19),\"\",HistoricResponses_Comments!G19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G24),\"\",HistoricResponses_Comments!G24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G25),\"\",HistoricResponses_Comments!G25)","v":""}]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G26),\"\",HistoricResponses_Comments!G26)","v":""},"Addmision and dischareg policy devleoped, planning  to be implmented",null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G27),\"\",HistoricResponses_Comments!G27)","v":""}]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G28),\"\",HistoricResponses_Comments!G28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G29),\"\",HistoricResponses_Comments!G29)","v":""}]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G30),\"\",HistoricResponses_Comments!G30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G31),\"\",HistoricResponses_Comments!G31)","v":""}]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G32),\"\",HistoricResponses_Comments!G32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!G33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G33),\"\",HistoricResponses_Comments!G33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!G34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G34),\"\",HistoricResponses_Comments!G34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!G35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G35),\"\",HistoricResponses_Comments!G35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!G36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G36),\"\",HistoricResponses_Comments!G36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!G37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G37),\"\",HistoricResponses_Comments!G37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G38),\"\",HistoricResponses_Comments!G38)","v":""}]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G39),\"\",HistoricResponses_Comments!G39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G40),\"\",HistoricResponses_Comments!G40)","v":""}]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G41),\"\",HistoricResponses_Comments!G41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G42),\"\",HistoricResponses_Comments!G42)","v":""}]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G43),\"\",HistoricResponses_Comments!G43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G44),\"\",HistoricResponses_Comments!G44)","v":""}]
[null,null,"What frequency is handover documented at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G45),\"\",HistoricResponses_Comments!G45)","v":""}]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G46),\"\",HistoricResponses_Comments!G46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G47),\"\",HistoricResponses_Comments!G47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!G48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G48),\"\",HistoricResponses_Comments!G48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G49),\"\",HistoricResponses_Comments!G49)","v":""}]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G50),\"\",HistoricResponses_Comments!G50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G51),\"\",HistoricResponses_Comments!G51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!G52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G52),\"\",HistoricResponses_Comments!G52)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G53),\"\",HistoricResponses_Comments!G53)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G54),\"\",HistoricResponses_Comments!G54)","v":""}]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G55),\"\",HistoricResponses_Comments!G55)","v":""}]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G56),\"\",HistoricResponses_Comments!G56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G57),\"\",HistoricResponses_Comments!G57)","v":""}]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G58),\"\",HistoricResponses_Comments!G58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G59),\"\",HistoricResponses_Comments!G59)","v":""}]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G60),\"\",HistoricResponses_Comments!G60)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G61),\"\",HistoricResponses_Comments!G61)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G62),\"\",HistoricResponses_Comments!G62)","v":""}]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G63),\"\",HistoricResponses_Comments!G63)","v":""}]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G64),\"\",HistoricResponses_Comments!G64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G65),\"\",HistoricResponses_Comments!G65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G67),\"\",HistoricResponses_Comments!G67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G68),\"\",HistoricResponses_Comments!G68)","v":""}]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G69),\"\",HistoricResponses_Comments!G69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G70),\"\",HistoricResponses_Comments!G70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G72),\"\",HistoricResponses_Comments!G72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G73),\"\",HistoricResponses_Comments!G73)","v":""}]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G74),\"\",HistoricResponses_Comments!G74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G75),\"\",HistoricResponses_Comments!G75)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G76),\"\",HistoricResponses_Comments!G76)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G77),\"\",HistoricResponses_Comments!G77)","v":""}]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G79),\"\",HistoricResponses_Comments!G79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G80),\"\",HistoricResponses_Comments!G80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G81),\"\",HistoricResponses_Comments!G81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G82),\"\",HistoricResponses_Comments!G82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G84),\"\",HistoricResponses_Comments!G84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!G85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G85),\"\",HistoricResponses_Comments!G85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G86),\"\",HistoricResponses_Comments!G86)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G87),\"\",HistoricResponses_Comments!G87)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G88),\"\",HistoricResponses_Comments!G88)","v":""}]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G90),\"\",HistoricResponses_Comments!G90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G91),\"\",HistoricResponses_Comments!G91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G93),\"\",HistoricResponses_Comments!G93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G95),\"\",HistoricResponses_Comments!G95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G96),\"\",HistoricResponses_Comments!G96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G98),\"\",HistoricResponses_Comments!G98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G99),\"\",HistoricResponses_Comments!G99)","v":""},null,null,"more than \"None\" (ie: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G100),\"\",HistoricResponses_Comments!G100)","v":""}]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G101),\"\",HistoricResponses_Comments!G101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G102),\"\",HistoricResponses_Comments!G102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G103),\"\",HistoricResponses_Comments!G103)","v":""}]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G104),\"\",HistoricResponses_Comments!G104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G105),\"\",HistoricResponses_Comments!G105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G106),\"\",HistoricResponses_Comments!G106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G107),\"\",HistoricResponses_Comments!G107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G108),\"\",HistoricResponses_Comments!G108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G109),\"\",HistoricResponses_Comments!G109)","v":""}]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G110),\"\",HistoricResponses_Comments!G110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G111),\"\",HistoricResponses_Comments!G111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!G112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G112),\"\",HistoricResponses_Comments!G112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!G113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G113),\"\",HistoricResponses_Comments!G113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!G114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G114),\"\",HistoricResponses_Comments!G114)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G115),\"\",HistoricResponses_Comments!G115)","v":""}]
["Principle","Recommended Standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G116),\"\",HistoricResponses_Comments!G116)","v":""}]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G117),\"\",HistoricResponses_Comments!G117)","v":""}]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G118),\"\",HistoricResponses_Comments!G118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!G119),\"\",HistoricResponses_Comments!G119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,null,null,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":"Recommendations-and-Solutions4","index":9,"n_rows":145,"n_cols":13,"rows_kept":145,"cut":false,"hidden":true,"merged":[[142,2,142,6],[142,7,142,10],[144,1,144,3],[145,1,151,10],[139,2,139,6],[139,7,139,10],[140,2,140,6],[140,7,140,10],[141,2,141,6],[141,7,141,10],[136,2,136,6],[136,7,136,10],[137,2,137,6],[137,7,137,10],[138,2,138,6],[138,7,138,10],[133,2,133,6],[133,7,133,10],[134,2,134,6],[134,7,134,10],[135,2,135,6],[135,7,135,10],[130,2,130,6],[130,7,130,10],[131,2,131,6],[131,7,131,10],[132,2,132,6],[132,7,132,10],[127,2,127,6],[127,7,127,10],[128,2,128,6],[128,7,128,10],[129,2,129,6],[129,7,129,10],[124,2,124,6],[124,7,124,10],[125,2,125,6],[125,7,125,10],[126,2,126,6],[126,7,126,10],[121,1,121,3],[121,4,121,8],[122,2,122,6],[122,7,122,10],[123,2,123,6],[123,7,123,10],[115,1,115,3],[116,0,118,0],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[108,1,113,1],[108,2,108,3],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[113,6,113,8],[108,6,108,8],[92,6,92,8],[93,1,95,1],[93,2,93,3],[93,6,93,8],[94,6,94,8],[95,6,95,8],[102,1,107,1],[102,2,102,3],[102,6,102,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[96,1,98,1],[96,2,96,3],[96,6,96,8],[97,6,97,8],[98,6,98,8],[99,1,101,1],[99,2,99,3],[99,6,99,8],[100,6,100,8],[101,6,101,8],[82,6,82,8],[83,6,83,8],[84,6,84,8],[85,6,85,8],[87,1,87,3],[88,0,113,0],[88,1,90,1],[88,2,88,3],[88,6,88,8],[89,6,89,8],[77,0,85,0],[77,1,81,1],[77,2,77,3],[77,6,77,8],[78,6,78,8],[79,6,79,8],[80,6,80,8],[81,6,81,8],[82,1,85,1],[82,2,82,3],[90,6,90,8],[91,1,92,1],[91,2,91,3],[91,6,91,8],[76,1,76,3],[67,1,69,1],[67,2,67,3],[68,6,68,8],[69,6,69,8],[70,1,71,1],[70,2,70,3],[70,6,70,8],[71,6,71,8],[67,6,67,8],[62,0,74,0],[62,1,64,1],[62,2,62,3],[62,6,62,8],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[72,1,74,1],[72,2,72,3],[72,6,72,8],[73,6,73,8],[74,6,74,8],[57,6,57,8],[58,1,59,1],[58,2,58,3],[58,6,58,8],[59,6,59,8],[61,1,61,3],[51,6,51,8],[53,1,53,3],[54,0,59,0],[54,1,55,1],[54,2,54,3],[54,6,54,8],[55,6,55,8],[56,1,57,1],[56,2,56,3],[56,6,56,8],[22,0,51,0],[41,6,41,8],[42,6,42,8],[43,1,51,1],[43,2,43,3],[43,6,43,8],[44,2,44,3],[44,6,44,8],[45,6,45,8],[48,6,48,8],[46,6,46,8],[47,6,47,8],[48,2,48,3],[49,6,49,8],[50,6,50,8],[41,1,42,1],[41,2,41,3],[37,1,38,1],[37,2,37,3],[38,6,38,8],[39,1,40,1],[39,2,39,3],[40,6,40,8],[30,1,36,1],[30,2,30,3],[31,6,31,8],[32,6,32,8],[33,6,33,8],[34,6,34,8],[35,6,35,8],[36,6,36,8],[30,6,30,8],[37,6,37,8],[39,6,39,8],[26,1,27,1],[26,2,26,3],[26,6,26,8],[27,6,27,8],[28,1,29,1],[28,2,28,3],[28,6,28,8],[29,6,29,8],[21,1,21,3],[22,1,23,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,1,25,1],[24,2,24,3],[24,6,24,8],[25,6,25,8],[14,6,14,8],[15,6,15,8],[16,1,18,1],[16,6,16,8],[17,6,17,8],[18,6,18,8],[0,0,0,6],[1,0,1,6],[7,0,7,2],[8,0,8,2],[11,1,11,3],[12,0,18,0],[12,1,15,1],[12,2,12,3],[12,6,12,8],[13,6,13,8]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
["NB: These recommendations are based on responses entered for the 4th self-assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!H10","v":0},{"$f":"HistoricResponses!H11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of self-assessment:",null,null,{"$f":"TEXT(HistoricResponses!$H$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by Unit"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-Assessment Comments","Proposed Solution",null,"SCORING \nThe following values need to be selected in order for standard to be met"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H14),\"\",HistoricResponses_Comments!H14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!H15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H15),\"\",HistoricResponses_Comments!H15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!H16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H16),\"\",HistoricResponses_Comments!H16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!H17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H17),\"\",HistoricResponses_Comments!H17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!H18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H18),\"\",HistoricResponses_Comments!H18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!H19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H19),\"\",HistoricResponses_Comments!H19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H24),\"\",HistoricResponses_Comments!H24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H25),\"\",HistoricResponses_Comments!H25)","v":""}]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H26),\"\",HistoricResponses_Comments!H26)","v":""},"Addmision and dischareg policy devleoped, planning  to be implmented",null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H27),\"\",HistoricResponses_Comments!H27)","v":""}]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H28),\"\",HistoricResponses_Comments!H28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H29),\"\",HistoricResponses_Comments!H29)","v":""}]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H30),\"\",HistoricResponses_Comments!H30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H31),\"\",HistoricResponses_Comments!H31)","v":""}]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H32),\"\",HistoricResponses_Comments!H32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!H33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H33),\"\",HistoricResponses_Comments!H33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!H34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H34),\"\",HistoricResponses_Comments!H34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!H35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H35),\"\",HistoricResponses_Comments!H35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!H36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H36),\"\",HistoricResponses_Comments!H36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!H37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H37),\"\",HistoricResponses_Comments!H37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H38),\"\",HistoricResponses_Comments!H38)","v":""}]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H39),\"\",HistoricResponses_Comments!H39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H40),\"\",HistoricResponses_Comments!H40)","v":""}]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H41),\"\",HistoricResponses_Comments!H41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H42),\"\",HistoricResponses_Comments!H42)","v":""}]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H43),\"\",HistoricResponses_Comments!H43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H44),\"\",HistoricResponses_Comments!H44)","v":""}]
[null,null,"What frequency is handover documented at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H45),\"\",HistoricResponses_Comments!H45)","v":""}]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H46),\"\",HistoricResponses_Comments!H46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H47),\"\",HistoricResponses_Comments!H47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!H48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H48),\"\",HistoricResponses_Comments!H48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H49),\"\",HistoricResponses_Comments!H49)","v":""}]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H50),\"\",HistoricResponses_Comments!H50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H51),\"\",HistoricResponses_Comments!H51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!H52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H52),\"\",HistoricResponses_Comments!H52)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H53),\"\",HistoricResponses_Comments!H53)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H54),\"\",HistoricResponses_Comments!H54)","v":""}]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H55),\"\",HistoricResponses_Comments!H55)","v":""}]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H56),\"\",HistoricResponses_Comments!H56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H57),\"\",HistoricResponses_Comments!H57)","v":""}]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H58),\"\",HistoricResponses_Comments!H58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H59),\"\",HistoricResponses_Comments!H59)","v":""}]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H60),\"\",HistoricResponses_Comments!H60)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H61),\"\",HistoricResponses_Comments!H61)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H62),\"\",HistoricResponses_Comments!H62)","v":""}]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H63),\"\",HistoricResponses_Comments!H63)","v":""}]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H64),\"\",HistoricResponses_Comments!H64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H65),\"\",HistoricResponses_Comments!H65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H67),\"\",HistoricResponses_Comments!H67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H68),\"\",HistoricResponses_Comments!H68)","v":""}]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H69),\"\",HistoricResponses_Comments!H69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H70),\"\",HistoricResponses_Comments!H70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H72),\"\",HistoricResponses_Comments!H72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H73),\"\",HistoricResponses_Comments!H73)","v":""}]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H74),\"\",HistoricResponses_Comments!H74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H75),\"\",HistoricResponses_Comments!H75)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H76),\"\",HistoricResponses_Comments!H76)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H77),\"\",HistoricResponses_Comments!H77)","v":""}]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H79),\"\",HistoricResponses_Comments!H79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H80),\"\",HistoricResponses_Comments!H80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H81),\"\",HistoricResponses_Comments!H81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H82),\"\",HistoricResponses_Comments!H82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H84),\"\",HistoricResponses_Comments!H84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!H85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H85),\"\",HistoricResponses_Comments!H85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H86),\"\",HistoricResponses_Comments!H86)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H87),\"\",HistoricResponses_Comments!H87)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H88),\"\",HistoricResponses_Comments!H88)","v":""}]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H90),\"\",HistoricResponses_Comments!H90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H91),\"\",HistoricResponses_Comments!H91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H93),\"\",HistoricResponses_Comments!H93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H95),\"\",HistoricResponses_Comments!H95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H96),\"\",HistoricResponses_Comments!H96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H98),\"\",HistoricResponses_Comments!H98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H99),\"\",HistoricResponses_Comments!H99)","v":""},null,null,"more than \"None\" (ie: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H100),\"\",HistoricResponses_Comments!H100)","v":""}]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H101),\"\",HistoricResponses_Comments!H101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H102),\"\",HistoricResponses_Comments!H102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H103),\"\",HistoricResponses_Comments!H103)","v":""}]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H104),\"\",HistoricResponses_Comments!H104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H105),\"\",HistoricResponses_Comments!H105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H106),\"\",HistoricResponses_Comments!H106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H107),\"\",HistoricResponses_Comments!H107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H108),\"\",HistoricResponses_Comments!H108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H109),\"\",HistoricResponses_Comments!H109)","v":""}]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H110),\"\",HistoricResponses_Comments!H110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H111),\"\",HistoricResponses_Comments!H111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!H112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H112),\"\",HistoricResponses_Comments!H112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!H113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H113),\"\",HistoricResponses_Comments!H113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!H114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H114),\"\",HistoricResponses_Comments!H114)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H115),\"\",HistoricResponses_Comments!H115)","v":""}]
["Principle","Recommended Standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H116),\"\",HistoricResponses_Comments!H116)","v":""}]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H117),\"\",HistoricResponses_Comments!H117)","v":""}]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H118),\"\",HistoricResponses_Comments!H118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!H119),\"\",HistoricResponses_Comments!H119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,null,null,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":"Recommendations-and-Solutions5","index":10,"n_rows":145,"n_cols":13,"rows_kept":145,"cut":false,"hidden":true,"merged":[[14,6,14,8],[15,6,15,8],[16,1,18,1],[16,6,16,8],[17,6,17,8],[18,6,18,8],[0,0,0,6],[1,0,1,6],[7,0,7,2],[8,0,8,2],[11,1,11,3],[12,0,18,0],[12,1,15,1],[12,2,12,3],[12,6,12,8],[13,6,13,8],[26,1,27,1],[26,2,26,3],[26,6,26,8],[27,6,27,8],[28,1,29,1],[28,2,28,3],[28,6,28,8],[29,6,29,8],[21,1,21,3],[22,1,23,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,1,25,1],[24,2,24,3],[24,6,24,8],[25,6,25,8],[37,1,38,1],[37,2,37,3],[38,6,38,8],[39,1,40,1],[39,2,39,3],[40,6,40,8],[30,1,36,1],[30,2,30,3],[31,6,31,8],[32,6,32,8],[33,6,33,8],[34,6,34,8],[35,6,35,8],[36,6,36,8],[30,6,30,8],[37,6,37,8],[39,6,39,8],[41,6,41,8],[42,6,42,8],[43,1,51,1],[43,2,43,3],[43,6,43,8],[44,2,44,3],[44,6,44,8],[45,6,45,8],[48,6,48,8],[57,6,57,8],[58,1,59,1],[58,2,58,3],[58,6,58,8],[59,6,59,8],[61,1,61,3],[51,6,51,8],[53,1,53,3],[54,0,59,0],[54,1,55,1],[54,2,54,3],[54,6,54,8],[55,6,55,8],[56,1,57,1],[56,2,56,3],[56,6,56,8],[22,0,51,0],[46,6,46,8],[47,6,47,8],[48,2,48,3],[49,6,49,8],[50,6,50,8],[41,1,42,1],[41,2,41,3],[62,0,74,0],[62,1,64,1],[62,2,62,3],[62,6,62,8],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[72,1,74,1],[72,2,72,3],[72,6,72,8],[73,6,73,8],[74,6,74,8],[67,6,67,8],[76,1,76,3],[67,1,69,1],[67,2,67,3],[68,6,68,8],[69,6,69,8],[70,1,71,1],[70,2,70,3],[70,6,70,8],[71,6,71,8],[82,6,82,8],[83,6,83,8],[84,6,84,8],[85,6,85,8],[87,1,87,3],[88,0,113,0],[88,1,90,1],[88,2,88,3],[88,6,88,8],[89,6,89,8],[77,0,85,0],[77,1,81,1],[77,2,77,3],[77,6,77,8],[78,6,78,8],[79,6,79,8],[80,6,80,8],[81,6,81,8],[82,1,85,1],[82,2,82,3],[90,6,90,8],[91,1,92,1],[91,2,91,3],[91,6,91,8],[92,6,92,8],[93,1,95,1],[93,2,93,3],[93,6,93,8],[94,6,94,8],[95,6,95,8],[102,1,107,1],[102,2,102,3],[102,6,102,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[96,1,98,1],[96,2,96,3],[96,6,96,8],[97,6,97,8],[98,6,98,8],[99,1,101,1],[99,2,99,3],[99,6,99,8],[100,6,100,8],[101,6,101,8],[115,1,115,3],[116,0,118,0],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[108,1,113,1],[108,2,108,3],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[113,6,113,8],[108,6,108,8],[124,2,124,6],[124,7,124,10],[125,2,125,6],[125,7,125,10],[126,2,126,6],[126,7,126,10],[121,1,121,3],[121,4,121,8],[122,2,122,6],[122,7,122,10],[123,2,123,6],[123,7,123,10],[130,2,130,6],[130,7,130,10],[131,2,131,6],[131,7,131,10],[132,2,132,6],[132,7,132,10],[127,2,127,6],[127,7,127,10],[128,2,128,6],[128,7,128,10],[129,2,129,6],[129,7,129,10],[136,2,136,6],[136,7,136,10],[137,2,137,6],[137,7,137,10],[138,2,138,6],[138,7,138,10],[133,2,133,6],[133,7,133,10],[134,2,134,6],[134,7,134,10],[135,2,135,6],[135,7,135,10],[142,2,142,6],[142,7,142,10],[144,1,144,3],[145,1,151,10],[139,2,139,6],[139,7,139,10],[140,2,140,6],[140,7,140,10],[141,2,141,6],[141,7,141,10]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
["NB: These recommendations are based on responses entered for the 5th self-assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!I10","v":0},{"$f":"HistoricResponses!I11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of self-assessment:",null,null,{"$f":"TEXT(HistoricResponses!$I$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by Unit"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-Assessment Comments","Proposed Solution",null,"SCORING \nThe following values need to be selected in order for standard to be met:"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I14),\"\",HistoricResponses_Comments!I14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!I15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I15),\"\",HistoricResponses_Comments!I15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!I16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I16),\"\",HistoricResponses_Comments!I16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!I17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I17),\"\",HistoricResponses_Comments!I17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!I18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I18),\"\",HistoricResponses_Comments!I18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!I19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I19),\"\",HistoricResponses_Comments!I19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I24),\"\",HistoricResponses_Comments!I24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I25),\"\",HistoricResponses_Comments!I25)","v":""}]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I26),\"\",HistoricResponses_Comments!I26)","v":""},"Addmision and dischareg policy devleoped, planning  to be implmented",null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I27),\"\",HistoricResponses_Comments!I27)","v":""}]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I28),\"\",HistoricResponses_Comments!I28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I29),\"\",HistoricResponses_Comments!I29)","v":""}]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I30),\"\",HistoricResponses_Comments!I30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I31),\"\",HistoricResponses_Comments!I31)","v":""}]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I32),\"\",HistoricResponses_Comments!I32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!I33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I33),\"\",HistoricResponses_Comments!I33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!I34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I34),\"\",HistoricResponses_Comments!I34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!I35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I35),\"\",HistoricResponses_Comments!I35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!I36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I36),\"\",HistoricResponses_Comments!I36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!I37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I37),\"\",HistoricResponses_Comments!I37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I38),\"\",HistoricResponses_Comments!I38)","v":""}]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I39),\"\",HistoricResponses_Comments!I39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I40),\"\",HistoricResponses_Comments!I40)","v":""}]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I41),\"\",HistoricResponses_Comments!I41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I42),\"\",HistoricResponses_Comments!I42)","v":""}]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I43),\"\",HistoricResponses_Comments!I43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I44),\"\",HistoricResponses_Comments!I44)","v":""}]
[null,null,"What frequency is handover documented at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I45),\"\",HistoricResponses_Comments!I45)","v":""}]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I46),\"\",HistoricResponses_Comments!I46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I47),\"\",HistoricResponses_Comments!I47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!I48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I48),\"\",HistoricResponses_Comments!I48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I49),\"\",HistoricResponses_Comments!I49)","v":""}]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I50),\"\",HistoricResponses_Comments!I50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I51),\"\",HistoricResponses_Comments!I51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!I52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I52),\"\",HistoricResponses_Comments!I52)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I53),\"\",HistoricResponses_Comments!I53)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I54),\"\",HistoricResponses_Comments!I54)","v":""}]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I55),\"\",HistoricResponses_Comments!I55)","v":""}]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I56),\"\",HistoricResponses_Comments!I56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I57),\"\",HistoricResponses_Comments!I57)","v":""}]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I58),\"\",HistoricResponses_Comments!I58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I59),\"\",HistoricResponses_Comments!I59)","v":""}]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I60),\"\",HistoricResponses_Comments!I60)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I61),\"\",HistoricResponses_Comments!I61)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I62),\"\",HistoricResponses_Comments!I62)","v":""}]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I63),\"\",HistoricResponses_Comments!I63)","v":""}]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I64),\"\",HistoricResponses_Comments!I64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I65),\"\",HistoricResponses_Comments!I65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I67),\"\",HistoricResponses_Comments!I67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I68),\"\",HistoricResponses_Comments!I68)","v":""}]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I69),\"\",HistoricResponses_Comments!I69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I70),\"\",HistoricResponses_Comments!I70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I72),\"\",HistoricResponses_Comments!I72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I73),\"\",HistoricResponses_Comments!I73)","v":""}]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I74),\"\",HistoricResponses_Comments!I74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I75),\"\",HistoricResponses_Comments!I75)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I76),\"\",HistoricResponses_Comments!I76)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I77),\"\",HistoricResponses_Comments!I77)","v":""}]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I79),\"\",HistoricResponses_Comments!I79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I80),\"\",HistoricResponses_Comments!I80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I81),\"\",HistoricResponses_Comments!I81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I82),\"\",HistoricResponses_Comments!I82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I84),\"\",HistoricResponses_Comments!I84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!I85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I85),\"\",HistoricResponses_Comments!I85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I86),\"\",HistoricResponses_Comments!I86)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I87),\"\",HistoricResponses_Comments!I87)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I88),\"\",HistoricResponses_Comments!I88)","v":""}]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I90),\"\",HistoricResponses_Comments!I90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I91),\"\",HistoricResponses_Comments!I91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I93),\"\",HistoricResponses_Comments!I93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I95),\"\",HistoricResponses_Comments!I95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I96),\"\",HistoricResponses_Comments!I96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I98),\"\",HistoricResponses_Comments!I98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I99),\"\",HistoricResponses_Comments!I99)","v":""},null,null,"more than \"None\" (ie: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I100),\"\",HistoricResponses_Comments!I100)","v":""}]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I101),\"\",HistoricResponses_Comments!I101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I102),\"\",HistoricResponses_Comments!I102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I103),\"\",HistoricResponses_Comments!I103)","v":""}]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I104),\"\",HistoricResponses_Comments!I104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I105),\"\",HistoricResponses_Comments!I105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I106),\"\",HistoricResponses_Comments!I106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I107),\"\",HistoricResponses_Comments!I107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I108),\"\",HistoricResponses_Comments!I108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I109),\"\",HistoricResponses_Comments!I109)","v":""}]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I110),\"\",HistoricResponses_Comments!I110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I111),\"\",HistoricResponses_Comments!I111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!I112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I112),\"\",HistoricResponses_Comments!I112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!I113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I113),\"\",HistoricResponses_Comments!I113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!I114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I114),\"\",HistoricResponses_Comments!I114)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I115),\"\",HistoricResponses_Comments!I115)","v":""}]
["Principle","Recommended Standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I116),\"\",HistoricResponses_Comments!I116)","v":""}]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I117),\"\",HistoricResponses_Comments!I117)","v":""}]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I118),\"\",HistoricResponses_Comments!I118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!I119),\"\",HistoricResponses_Comments!I119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,null,null,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":"Recommendations-and-Solutions6","index":11,"n_rows":145,"n_cols":13,"rows_kept":145,"cut":false,"hidden":true,"merged":[[14,6,14,8],[15,6,15,8],[16,1,18,1],[16,6,16,8],[17,6,17,8],[18,6,18,8],[0,0,0,6],[1,0,1,6],[7,0,7,2],[8,0,8,2],[11,1,11,3],[12,0,18,0],[12,1,15,1],[12,2,12,3],[12,6,12,8],[13,6,13,8],[26,1,27,1],[26,2,26,3],[26,6,26,8],[27,6,27,8],[28,1,29,1],[28,2,28,3],[28,6,28,8],[29,6,29,8],[21,1,21,3],[22,1,23,1],[22,2,22,3],[22,6,22,8],[23,6,23,8],[24,1,25,1],[24,2,24,3],[24,6,24,8],[25,6,25,8],[37,1,38,1],[37,2,37,3],[38,6,38,8],[39,1,40,1],[39,2,39,3],[40,6,40,8],[30,1,36,1],[30,2,30,3],[31,6,31,8],[32,6,32,8],[33,6,33,8],[34,6,34,8],[35,6,35,8],[36,6,36,8],[39,6,39,8],[37,6,37,8],[30,6,30,8],[41,6,41,8],[42,6,42,8],[43,1,51,1],[43,2,43,3],[43,6,43,8],[44,2,44,3],[44,6,44,8],[45,6,45,8],[48,6,48,8],[57,6,57,8],[58,1,59,1],[58,2,58,3],[58,6,58,8],[59,6,59,8],[61,1,61,3],[51,6,51,8],[53,1,53,3],[54,0,59,0],[54,1,55,1],[54,2,54,3],[54,6,54,8],[55,6,55,8],[56,1,57,1],[56,2,56,3],[56,6,56,8],[22,0,51,0],[46,6,46,8],[47,6,47,8],[48,2,48,3],[49,6,49,8],[50,6,50,8],[41,1,42,1],[41,2,41,3],[62,0,74,0],[62,1,64,1],[62,2,62,3],[62,6,62,8],[63,6,63,8],[64,6,64,8],[65,1,66,1],[65,2,65,3],[65,6,65,8],[66,6,66,8],[72,1,74,1],[72,2,72,3],[72,6,72,8],[73,6,73,8],[74,6,74,8],[67,6,67,8],[76,1,76,3],[67,1,69,1],[67,2,67,3],[68,6,68,8],[69,6,69,8],[70,1,71,1],[70,2,70,3],[70,6,70,8],[71,6,71,8],[82,6,82,8],[83,6,83,8],[84,6,84,8],[85,6,85,8],[87,1,87,3],[88,0,113,0],[88,1,90,1],[88,2,88,3],[88,6,88,8],[89,6,89,8],[77,0,85,0],[77,1,81,1],[77,2,77,3],[77,6,77,8],[78,6,78,8],[79,6,79,8],[80,6,80,8],[81,6,81,8],[82,1,85,1],[82,2,82,3],[90,6,90,8],[91,1,92,1],[91,2,91,3],[91,6,91,8],[92,6,92,8],[93,1,95,1],[93,2,93,3],[93,6,93,8],[94,6,94,8],[95,6,95,8],[102,1,107,1],[102,2,102,3],[102,6,102,8],[103,6,103,8],[104,6,104,8],[105,6,105,8],[106,6,106,8],[107,6,107,8],[96,1,98,1],[96,2,96,3],[96,6,96,8],[97,6,97,8],[98,6,98,8],[99,1,101,1],[99,2,99,3],[99,6,99,8],[100,6,100,8],[101,6,101,8],[115,1,115,3],[116,0,118,0],[116,1,118,1],[116,2,116,3],[116,6,116,8],[117,6,117,8],[118,6,118,8],[108,1,113,1],[108,2,108,3],[109,6,109,8],[110,6,110,8],[111,6,111,8],[112,6,112,8],[113,6,113,8],[108,6,108,8],[124,2,124,6],[124,7,124,10],[125,2,125,6],[125,7,125,10],[126,2,126,6],[126,7,126,10],[121,1,121,3],[121,4,121,8],[122,2,122,6],[122,7,122,10],[123,2,123,6],[123,7,123,10],[130,7,130,10],[131,2,131,6],[131,7,131,10],[132,2,132,6],[132,7,132,10],[127,2,127,6],[127,7,127,10],[128,2,128,6],[128,7,128,10],[129,2,129,6],[129,7,129,10],[130,2,130,6],[142,2,142,6],[142,7,142,10],[144,1,144,3],[145,1,151,10],[139,2,139,6],[139,7,139,10],[140,2,140,6],[140,7,140,10],[141,2,141,6],[141,7,141,10],[136,2,136,6],[136,7,136,10],[137,2,137,6],[137,7,137,10],[138,2,138,6],[138,7,138,10],[133,2,133,6],[133,7,133,10],[134,2,134,6],[134,7,134,10],[135,2,135,6],[135,7,135,10]]}
["Close Observation Unit"]
["Self Assessment Tool"]
[]
["NB: These recommendations are based on responses entered for the 6th self-assessment performed on the date listed below"]
[null,"Respondent:",null,{"$f":"HistoricResponses!J10","v":0},{"$f":"HistoricResponses!J11","v":0}]
[]
[]
["Facility",null,null,{"$f":"SelfAssessment!D8","v":0}]
["Date of self-assessment:",null,null,{"$f":"TEXT(HistoricResponses!$J$12,\"DD-MMM-YYYY\")","v":"00-Jan-1900"}]
[]
[]
["Principle","Recommended standards",null,null,null,null,null,null,null,null,"To be filled in by Unit"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Responses",null,"Notes",null,null,"Self-Assessment Comments","Proposed Solution",null,"SCORING \nThe following values need to be selected in order for standard to be met:"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"IF(F14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J14","v":0},{"$f":"IF(E14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J14),\"\",HistoricResponses_Comments!J14)","v":""},null,null,"Yes"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!J15","v":0},{"$f":"IF(E15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There is no documented medical leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J15),\"\",HistoricResponses_Comments!J15)","v":""},null,null,"Yes"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!J16","v":0},{"$f":"IF(E16=\"Yes\",CommentLookup!F16,CommentLookup!H16)","v":"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J16),\"\",HistoricResponses_Comments!J16)","v":""},null,null,"Yes"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?","No",{"$f":"HistoricResponses!J17","v":0},{"$f":"IF(E17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is not a documented nursing leadership and goverance model for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J17),\"\",HistoricResponses_Comments!J17)","v":""},null,null,"Yes"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!J18","v":0},{"$f":"IF(E18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J18),\"\",HistoricResponses_Comments!J18)","v":""},null,null,"Yes"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","No",{"$f":"HistoricResponses!J19","v":0},{"$f":"IF(E19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J19),\"\",HistoricResponses_Comments!J19)","v":""},null,null,"Yes"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"IF(F24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J24","v":0},{"$f":"IF(E24=\"Yes\",CommentLookup!F23,CommentLookup!H23)","v":"There is no clear documentation advising which medical officer is primarily responsible for patient management"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J24),\"\",HistoricResponses_Comments!J24)","v":""},null,null,"Yes"]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J25),\"\",HistoricResponses_Comments!J25)","v":""}]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"IF(F26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J26","v":0},{"$f":"IF(E26=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"There is not a formalised process for admission and discharging patients in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J26),\"\",HistoricResponses_Comments!J26)","v":""},null,null,"Yes"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J27),\"\",HistoricResponses_Comments!J27)","v":""}]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"IF(F28=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J28","v":0},{"$f":"IF(E28=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J28),\"\",HistoricResponses_Comments!J28)","v":""},null,null,"Yes"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J29),\"\",HistoricResponses_Comments!J29)","v":""}]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"IF(F30=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J30","v":0},{"$f":"IF(E30=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J30),\"\",HistoricResponses_Comments!J30)","v":""},null,null,"Yes"]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J31),\"\",HistoricResponses_Comments!J31)","v":""}]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"IF(F32=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J32","v":0},{"$f":"IF(E32=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"Not every patient has a between the flags calling criteria documented on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J32),\"\",HistoricResponses_Comments!J32)","v":""},null,null,"Yes"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?","No",{"$f":"HistoricResponses!J33","v":0},{"$f":"IF(E33=\"Yes\",CommentLookup!F32,CommentLookup!H32)","v":"Not every patient has a documented escalation of care plan on admission"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J33),\"\",HistoricResponses_Comments!J33)","v":""},null,null,"Yes"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?","No",{"$f":"HistoricResponses!J34","v":0},{"$f":"IF(E34=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J34),\"\",HistoricResponses_Comments!J34)","v":""},null,null,"Yes"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?","No",{"$f":"HistoricResponses!J35","v":0},{"$f":"IF(E35=\"Yes\",CommentLookup!F34,CommentLookup!H34)","v":"Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J35),\"\",HistoricResponses_Comments!J35)","v":""},null,null,"Yes"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!J36","v":0},{"$f":"IF(E36=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J36),\"\",HistoricResponses_Comments!J36)","v":""},null,null,"Yes"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?","No",{"$f":"HistoricResponses!J37","v":0},{"$f":"IF(E37=\"Yes\",CommentLookup!F36,CommentLookup!H36)","v":"Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J37),\"\",HistoricResponses_Comments!J37)","v":""},null,null,"Yes"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J38),\"\",HistoricResponses_Comments!J38)","v":""}]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"IF(F39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J39","v":0},{"$f":"IF(E39=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Patients do not always or almost always have management plans documented daily by the admitting medical officer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J39),\"\",HistoricResponses_Comments!J39)","v":""},null,null,"Always / Almost always"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J40),\"\",HistoricResponses_Comments!J40)","v":""}]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"IF(F41=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J41","v":0},{"$f":"IF(E41=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Daily combined medical and nursing ward rounds are not always or almost always carried out"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J41),\"\",HistoricResponses_Comments!J41)","v":""},null,null,"Always / Almost always"]
[null,"2.8","Referral process to allied health",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J42),\"\",HistoricResponses_Comments!J42)","v":""}]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"IF(F43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J43","v":0},{"$f":"IF(E43=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"There is not a documented referral process for patients requiring an allied health consultation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J43),\"\",HistoricResponses_Comments!J43)","v":""}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J44),\"\",HistoricResponses_Comments!J44)","v":""}]
[null,null,"What frequency is handover documented at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J45),\"\",HistoricResponses_Comments!J45)","v":""}]
[null,null,"2.9a","Medical",{"$f":"IF(F46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J46","v":0},{"$f":"IF(E46=\"Yes\",CommentLookup!F45,CommentLookup!H45)","v":"Handover is not always or almost always documented by medical staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J46),\"\",HistoricResponses_Comments!J46)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9b","Nursing",{"$f":"IF(F47=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J47","v":0},{"$f":"IF(E47=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"Handover is not always or almost always documented by nursing staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J47),\"\",HistoricResponses_Comments!J47)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9c","Allied health   ",{"$f":"IF(F48=1,\"Yes\",IF(F48=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!J48","v":0},{"$f":"IF(E48=\"Yes\",CommentLookup!F47,IF(E48=\"N/A\",\"N/A\",CommentLookup!H47))","v":"Handover is not always or almost always documented by allied health staff at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J48),\"\",HistoricResponses_Comments!J48)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J49),\"\",HistoricResponses_Comments!J49)","v":""}]
[null,null,"2.9d","Medical",{"$f":"IF(F50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J50","v":0},{"$f":"IF(E50=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J50),\"\",HistoricResponses_Comments!J50)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9e","Nursing",{"$f":"IF(F51=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J51","v":0},{"$f":"IF(E51=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J51),\"\",HistoricResponses_Comments!J51)","v":""},null,null,"Always / Almost always"]
[null,null,"2.9f","Allied health   ",{"$f":"IF(F52=1,\"Yes\",IF(F52=6,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!J52","v":0},{"$f":"IF(E52=\"Yes\",CommentLookup!F51,IF(E52=\"N/A\",\"N/A\",CommentLookup!H51))","v":"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J52),\"\",HistoricResponses_Comments!J52)","v":""},null,null,"Always / Almost always, or N/A"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J53),\"\",HistoricResponses_Comments!J53)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J54),\"\",HistoricResponses_Comments!J54)","v":""}]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J55),\"\",HistoricResponses_Comments!J55)","v":""}]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"IF(F56=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J56","v":0},{"$f":"IF(E56=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J56),\"\",HistoricResponses_Comments!J56)","v":""},null,null,"Yes"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J57),\"\",HistoricResponses_Comments!J57)","v":""}]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"IF(F58=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J58","v":0},{"$f":"IF(E58=\"Yes\",CommentLookup!F57,CommentLookup!H57)","v":"There is no process in place to develop, review and endorse policies, procedures and guidelines"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J58),\"\",HistoricResponses_Comments!J58)","v":""},null,null,"Yes"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J59),\"\",HistoricResponses_Comments!J59)","v":""}]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"IF(F60=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J60","v":0},{"$f":"IF(E60=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no teleheath model in place to support clinical decision making"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J60),\"\",HistoricResponses_Comments!J60)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J61),\"\",HistoricResponses_Comments!J61)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J62),\"\",HistoricResponses_Comments!J62)","v":""}]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J63),\"\",HistoricResponses_Comments!J63)","v":""}]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"IF(F64=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J64","v":0},{"$f":"IF(E64=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"There is no auditing program for the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J64),\"\",HistoricResponses_Comments!J64)","v":""},null,null,"Yes"]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"IF(F65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J65","v":0},{"$f":"IF(E65=\"Yes\",CommentLookup!F64,CommentLookup!H64)","v":"There is no process for the regular review of incidents"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J65),\"\",HistoricResponses_Comments!J65)","v":""},null,null,"Yes"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"IF(F67=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J67","v":0},{"$f":"IF(E67=\"Yes\",CommentLookup!F66,CommentLookup!H66)","v":"There is not a regular M&M review process that includes the review of COU patients"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J67),\"\",HistoricResponses_Comments!J67)","v":""},null,null,"Yes"]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J68),\"\",HistoricResponses_Comments!J68)","v":""}]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"IF(F69=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J69","v":0},{"$f":"IF(E69=\"Yes\",CommentLookup!F68,CommentLookup!H68)","v":"A minimum COU activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J69),\"\",HistoricResponses_Comments!J69)","v":""},null,null,"Yes"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"IF(F70=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J70","v":0},{"$f":"IF(E70=\"Yes\",CommentLookup!F69,CommentLookup!H69)","v":"A COU workforce activity data set is not routinely collected and reviewed"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J70),\"\",HistoricResponses_Comments!J70)","v":""},null,null,"Yes"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"IF(F72=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J72","v":0},{"$f":"IF(E72=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The COU does not always or almost always take part in antibiotic stewardship"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J72),\"\",HistoricResponses_Comments!J72)","v":""},null,null,"Always / Almost always"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J73),\"\",HistoricResponses_Comments!J73)","v":""}]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"IF(F74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J74","v":0},{"$f":"IF(E74=\"Yes\",CommentLookup!F73,CommentLookup!H73)","v":"Patient/carer experience activities are not performed at least annually in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J74),\"\",HistoricResponses_Comments!J74)","v":""},null,null,"Yes"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"IF(F75=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J75","v":0},{"$f":"IF(E75=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"Staff experience surveys are not performed at least annually in  the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J75),\"\",HistoricResponses_Comments!J75)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J76),\"\",HistoricResponses_Comments!J76)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J77),\"\",HistoricResponses_Comments!J77)","v":""}]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"IF(F79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J79","v":0},{"$f":"IF(E79=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"The COU does not have a structured orientation program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J79),\"\",HistoricResponses_Comments!J79)","v":""},null,null,"Yes"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"IF(F80=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J80","v":0},{"$f":"IF(E80=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"The general facility medical orientation program does not include the COU medical governance model"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J80),\"\",HistoricResponses_Comments!J80)","v":""},null,null,"Yes"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"IF(F81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J81","v":0},{"$f":"IF(E81=\"Yes\",CommentLookup!F80,CommentLookup!H80)","v":"Supernumerary time is not allocated to the COU nursing staff as part of orientation"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J81),\"\",HistoricResponses_Comments!J81)","v":""},null,null,"Yes"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"IF(F82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J82","v":0},{"$f":"IF(E82=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The COU does not have a structured education program for nursing"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J82),\"\",HistoricResponses_Comments!J82)","v":""},null,null,"Yes"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",{"$f":"IF(F84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J84","v":0},{"$f":"IF(E84=\"Yes\",CommentLookup!F83,CommentLookup!H83)","v":"There are not defined scopes of practice for senior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J84),\"\",HistoricResponses_Comments!J84)","v":""},null,null,"Yes"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"IF(F85=1,\"Yes\",IF(F85=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!J85","v":0},{"$f":"IF(E85=\"Yes\",CommentLookup!F84,IF(E85=\"N/A\",\"N/A\",CommentLookup!H84))","v":"There are not defined scopes of practice for junior medical officer roles in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J85),\"\",HistoricResponses_Comments!J85)","v":""},null,null,"Yes or N/A"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"IF(F86=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J86","v":0},{"$f":"IF(E86=\"Yes\",CommentLookup!F85,CommentLookup!H85)","v":"There are no documented and approved medical procedures that can be undertaken in the COU"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J86),\"\",HistoricResponses_Comments!J86)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J87),\"\",HistoricResponses_Comments!J87)","v":""}]
["Principle","Recommended standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J88),\"\",HistoricResponses_Comments!J88)","v":""}]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"IF(F90=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J90","v":0},{"$f":"IF(E90=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J90),\"\",HistoricResponses_Comments!J90)","v":""},null,null,"Always / Almost always"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"IF(F91=\"1\",\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J91","v":0},{"$f":"IF(E91=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J91),\"\",HistoricResponses_Comments!J91)","v":""},null,null,"Always / Almost always"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"IF(F93=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J93","v":0},{"$f":"IF(E93=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J93),\"\",HistoricResponses_Comments!J93)","v":""},null,null,"Yes"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"IF(OR(F95=1,F95=2,F95=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J95","v":0},{"$f":"IF(E95=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J95),\"\",HistoricResponses_Comments!J95)","v":""},null,null,"All/almost all, or Most, or Some"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"IF(F96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J96","v":0},{"$f":"IF(E96=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J96),\"\",HistoricResponses_Comments!J96)","v":""},null,null,"Always / almost always"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"IF(F98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J98","v":0},{"$f":"IF(E98=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J98),\"\",HistoricResponses_Comments!J98)","v":""},null,null,"Yes"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"IF(OR(F99=1,F99=2,F99=3,F99=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J99","v":0},{"$f":"IF(E99=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J99),\"\",HistoricResponses_Comments!J99)","v":""},null,null,"more than \"None\" (ie: All/almost all, Most, Some, or A few)"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J100),\"\",HistoricResponses_Comments!J100)","v":""}]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"IF(OR(F101=1,F101=2,F101=3,F101=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J101","v":0},{"$f":"IF(E101=\"Yes\",CommentLookup!F100,CommentLookup!H100)","v":"The COU does not have frequent access to an onsite CNE"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J101),\"\",HistoricResponses_Comments!J101)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"IF(OR(F102=1,F102=2,F102=3,F102=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J102","v":0},{"$f":"IF(E102=\"Yes\",CommentLookup!F101,CommentLookup!H101)","v":"The COU does not have frequent access to a CNC"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J102),\"\",HistoricResponses_Comments!J102)","v":""},null,null,"Always/almost always,\n Most of the time, \nSometimes, \nA little."]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J103),\"\",HistoricResponses_Comments!J103)","v":""}]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"IF(F104=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J104","v":0},{"$f":"IF(E104=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The COU does not have access to a clinical pharmacist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J104),\"\",HistoricResponses_Comments!J104)","v":""},null,null,"Yes"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"IF(F105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J105","v":0},{"$f":"IF(E105=\"Yes\",CommentLookup!F104,CommentLookup!H104)","v":"The COU does not have access to a physiotherapist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J105),\"\",HistoricResponses_Comments!J105)","v":""},null,null,"Yes"]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"IF(F106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J106","v":0},{"$f":"IF(E106=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The COU does not have access to a dietitian"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J106),\"\",HistoricResponses_Comments!J106)","v":""},null,null,"Yes"]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"IF(F107=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J107","v":0},{"$f":"IF(E107=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The COU does not have access to a social worker"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J107),\"\",HistoricResponses_Comments!J107)","v":""},null,null,"Yes"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"IF(F108=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J108","v":0},{"$f":"IF(E108=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":"The COU does not have access to a speech pathologist"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J108),\"\",HistoricResponses_Comments!J108)","v":""},null,null,"Yes"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J109),\"\",HistoricResponses_Comments!J109)","v":""}]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"IF(F110=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J110","v":0},{"$f":"IF(E110=\"Yes\",CommentLookup!F109,CommentLookup!H109)","v":"The COU does not have access to a biomedical engineer"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J110),\"\",HistoricResponses_Comments!J110)","v":""},null,null,"Yes"]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"IF(F111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J111","v":0},{"$f":"IF(E111=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"The COU does not have access to clerical support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J111),\"\",HistoricResponses_Comments!J111)","v":""},null,null,"Yes"]
[null,null,"6.7c","Does the COU have access to a wards person?","No",{"$f":"HistoricResponses!J112","v":0},{"$f":"IF(E112=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"The COU does not have access to a wards person"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J112),\"\",HistoricResponses_Comments!J112)","v":""},null,null,"Yes"]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"IF(F113=1,\"Yes\",IF(F113=3,\"N/A\",\"No\"))","v":"No"},{"$f":"HistoricResponses!J113","v":0},{"$f":"IF(E113=\"Yes\",CommentLookup!F112,IF(E113=\"N/A\",\"N/A\",CommentLookup!H112))","v":"The COU does not have access to a cleaner"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J113),\"\",HistoricResponses_Comments!J113)","v":""},null,null,"Yes or N/A"]
[null,null,"6.7e","Does the COU have access to IT support?","No",{"$f":"HistoricResponses!J114","v":0},{"$f":"IF(E114=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":"The COU does not have access to IT support"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J114),\"\",HistoricResponses_Comments!J114)","v":""},null,null,"Yes"]
[null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J115),\"\",HistoricResponses_Comments!J115)","v":""}]
["Principle","Recommended Standards",null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J116),\"\",HistoricResponses_Comments!J116)","v":""}]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J117),\"\",HistoricResponses_Comments!J117)","v":""}]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"IF(F118=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J118","v":0},{"$f":"IF(E118=\"Yes\",CommentLookup!F117,CommentLookup!H117)","v":"The COU does not always or almost always have access to essential equipment"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J118),\"\",HistoricResponses_Comments!J118)","v":""},null,null,"Always/almost always"]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"IF(F119=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J119","v":0},{"$f":"IF(E119=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"The COU does not have a RMR register"},null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!J119),\"\",HistoricResponses_Comments!J119)","v":""},null,null,"Yes"]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,null,null,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":"Collated Responses CHARTS","index":12,"n_rows":856,"n_cols":37,"rows_kept":856,"cut":false,"hidden":true,"merged":[[842,15,853,25],[855,15,866,25],[799,15,810,25],[812,15,823,25],[825,15,836,25],[734,15,745,25],[747,15,758,25],[760,15,771,25],[773,15,784,25],[786,15,797,25],[682,15,693,25],[695,15,706,25],[708,15,719,25],[721,15,732,25],[643,15,654,25],[656,15,667,25],[669,15,680,25],[590,15,601,25],[603,15,614,25],[617,15,628,25],[630,15,641,25],[522,15,533,25],[535,15,546,25],[548,15,559,25],[561,15,572,25],[574,15,585,25],[426,15,437,25],[439,15,450,25],[452,15,463,25],[494,15,505,25],[509,15,520,25],[465,15,476,25],[478,15,489,25],[400,15,411,25],[413,15,424,25],[384,15,398,25],[261,15,272,25],[274,15,285,25],[342,15,353,25],[355,15,366,25],[368,15,379,25],[287,15,298,25],[300,15,311,25],[313,15,324,25],[326,15,337,25],[196,15,207,25],[209,15,220,25],[222,15,233,25],[235,15,246,25],[248,15,259,25],[131,15,142,25],[144,15,155,25],[157,15,168,25],[170,15,181,25],[183,15,194,25],[65,15,76,25],[78,15,89,25],[91,15,102,25],[105,15,116,25],[118,15,129,25],[11,15,11,24],[12,15,23,25],[25,15,36,25],[38,15,49,25],[51,15,62,25],[7,1,7,3],[6,4,6,6],[7,4,7,6],[6,1,6,3],[0,1,0,10],[1,1,1,10]]}
[null,"Close Observation Unit"]
[null,"Self Assessment Tool"]
[]
[null,"These are the total responses collated from multiple self-assessments completed during the assessment period listed below."]
[null,"Charts show the total no. of different responses for each question."]
[]
[null,"Date range of assessments:",null,null,{"$f":"\"from \"&TEXT(MIN(HistoricResponses!$E$12:$ZN$12),\"DD-MMM-YYYY\")&\" to \"&TEXT(MAX(HistoricResponses!$E$12:$ZN$12),\"DD-MMM-YYYY\")","v":"from 00-Jan-1900 to 00-Jan-1900"}]
[null,"Total no. of assessments completed:",null,null,{"$f":"COUNTA(HistoricResponses!$E$9:$ZR$9)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"COLLATED RESPONSES FOR CHARTS (collating responses in HistoricResponses worksheet)"]
[]
[null,"Function 1: Leadership and Governance",null,null,null,null,null,null,null,null,null,null,null,null,null,"Function 1 Comments:",null,null,null,null,null,null,null,null,null,null,null,null,2,1,3]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(NB: only up to 12 comments displayed here, refer to HistoricResponses_Comments tab for full set of comments)",null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES","N/A"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.1a",{"$f":"COUNTIF(HistoricResponses!A14:ZN14,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A14:ZN14,1)","v":0}]
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[]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E18),\"\",HistoricResponses_Comments!E$11&\": \"&HistoricResponses_Comments!E18)&IF(ISBLANK(HistoricResponses_Comments!F18),\"\",\"\n\"&HistoricResponses_Comments!F$11&\": \"&HistoricResponses_Comments!F18)&IF(ISBLANK(HistoricResponses_Comments!G18),\"\",\"\n\"&HistoricResponses_Comments!G$11&\": \"&HistoricResponses_Comments!G18)&IF(ISBLANK(HistoricResponses_Comments!H18),\"\",\"\n\"&HistoricResponses_Comments!H$11&\": \"&HistoricResponses_Comments!H18)&IF(ISBLANK(HistoricResponses_Comments!I18),\"\",\"\n\"&HistoricResponses_Comments!I$11&\": \"&HistoricResponses_Comments!I18)&IF(ISBLANK(HistoricResponses_Comments!J18),\"\",\"\n\"&HistoricResponses_Comments!J$11&\": \"&HistoricResponses_Comments!J18)&IF(ISBLANK(HistoricResponses_Comments!K18),\"\",\"\n\"&HistoricResponses_Comments!K$11&\": \"&HistoricResponses_Comments!K18)&IF(ISBLANK(HistoricResponses_Comments!L18),\"\",\"\n\"&HistoricResponses_Comments!L$11&\": \"&HistoricResponses_Comments!L18)&IF(ISBLANK(HistoricResponses_Comments!M18),\"\",\"\n\"&HistoricResponses_Comments!M$11&\": \"&HistoricResponses_Comments!M18)&IF(ISBLANK(HistoricResponses_Comments!N18),\"\",\"\n\"&HistoricResponses_Comments!N$11&\": \"&HistoricResponses_Comments!N18)&IF(ISBLANK(HistoricResponses_Comments!O18),\"\",\"\n\"&HistoricResponses_Comments!O$11&\": \"&HistoricResponses_Comments!O18)&IF(ISBLANK(HistoricResponses_Comments!P18),\"\",\"\n\"&HistoricResponses_Comments!P$11&\": \"&HistoricResponses_Comments!P18)","v":""},null,null,null,null,null,null,null,null,null,null,null,"4.1b",{"$f":"COUNTIF(HistoricResponses!A65:ZN65,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A65:ZN65,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4.2,{"$f":"COUNTIF(HistoricResponses!A67:ZN67,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A67:ZN67,1)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.3a",{"$f":"COUNTIF(HistoricResponses!A69:ZN69,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A69:ZN69,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.3b",{"$f":"COUNTIF(HistoricResponses!A70:ZN70,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A70:ZN70,1)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Always/almost always (90-100%)","Most of the time (60-89%)","Sometimes (30-59%)","A little (1-29%)","Never (0%)","2,3,4,5",1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4.4000000000000004,{"$f":"COUNTIF(HistoricResponses!$A72:$ZN72,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A72:$ZN72,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A72:$ZN72,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A72:$ZN72,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A72:$ZN72,5)","v":0},{"$f":"SUM(AD73:AG73)","v":0},{"$f":"AC73","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,"NO","YES"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.5a",{"$f":"COUNTIF(HistoricResponses!A74:ZN74,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A74:ZN74,1)","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,"4.5b",{"$f":"COUNTIF(HistoricResponses!A75:ZN75,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A75:ZN75,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E19),\"\",HistoricResponses_Comments!E$11&\": \"&HistoricResponses_Comments!E19)&IF(ISBLANK(HistoricResponses_Comments!F19),\"\",\"\n\"&HistoricResponses_Comments!F$11&\": \"&HistoricResponses_Comments!F19)&IF(ISBLANK(HistoricResponses_Comments!G19),\"\",\"\n\"&HistoricResponses_Comments!G$11&\": \"&HistoricResponses_Comments!G19)&IF(ISBLANK(HistoricResponses_Comments!H19),\"\",\"\n\"&HistoricResponses_Comments!H$11&\": \"&HistoricResponses_Comments!H19)&IF(ISBLANK(HistoricResponses_Comments!I19),\"\",\"\n\"&HistoricResponses_Comments!I$11&\": \"&HistoricResponses_Comments!I19)&IF(ISBLANK(HistoricResponses_Comments!J19),\"\",\"\n\"&HistoricResponses_Comments!J$11&\": \"&HistoricResponses_Comments!J19)&IF(ISBLANK(HistoricResponses_Comments!K19),\"\",\"\n\"&HistoricResponses_Comments!K$11&\": \"&HistoricResponses_Comments!K19)&IF(ISBLANK(HistoricResponses_Comments!L19),\"\",\"\n\"&HistoricResponses_Comments!L$11&\": \"&HistoricResponses_Comments!L19)&IF(ISBLANK(HistoricResponses_Comments!M19),\"\",\"\n\"&HistoricResponses_Comments!M$11&\": \"&HistoricResponses_Comments!M19)&IF(ISBLANK(HistoricResponses_Comments!N19),\"\",\"\n\"&HistoricResponses_Comments!N$11&\": \"&HistoricResponses_Comments!N19)&IF(ISBLANK(HistoricResponses_Comments!O19),\"\",\"\n\"&HistoricResponses_Comments!O$11&\": \"&HistoricResponses_Comments!O19)&IF(ISBLANK(HistoricResponses_Comments!P19),\"\",\"\n\"&HistoricResponses_Comments!P$11&\": \"&HistoricResponses_Comments!P19)","v":""}]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.1a",{"$f":"COUNTIF(HistoricResponses!A79:ZN79,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A79:ZN79,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.1b",{"$f":"COUNTIF(HistoricResponses!A80:ZN80,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A80:ZN80,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.1c",{"$f":"COUNTIF(HistoricResponses!A81:ZN81,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A81:ZN81,1)","v":0}]
[null,"Function 2: Care Planning, Coordination & Delivery",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.1d",{"$f":"COUNTIF(HistoricResponses!A82:ZN82,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A82:ZN82,1)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E24),\"\",HistoricResponses_Comments!E$11&\": \"&HistoricResponses_Comments!E24)&IF(ISBLANK(HistoricResponses_Comments!F24),\"\",\"\n\"&HistoricResponses_Comments!F$11&\": \"&HistoricResponses_Comments!F24)&IF(ISBLANK(HistoricResponses_Comments!G24),\"\",\"\n\"&HistoricResponses_Comments!G$11&\": \"&HistoricResponses_Comments!G24)&IF(ISBLANK(HistoricResponses_Comments!H24),\"\",\"\n\"&HistoricResponses_Comments!H$11&\": \"&HistoricResponses_Comments!H24)&IF(ISBLANK(HistoricResponses_Comments!I24),\"\",\"\n\"&HistoricResponses_Comments!I$11&\": \"&HistoricResponses_Comments!I24)&IF(ISBLANK(HistoricResponses_Comments!J24),\"\",\"\n\"&HistoricResponses_Comments!J$11&\": \"&HistoricResponses_Comments!J24)&IF(ISBLANK(HistoricResponses_Comments!K24),\"\",\"\n\"&HistoricResponses_Comments!K$11&\": \"&HistoricResponses_Comments!K24)&IF(ISBLANK(HistoricResponses_Comments!L24),\"\",\"\n\"&HistoricResponses_Comments!L$11&\": \"&HistoricResponses_Comments!L24)&IF(ISBLANK(HistoricResponses_Comments!M24),\"\",\"\n\"&HistoricResponses_Comments!M$11&\": \"&HistoricResponses_Comments!M24)&IF(ISBLANK(HistoricResponses_Comments!N24),\"\",\"\n\"&HistoricResponses_Comments!N$11&\": \"&HistoricResponses_Comments!N24)&IF(ISBLANK(HistoricResponses_Comments!O24),\"\",\"\n\"&HistoricResponses_Comments!O$11&\": \"&HistoricResponses_Comments!O24)&IF(ISBLANK(HistoricResponses_Comments!P24),\"\",\"\n\"&HistoricResponses_Comments!P$11&\": \"&HistoricResponses_Comments!P24)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES","N/A"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.2a",{"$f":"COUNTIF(HistoricResponses!A84:ZN84,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A84:ZN84,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5.2b",{"$f":"COUNTIF(HistoricResponses!A85:ZN85,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A85:ZN85,1)","v":0},{"$f":"COUNTIF(HistoricResponses!A85:ZN85,3)","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,"5.2c",{"$f":"COUNTIF(HistoricResponses!A86:ZN86,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A86:ZN86,1)","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,"Always/almost always (90-100%)","Most of the time (60-89%)","Sometimes (30-59%)","A little (1-29%)","Never (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,"2,3,4,5",1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.1a",{"$f":"COUNTIF(HistoricResponses!$A90:$ZN90,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A90:$ZN90,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A90:$ZN90,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A90:$ZN90,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A90:$ZN90,5)","v":0},{"$f":"SUM(AD102:AG102)","v":0},{"$f":"AC102","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.1b",{"$f":"COUNTIF(HistoricResponses!$A91:$ZN91,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A91:$ZN91,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A91:$ZN91,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A91:$ZN91,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A91:$ZN91,5)","v":0},{"$f":"SUM(AD103:AG103)","v":0},{"$f":"AC103","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,"NO","YES"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6.2,{"$f":"COUNTIF(HistoricResponses!A93:ZN93,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A93:ZN93,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses_Comments!E26),\"\",HistoricResponses_Comments!E$11&\": \"&HistoricResponses_Comments!E26)&IF(ISBLANK(HistoricResponses_Comments!F26),\"\",\"\n\"&HistoricResponses_Comments!F$11&\": \"&HistoricResponses_Comments!F26)&IF(ISBLANK(HistoricResponses_Comments!G26),\"\",\"\n\"&HistoricResponses_Comments!G$11&\": \"&HistoricResponses_Comments!G26)&IF(ISBLANK(HistoricResponses_Comments!H26),\"\",\"\n\"&HistoricResponses_Comments!H$11&\": \"&HistoricResponses_Comments!H26)&IF(ISBLANK(HistoricResponses_Comments!I26),\"\",\"\n\"&HistoricResponses_Comments!I$11&\": \"&HistoricResponses_Comments!I26)&IF(ISBLANK(HistoricResponses_Comments!J26),\"\",\"\n\"&HistoricResponses_Comments!J$11&\": \"&HistoricResponses_Comments!J26)&IF(ISBLANK(HistoricResponses_Comments!K26),\"\",\"\n\"&HistoricResponses_Comments!K$11&\": \"&HistoricResponses_Comments!K26)&IF(ISBLANK(HistoricResponses_Comments!L26),\"\",\"\n\"&HistoricResponses_Comments!L$11&\": \"&HistoricResponses_Comments!L26)&IF(ISBLANK(HistoricResponses_Comments!M26),\"\",\"\n\"&HistoricResponses_Comments!M$11&\": \"&HistoricResponses_Comments!M26)&IF(ISBLANK(HistoricResponses_Comments!N26),\"\",\"\n\"&HistoricResponses_Comments!N$11&\": \"&HistoricResponses_Comments!N26)&IF(ISBLANK(HistoricResponses_Comments!O26),\"\",\"\n\"&HistoricResponses_Comments!O$11&\": \"&HistoricResponses_Comments!O26)&IF(ISBLANK(HistoricResponses_Comments!P26),\"\",\"\n\"&HistoricResponses_Comments!P$11&\": \"&HistoricResponses_Comments!P26)","v":""}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"All/almost all (90-100%)","Most (60-89%)","Some (30-59%)","A few (1-29%)","None (0%)","4,5","1,2,3"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.3a",{"$f":"COUNTIF(HistoricResponses!$A95:$ZN95,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A95:$ZN95,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A95:$ZN95,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A95:$ZN95,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A95:$ZN95,5)","v":0},{"$f":"SUM(AF110:AG110)","v":0},{"$f":"SUM(AC110:AE110)","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,"Always/almost always (90-100%)","Most of the time (60-89%)","Sometimes (30-59%)","A little (1-29%)","Never (0%)","2,3,4,5",1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.3b",{"$f":"COUNTIF(HistoricResponses!$A96:$ZN96,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A96:$ZN96,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A96:$ZN96,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A96:$ZN96,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A96:$ZN96,5)","v":0},{"$f":"SUM(AD112:AG112)","v":0},{"$f":"AC112","v":0}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES","N/A"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.4a",{"$f":"COUNTIF(HistoricResponses!A98:ZN98,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A98:ZN98,1)","v":0},null,null,null,5,"1,2,3,4"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.4b",{"$f":"COUNTIF(HistoricResponses!$A99:$ZN99,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A99:$ZN99,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A99:$ZN99,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A99:$ZN99,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A99:$ZN99,5)","v":0},{"$f":"AG117","v":0},{"$f":"SUM(AC117:AF117)","v":0}]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.5b",{"$f":"COUNTIF(HistoricResponses!$A102:$ZN102,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$A102:$ZN102,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$A102:$ZN102,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$A102:$ZN102,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$A102:$ZN102,5)","v":0},{"$f":"AG120","v":0},{"$f":"SUM(AC120:AF120)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.6a",{"$f":"COUNTIF(HistoricResponses!A104:ZN104,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A104:ZN104,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.6b",{"$f":"COUNTIF(HistoricResponses!A105:ZN105,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A105:ZN105,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"6.6c",{"$f":"COUNTIF(HistoricResponses!A106:ZN106,2)","v":0},{"$f":"COUNTIF(HistoricResponses!A106:ZN106,1)","v":0}]
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[null,"Function 3: Standard Protocol & Procedures",null,null,null,null,null,null,null,null,null,null,null,null,null,"Function 3 Comments:"]
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[null,"Function  4: Patient Safety & Experience, Quality Systems & Data",null,null,null,null,null,null,null,null,null,null,null,null,null,"Function 4 Comments:"]
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[]
["List of principles",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)",null,null,"List of principles",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)",null,"Change from first assessment",null,"List of principles",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)",null,"Change from second assessment",null,"List of Principles",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)",null,"Change from third assessment",null,"List of Principles",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)",null,"Change from third assessment",null,"List of Principles",null,null,null,null,"Total Questions","Meeting Standards","Not Meeting Standards","Percentage (Meeting Standards)",null,"Change from third assessment"]
["Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions'!E14:'Recommendations-and-Solutions'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E14:'Recommendations-and-Solutions'!E19,\"No\")","v":6},{"$f":"G11/F11","v":0},{"$f":"I11","v":0},null,"Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E14:'Recommendations-and-Solutions2'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E14:'Recommendations-and-Solutions2'!E19,\"No\")","v":6},{"$f":"R11/Q11","v":0},{"$f":"T11","v":0},{"$f":"T11-I11","v":0},null,"Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E14:'Recommendations-and-Solutions3'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E14:'Recommendations-and-Solutions3'!E19,\"No\")","v":6},{"$f":"AD11/AC11","v":0},{"$f":"AF11","v":0},{"$f":"AF11-T11","v":0},null,"Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E14:'Recommendations-and-Solutions4'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E14:'Recommendations-and-Solutions4'!E19,\"No\")","v":6},{"$f":"AP11/AO11","v":0},{"$f":"AR11","v":0},{"$f":"AR11-AF11","v":0},null,"Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E14:'Recommendations-and-Solutions5'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E14:'Recommendations-and-Solutions5'!E19,\"No\")","v":6},{"$f":"BB11/BA11","v":0},{"$f":"BD11","v":0},{"$f":"BD11-AR11","v":0},null,"Principle 1: Leadership and governance",null,null,null,null,6,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E14:'Recommendations-and-Solutions6'!E19,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E14:'Recommendations-and-Solutions6'!E19,\"No\")","v":6},{"$f":"BN11/BM11","v":0},{"$f":"BP11","v":0},{"$f":"BP11-BD11","v":0}]
["Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E24:E52,\"No\")","v":19},{"$f":"G12/F12","v":0},{"$f":"I12","v":0},null,"Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions2'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E24:E52,\"No\")","v":19},0,{"$f":"T12","v":0},{"$f":"T12-I12","v":0},null,"Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions3'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E24:E52,\"No\")","v":19},0,{"$f":"AF12","v":0},{"$f":"AF12-T12","v":0},null,"Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions4'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E24:E52,\"No\")","v":19},0,{"$f":"AR12","v":0},{"$f":"AR12-AF12","v":0},null,"Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions5'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E24:E52,\"No\")","v":19},0,{"$f":"BD12","v":0},{"$f":"BD12-AR12","v":0},null,"Principle 2: Care planning, coordination and delivery",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E24:E52,\"Yes\")+COUNTIF('Recommendations-and-Solutions6'!E24:E52,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E24:E52,\"No\")","v":19},0,{"$f":"BP12","v":0},{"$f":"BP12-BD12","v":0}]
["Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E56:E60,\"No\")","v":3},0,0,null,"Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E56:E60,\"No\")","v":3},0,0,0,null,"Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E56:E60,\"No\")","v":3},0,0,0,null,"Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E56:E60,\"No\")","v":3},0,0,0,null,"Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E56:E60,\"No\")","v":3},0,0,0,null,"Principle 3: Standard protocols, procedures and treatments",null,null,null,null,3,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E56:E60,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E56:E60,\"No\")","v":3},0,0,0]
["Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E64:E75,\"No\")","v":8},0,0,null,"Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E64:E75,\"No\")","v":8},0,0,0,null,"Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E64:E75,\"No\")","v":8},0,0,0,null,"Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E64:E75,\"No\")","v":8},0,0,0,null,"Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E64:E75,\"No\")","v":8},0,0,0,null,"Principle 4: Patient safety and experience, quality outcomes and data",null,null,null,null,8,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E64:E75,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E64:E75,\"No\")","v":8},0,0,0]
["Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E79:E86,\"No\")","v":7},0,0,null,"Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions2'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E79:E86,\"No\")","v":7},0,0,0,null,"Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions3'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E79:E86,\"No\")","v":7},0,0,0,null,"Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions4'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E79:E86,\"No\")","v":7},0,0,0,null,"Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions5'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E79:E86,\"No\")","v":7},0,0,0,null,"Principle 5: Education, training and supervision",null,null,null,null,7,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E79:E86,\"Yes\")+COUNTIF('Recommendations-and-Solutions6'!E79:E86,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E79:E86,\"No\")","v":7},0,0,0]
["Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E90:E114,\"No\")","v":19},0,0,null,"Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions2'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E90:E114,\"No\")","v":19},0,0,0,null,"Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions3'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E90:E114,\"No\")","v":19},0,0,0,null,"Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions4'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E90:E114,\"No\")","v":19},0,0,0,null,"Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions5'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E90:E114,\"No\")","v":19},0,0,0,null,"Principle 6: Workforce management and support services",null,null,null,null,19,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E90:E114,\"Yes\")+COUNTIF('Recommendations-and-Solutions6'!E90:E114,\"N/A\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E90:E114,\"No\")","v":19},0,0,0]
["Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions'!E118:E119,\"No\")","v":2},0,0,null,"Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions2'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions2'!E118:E119,\"No\")","v":2},0,0,0,null,"Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions3'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions3'!E118:E119,\"No\")","v":2},0,0,0,null,"Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions4'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions4'!E118:E119,\"No\")","v":2},0,0,0,null,"Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions5'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions5'!E118:E119,\"No\")","v":2},0,0,0,null,"Principle 7: Equipment",null,null,null,null,2,{"$f":"COUNTIF('Recommendations-and-Solutions6'!E118:E119,\"Yes\")","v":0},{"$f":"COUNTIF('Recommendations-and-Solutions6'!E118:E119,\"No\")","v":2},0,0,0]
["Totals",null,null,null,null,64,{"$f":"SUM(G11:G17)","v":0},{"$f":"SUM(H11:H17)","v":64},0,0,null,"Totals",null,null,null,null,{"$f":"SUM(Q11:Q17)","v":64},{"$f":"SUM(R11:R17)","v":0},{"$f":"SUM(S11:S17)","v":64},0,0,0,null,"Totals",null,null,null,null,{"$f":"SUM(AC11:AC17)","v":64},{"$f":"SUM(AD11:AD17)","v":0},{"$f":"SUM(AE11:AE17)","v":64},0,0,0,null,"Totals",null,null,null,null,{"$f":"SUM(AO11:AO17)","v":64},{"$f":"SUM(AP11:AP17)","v":0},{"$f":"SUM(AQ11:AQ17)","v":64},0,0,0,null,"Totals",null,null,null,null,{"$f":"SUM(BA11:BA17)","v":64},{"$f":"SUM(BB11:BB17)","v":0},{"$f":"SUM(BC11:BC17)","v":64},0,0,0,null,"Totals",null,null,null,null,{"$f":"SUM(BM11:BM17)","v":64},{"$f":"SUM(BN11:BN17)","v":0},{"$f":"SUM(BO11:BO17)","v":64},0,0,0]

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[null,null,null,"Close Observation Unit"]
[null,null,null,"Self-assessment tool"]
[]
[]
[]
[]
[]
[null,null,null,null,null,"1st self-assessment results",null,null,null,"2nd self-assessment results ",null,null,null,"3rd self-assessment results",null,null,null,"4th self-assessment results",null,null,null,"5th self-assessment results",null,null,null,"6th self-assessment results"]
[]
[]
["Principle","Recommended standards",null,null,null,{"$f":"'Recommendations-and-Solutions'!D9","v":"00-Jan-1900"},null,null,null,{"$f":"'Recommendations-and-Solutions2'!D9","v":"00-Jan-1900"},null,null,null,{"$f":"'Recommendations-and-Solutions3'!D9","v":"00-Jan-1900"},null,null,null,{"$f":"'Recommendations-and-Solutions4'!D9","v":"00-Jan-1900"},null,null,null,{"$f":"'Recommendations-and-Solutions5'!D9","v":"00-Jan-1900"},null,null,null,{"$f":"'Recommendations-and-Solutions6'!D9","v":"00-Jan-1900"}]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,null,null,"Close Observation Unit Leadership and Governance Model",null,null,null,"Close Observation Unit Leadership and Governance Model",null,null,null,"Close Observation Unit Leadership and Governance Model",null,null,null,"Close Observation Unit Leadership and Governance Model",null,null,null,"Close Observation Unit Leadership and Governance Model"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions'!E14","v":"No"},{"$f":"IF(E13=\"Yes\",1,0)","v":0},"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions2'!E14","v":"No"},{"$f":"IF(I13=\"Yes\",1,0)","v":0},"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions3'!E14","v":"No"},{"$f":"IF(M13=\"Yes\",1,0)","v":0},"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions4'!E14","v":"No"},{"$f":"IF(Q13=\"Yes\",1,0)","v":0},"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions5'!E14","v":"No"},{"$f":"IF(U13=\"Yes\",1,0)","v":0},"1.1a","Is there a formal networked agreement with an Intensive Care Service  for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",{"$f":"'Recommendations-and-Solutions6'!E14","v":"No"},{"$f":"IF(Y13=\"Yes\",1,0)","v":0}]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?",{"$f":"'Recommendations-and-Solutions'!E15","v":"No"},0,"1.1b","Is there a documented medical leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions2'!E15","v":"No"},0,"1.1b","Is there a documented medical leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions3'!E15","v":"No"},0,"1.1b","Is there a documented medical leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions4'!E15","v":"No"},0,"1.1b","Is there a documented medical leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions5'!E15","v":"No"},0,"1.1b","Is there a documented medical leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions6'!E15","v":"No"},0]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions'!E16","v":"No"},0,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions2'!E16","v":"No"},0,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions3'!E16","v":"No"},0,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions4'!E16","v":"No"},0,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions5'!E16","v":"No"},0,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions6'!E16","v":"No"},0]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?",{"$f":"'Recommendations-and-Solutions'!E17","v":"No"},0,"1.2a","Is there a documented nursing leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions2'!E17","v":"No"},0,"1.2a","Is there a documented nursing leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions3'!E17","v":"No"},0,"1.2a","Is there a documented nursing leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions4'!E17","v":"No"},0,"1.2a","Is there a documented nursing leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions5'!E17","v":"No"},0,"1.2a","Is there a documented nursing leadership and governance model for the COU?",{"$f":"'Recommendations-and-Solutions6'!E17","v":"No"},0]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions'!E18","v":"No"},0,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions2'!E18","v":"No"},0,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions3'!E18","v":"No"},0,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions4'!E18","v":"No"},0,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions5'!E18","v":"No"},0,"1.2b","Are there clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions6'!E18","v":"No"},0]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions'!E19","v":"No"},0,"1.2c","Are there clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions2'!E19","v":"No"},0,"1.2c","Are there clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions3'!E19","v":"No"},0,"1.2c","Are there clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions4'!E19","v":"No"},0,"1.2c","Are there clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions5'!E19","v":"No"},0,"1.2c","Are there clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU?",{"$f":"'Recommendations-and-Solutions6'!E19","v":"No"},0]
[]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer ",null,null,null," Each patient has a primary responsibility admitting officer ",null,null,null," Each patient has a primary responsibility admitting officer ",null,null,null," Each patient has a primary responsibility admitting officer ",null,null,null," Each patient has a primary responsibility admitting officer ",null,null,null," Each patient has a primary responsibility admitting officer "]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions'!E24","v":"No"},0,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions2'!E24","v":"No"},{"$f":"IF(I23=\"Yes\",1,0)","v":0},2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions3'!E24","v":"No"},{"$f":"IF(M23=\"Yes\",1,0)","v":0},2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions4'!E24","v":"No"},{"$f":"IF(Q23=\"Yes\",1,0)","v":0},2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions5'!E24","v":"No"},{"$f":"IF(U23=\"Yes\",1,0)","v":0},2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?",{"$f":"'Recommendations-and-Solutions6'!E24","v":"No"},{"$f":"IF(Y23=\"Yes\",1,0)","v":0}]
[null,"2.2","Formalised admission and discharge criteria",null,null,null,"Formalised  admission and discharge criteria",null,null,null,"Formalised  admission and discharge criteria",null,null,null,"Formalised  admission and discharge criteria",null,null,null,"Formalised  admission and discharge criteria",null,null,null,"Formalised  admission and discharge criteria"]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?",{"$f":"'Recommendations-and-Solutions'!E26","v":"No"},0,2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?",{"$f":"'Recommendations-and-Solutions2'!E26","v":"No"},{"$f":"IF(I25=\"Yes\",1,0)","v":0},2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?",{"$f":"'Recommendations-and-Solutions3'!E26","v":"No"},{"$f":"IF(M25=\"Yes\",1,0)","v":0},2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?",{"$f":"'Recommendations-and-Solutions4'!E26","v":"No"},{"$f":"IF(Q25=\"Yes\",1,0)","v":0},2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?",{"$f":"'Recommendations-and-Solutions5'!E26","v":"No"},{"$f":"IF(U25=\"Yes\",1,0)","v":0},2.2000000000000002,"Is there a formalised process for admission and discharging patients in the COU?",{"$f":"'Recommendations-and-Solutions6'!E26","v":"No"},{"$f":"IF(Y25=\"Yes\",1,0)","v":0}]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,null,null,"Process to identify and accept suitable patients for admission to the COU from another area.",null,null,null,"Process to identify and accept suitable patients for admission to the COU from another area.",null,null,null,"Process to identify and accept suitable patients for admission to the COU from another area.",null,null,null,"Process to identify and accept suitable patients for admission to the COU from another area.",null,null,null,"Process to identify and accept suitable patients for admission to the COU from another area."]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?",{"$f":"'Recommendations-and-Solutions'!E28","v":"No"},0,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities?",{"$f":"'Recommendations-and-Solutions2'!E28","v":"No"},{"$f":"IF(I27=\"Yes\",1,0)","v":0},2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities?",{"$f":"'Recommendations-and-Solutions3'!E28","v":"No"},{"$f":"IF(M27=\"Yes\",1,0)","v":0},2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities?",{"$f":"'Recommendations-and-Solutions4'!E28","v":"No"},{"$f":"IF(Q27=\"Yes\",1,0)","v":0},2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities?",{"$f":"'Recommendations-and-Solutions5'!E28","v":"No"},{"$f":"IF(U27=\"Yes\",1,0)","v":0},2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities?",{"$f":"'Recommendations-and-Solutions6'!E28","v":"No"},{"$f":"IF(Y27=\"Yes\",1,0)","v":0}]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,null,null,"Process for the transfer of patients requiring a higher level of care.",null,null,null,"Process for the transfer of patients requiring a higher level of care.",null,null,null,"Process for the transfer of patients requiring a higher level of care.",null,null,null,"Process for the transfer of patients requiring a higher level of care.",null,null,null,"Process for the transfer of patients requiring a higher level of care."]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions'!E30","v":"No"},0,2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions2'!E30","v":"No"},{"$f":"IF(I29=\"Yes\",1,0)","v":0},2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions3'!E30","v":"No"},{"$f":"IF(M29=\"Yes\",1,0)","v":0},2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions4'!E30","v":"No"},{"$f":"IF(Q29=\"Yes\",1,0)","v":0},2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions5'!E30","v":"No"},{"$f":"IF(U29=\"Yes\",1,0)","v":0},2.4,"Is there a clearly documented process for the transfer/retrieval of patients requiring a higher level of care?",{"$f":"'Recommendations-and-Solutions6'!E30","v":"No"},{"$f":"IF(Y29=\"Yes\",1,0)","v":0}]
[null,"2.5","Between the flags and escalation of care plans",null,null,null,"Between the flags and escalation of care plans",null,null,null,"Between the flags and escalation of care plans",null,null,null,"Between the flags and escalation of care plans",null,null,null,"Between the flags and escalation of care plans",null,null,null,"Between the flags and escalation of care plans"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions'!E32","v":"No"},0,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions2'!E32","v":"No"},{"$f":"IF(I31=\"Yes\",1,0)","v":0},"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions3'!E32","v":"No"},{"$f":"IF(M31=\"Yes\",1,0)","v":0},"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions4'!E32","v":"No"},{"$f":"IF(Q31=\"Yes\",1,0)","v":0},"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions5'!E32","v":"No"},{"$f":"IF(U31=\"Yes\",1,0)","v":0},"2.5a","Does each patient have a between the flags calling criteria documented on admission?",{"$f":"'Recommendations-and-Solutions6'!E32","v":"No"},{"$f":"IF(Y31=\"Yes\",1,0)","v":0}]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions'!E33","v":"No"},0,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions2'!E33","v":"No"},0,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions3'!E33","v":"No"},0,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions4'!E33","v":"No"},0,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions5'!E33","v":"No"},0,"2.5b","Does each patient have a documented escalation of care plan on admission?",{"$f":"'Recommendations-and-Solutions6'!E33","v":"No"},0]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?",{"$f":"'Recommendations-and-Solutions'!E34","v":"No"},0,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions2'!E34","v":"No"},0,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions3'!E34","v":"No"},0,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions4'!E34","v":"No"},0,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions5'!E34","v":"No"},0,"2.5c","Is each patients' between the flags calling criteria  reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions6'!E34","v":"No"},0]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?",{"$f":"'Recommendations-and-Solutions'!E35","v":"No"},0,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions2'!E35","v":"No"},0,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions3'!E35","v":"No"},0,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions4'!E35","v":"No"},0,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions5'!E35","v":"No"},0,"2.5d","Is each patients  escalation of care plan reviewed daily by the primarily responsible medical officer or team?",{"$f":"'Recommendations-and-Solutions6'!E35","v":"No"},0]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions'!E36","v":"No"},0,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions2'!E36","v":"No"},0,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions3'!E36","v":"No"},0,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions4'!E36","v":"No"},0,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions5'!E36","v":"No"},0,"2.5e","Is each patients' between the flags calling criteria  reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions6'!E36","v":"No"},0]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions'!E37","v":"No"},0,"2.5f","Is each patients' escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions2'!E37","v":"No"},0,"2.5f","Is each patients' escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions3'!E37","v":"No"},0,"2.5f","Is each patients' escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions4'!E37","v":"No"},0,"2.5f","Is each patients' escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions5'!E37","v":"No"},0,"2.5f","Is each patients' escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?",{"$f":"'Recommendations-and-Solutions6'!E37","v":"No"},0]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,null,null,"Minimum, daily individual management plans and clinical review by the primarily responsible admitting officer or team for all admitted patients.",null,null,null,"Minimum, daily individual management plans and clinical review by the primarily responsible admitting officer or team for all admitted patients.",null,null,null,"Minimum, daily individual management plans and clinical review by the primarily responsible admitting officer or team for all admitted patients.",null,null,null,"Minimum, daily individual management plans and clinical review by the primarily responsible admitting officer or team for all admitted patients.",null,null,null,"Minimum, daily individual management plans and clinical review by the primarily responsible admitting officer or team for all admitted patients."]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions'!E39","v":"No"},0,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions2'!E39","v":"No"},{"$f":"IF(I38=\"Yes\",1,0)","v":0},2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions3'!E39","v":"No"},{"$f":"IF(M38=\"Yes\",1,0)","v":0},2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions4'!E39","v":"No"},{"$f":"IF(Q38=\"Yes\",1,0)","v":0},2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions5'!E39","v":"No"},{"$f":"IF(U38=\"Yes\",1,0)","v":0},2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?",{"$f":"'Recommendations-and-Solutions6'!E39","v":"No"},{"$f":"IF(Y38=\"Yes\",1,0)","v":0}]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,null,null,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available.",null,null,null,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available.",null,null,null,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available.",null,null,null,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available.",null,null,null,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available."]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions'!E41","v":"No"},0,2.7,"What frequency are daily combined medical/nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions2'!E41","v":"No"},{"$f":"IF(I40=\"Yes\",1,0)","v":0},2.7,"What frequency are daily combined medical/nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions3'!E41","v":"No"},{"$f":"IF(M40=\"Yes\",1,0)","v":0},2.7,"What frequency are daily combined medical/nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions4'!E41","v":"No"},{"$f":"IF(Q40=\"Yes\",1,0)","v":0},2.7,"What frequency are daily combined medical/nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions5'!E41","v":"No"},{"$f":"IF(U40=\"Yes\",1,0)","v":0},2.7,"What frequency are daily combined medical/nursing ward rounds carried out?",{"$f":"'Recommendations-and-Solutions6'!E41","v":"No"},{"$f":"IF(Y40=\"Yes\",1,0)","v":0}]
[null,"2.8","Referral process to allied health",null,null,null,"Referral process to allied health",null,null,null,"Referral process to allied health",null,null,null,"Referral process to allied health",null,null,null,"Referral process to allied health",null,null,null,"Referral process to allied health"]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?",{"$f":"'Recommendations-and-Solutions'!E43","v":"No"},0,2.8,"Is there a documented referral process for patient requiring an allied health consultation",{"$f":"'Recommendations-and-Solutions2'!E43","v":"No"},{"$f":"IF(I42=\"Yes\",1,0)","v":0},2.8,"Is there a documented referral process for patient requiring an allied health consultation",{"$f":"'Recommendations-and-Solutions3'!E43","v":"No"},{"$f":"IF(M42=\"Yes\",1,0)","v":0},2.8,"Is there a documented referral process for patient requiring an allied health consultation",{"$f":"'Recommendations-and-Solutions4'!E43","v":"No"},{"$f":"IF(Q42=\"Yes\",1,0)","v":0},2.8,"Is there a documented referral process for patient requiring an allied health consultation",{"$f":"'Recommendations-and-Solutions5'!E43","v":"No"},{"$f":"IF(U42=\"Yes\",1,0)","v":0},2.8,"Is there a documented referral process for patient requiring an allied health consultation",{"$f":"'Recommendations-and-Solutions6'!E43","v":"No"},{"$f":"IF(Y42=\"Yes\",1,0)","v":0}]
[null,"2.9","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care",null,null,null,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,null,null,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,null,null,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,null,null,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,null,null,"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,null,"What frequency is handover documented at transfer of care?",null,null,null,"What frequency is handover documented at transfer of care?",null,null,null,"What frequency is handover documented at transfer of care?",null,null,null,"What frequency is handover documented at transfer of care?",null,null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.9a","Medical",{"$f":"'Recommendations-and-Solutions'!E46","v":"No"},0,"2.9a","Medical",{"$f":"'Recommendations-and-Solutions2'!E46","v":"No"},{"$f":"IF(I45=\"Yes\",1,0)","v":0},"2.9a","Medical",{"$f":"'Recommendations-and-Solutions3'!E46","v":"No"},{"$f":"IF(M45=\"Yes\",1,0)","v":0},"2.9a","Medical",{"$f":"'Recommendations-and-Solutions4'!E46","v":"No"},{"$f":"IF(Q45=\"Yes\",1,0)","v":0},"2.9a","Medical",{"$f":"'Recommendations-and-Solutions5'!E46","v":"No"},{"$f":"IF(U45=\"Yes\",1,0)","v":0},"2.9a","Medical",{"$f":"'Recommendations-and-Solutions6'!E46","v":"No"},{"$f":"IF(Y45=\"Yes\",1,0)","v":0}]
[null,null,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions'!E47","v":"No"},0,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions2'!E47","v":"No"},0,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions3'!E47","v":"No"},0,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions4'!E47","v":"No"},0,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions5'!E47","v":"No"},0,"2.9b","Nursing",{"$f":"'Recommendations-and-Solutions6'!E47","v":"No"},0]
[null,null,"2.9c","Allied health   ",{"$f":"'Recommendations-and-Solutions'!E48","v":"No"},0,"2.9c","Allied Health   ",{"$f":"'Recommendations-and-Solutions2'!E48","v":"No"},0,"2.9c","Allied Health   ",{"$f":"'Recommendations-and-Solutions3'!E48","v":"No"},0,"2.9c","Allied Health   ",{"$f":"'Recommendations-and-Solutions4'!E48","v":"No"},0,"2.9c","Allied Health   ",{"$f":"'Recommendations-and-Solutions5'!E48","v":"No"},0,"2.9c","Allied Health   ",{"$f":"'Recommendations-and-Solutions6'!E48","v":"No"},0]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.9d","Medical",{"$f":"'Recommendations-and-Solutions'!E50","v":"No"},0,"2.9d","Medical",{"$f":"'Recommendations-and-Solutions2'!E50","v":"No"},{"$f":"IF(I49=\"Yes\",1,0)","v":0},"2.9d","Medical",{"$f":"'Recommendations-and-Solutions3'!E50","v":"No"},{"$f":"IF(M49=\"Yes\",1,0)","v":0},"2.9d","Medical",{"$f":"'Recommendations-and-Solutions4'!E50","v":"No"},{"$f":"IF(Q49=\"Yes\",1,0)","v":0},"2.9d","Medical",{"$f":"'Recommendations-and-Solutions5'!E50","v":"No"},{"$f":"IF(U49=\"Yes\",1,0)","v":0},"2.9d","Medical",{"$f":"'Recommendations-and-Solutions6'!E50","v":"No"},{"$f":"IF(Y49=\"Yes\",1,0)","v":0}]
[null,null,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions'!E51","v":"No"},0,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions2'!E51","v":"No"},0,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions3'!E51","v":"No"},0,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions4'!E51","v":"No"},0,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions5'!E51","v":"No"},0,"2.9e","Nursing",{"$f":"'Recommendations-and-Solutions6'!E51","v":"No"},0]
[null,null,"2.9f","Allied health   ",{"$f":"'Recommendations-and-Solutions'!E52","v":"No"},0,"2.9f","Allied Health   ",{"$f":"'Recommendations-and-Solutions2'!E52","v":"No"},0,"2.9f","Allied Health   ",{"$f":"'Recommendations-and-Solutions3'!E52","v":"No"},0,"2.9f","Allied Health   ",{"$f":"'Recommendations-and-Solutions4'!E52","v":"No"},0,"2.9f","Allied Health   ",{"$f":"'Recommendations-and-Solutions5'!E52","v":"No"},0,"2.9f","Allied Health   ",{"$f":"'Recommendations-and-Solutions6'!E52","v":"No"},0]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,null,null,"Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU.",null,null,null,"Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU.",null,null,null,"Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU.",null,null,null,"Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU.",null,null,null,"Guidelines and procedures are available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU."]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions'!E56","v":"No"},0,3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions2'!E56","v":"No"},{"$f":"IF(I55=\"Yes\",1,0)","v":0},3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions3'!E56","v":"No"},{"$f":"IF(M55=\"Yes\",1,0)","v":0},3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions4'!E56","v":"No"},{"$f":"IF(Q55=\"Yes\",1,0)","v":0},3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions5'!E56","v":"No"},{"$f":"IF(U55=\"Yes\",1,0)","v":0},3.1,"Are there guidelines and procedures available to manage the specific patient cohort/DRGs outlined in the admission criteria for the COU?",{"$f":"'Recommendations-and-Solutions6'!E56","v":"No"},{"$f":"IF(Y55=\"Yes\",1,0)","v":0}]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,null,null,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,null,null,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,null,null,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,null,null,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,null,null,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?",{"$f":"'Recommendations-and-Solutions'!E58","v":"No"},0,3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?",{"$f":"'Recommendations-and-Solutions2'!E58","v":"No"},{"$f":"IF(I57=\"Yes\",1,0)","v":0},3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?",{"$f":"'Recommendations-and-Solutions3'!E58","v":"No"},{"$f":"IF(M57=\"Yes\",1,0)","v":0},3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?",{"$f":"'Recommendations-and-Solutions4'!E58","v":"No"},{"$f":"IF(Q57=\"Yes\",1,0)","v":0},3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?",{"$f":"'Recommendations-and-Solutions5'!E58","v":"No"},{"$f":"IF(U57=\"Yes\",1,0)","v":0},3.2,"Is there a process in place to develop/review and endorse policies/procedures/guidelines?",{"$f":"'Recommendations-and-Solutions6'!E58","v":"No"},{"$f":"IF(Y57=\"Yes\",1,0)","v":0}]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,null,null,"Tele-health solutions where appropriate to support clinical decision making across networked hospitals.",null,null,null,"Tele-health solutions where appropriate to support clinical decision making across networked hospitals.",null,null,null,"Tele-health solutions where appropriate to support clinical decision making across networked hospitals.",null,null,null,"Tele-health solutions where appropriate to support clinical decision making across networked hospitals.",null,null,null,"Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions'!E60","v":"No"},0,3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions2'!E60","v":"No"},{"$f":"IF(I59=\"Yes\",1,0)","v":0},3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions3'!E60","v":"No"},{"$f":"IF(M59=\"Yes\",1,0)","v":0},3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions4'!E60","v":"No"},{"$f":"IF(Q59=\"Yes\",1,0)","v":0},3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions5'!E60","v":"No"},{"$f":"IF(U59=\"Yes\",1,0)","v":0},3.3,"Is there a teleheath model in place to support clinical decision making?",{"$f":"'Recommendations-and-Solutions6'!E60","v":"No"},{"$f":"IF(Y59=\"Yes\",1,0)","v":0}]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,null,null,"Mandatory auditing and incident review processes.",null,null,null,"Mandatory auditing and incident review processes.",null,null,null,"Mandatory auditing and incident review processes.",null,null,null,"Mandatory auditing and incident review processes.",null,null,null,"Mandatory auditing and incident review processes."]
[null,null,"4.1a","Is there an auditing program for the COU?",{"$f":"'Recommendations-and-Solutions'!E64","v":"No"},0,"4.1a","Is there a auditing program for the COU?",{"$f":"'Recommendations-and-Solutions2'!E64","v":"No"},{"$f":"IF(I63=\"Yes\",1,0)","v":0},"4.1a","Is there a auditing program for the COU?",{"$f":"'Recommendations-and-Solutions3'!E64","v":"No"},{"$f":"IF(M63=\"Yes\",1,0)","v":0},"4.1a","Is there a auditing program for the COU?",{"$f":"'Recommendations-and-Solutions4'!E64","v":"No"},{"$f":"IF(Q63=\"Yes\",1,0)","v":0},"4.1a","Is there a auditing program for the COU?",{"$f":"'Recommendations-and-Solutions5'!E64","v":"No"},{"$f":"IF(U63=\"Yes\",1,0)","v":0},"4.1a","Is there a auditing program for the COU?",{"$f":"'Recommendations-and-Solutions6'!E64","v":"No"},{"$f":"IF(Y63=\"Yes\",1,0)","v":0}]
[null,null,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions'!E65","v":"No"},0,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions2'!E65","v":"No"},0,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions3'!E65","v":"No"},0,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions4'!E65","v":"No"},0,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions5'!E65","v":"No"},0,"4.1b","Is there a process for the regular review of incidents?",{"$f":"'Recommendations-and-Solutions6'!E65","v":"No"},0]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings",null,null,null,"Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings",null,null,null,"Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings",null,null,null,"Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings",null,null,null,"Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings",null,null,null,"Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions'!E67","v":"No"},0,4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions2'!E67","v":"No"},{"$f":"IF(I66=\"Yes\",1,0)","v":0},4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions3'!E67","v":"No"},{"$f":"IF(M66=\"Yes\",1,0)","v":0},4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions4'!E67","v":"No"},{"$f":"IF(Q66=\"Yes\",1,0)","v":0},4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions5'!E67","v":"No"},{"$f":"IF(U66=\"Yes\",1,0)","v":0},4.2,"Is there a regular Morbidity and Mortality review process that includes the review of COU patients?",{"$f":"'Recommendations-and-Solutions6'!E67","v":"No"},{"$f":"IF(Y66=\"Yes\",1,0)","v":0}]
[null,"4.3"," Close observation unit activity and resources data collection",null,null,null," Close Observation Unit  activity and resources data collection",null,null,null," Close Observation Unit  activity and resources data collection",null,null,null," Close Observation Unit  activity and resources data collection",null,null,null," Close Observation Unit  activity and resources data collection",null,null,null," Close Observation Unit  activity and resources data collection"]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions'!E69","v":"No"},0,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions2'!E69","v":"No"},{"$f":"IF(I68=\"Yes\",1,0)","v":0},"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions3'!E69","v":"No"},{"$f":"IF(M68=\"Yes\",1,0)","v":0},"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions4'!E69","v":"No"},{"$f":"IF(Q68=\"Yes\",1,0)","v":0},"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions5'!E69","v":"No"},{"$f":"IF(U68=\"Yes\",1,0)","v":0},"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions6'!E69","v":"No"},{"$f":"IF(Y68=\"Yes\",1,0)","v":0}]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions'!E70","v":"No"},0,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions2'!E70","v":"No"},0,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions3'!E70","v":"No"},0,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions4'!E70","v":"No"},0,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions5'!E70","v":"No"},0,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?",{"$f":"'Recommendations-and-Solutions6'!E70","v":"No"},0]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit",null,null,null,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,null,null,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,null,null,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,null,null,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,null,null,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions'!E72","v":"No"},0,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions2'!E72","v":"No"},{"$f":"IF(I71=\"Yes\",1,0)","v":0},4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions3'!E72","v":"No"},{"$f":"IF(M71=\"Yes\",1,0)","v":0},4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions4'!E72","v":"No"},{"$f":"IF(Q71=\"Yes\",1,0)","v":0},4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions5'!E72","v":"No"},{"$f":"IF(U71=\"Yes\",1,0)","v":0},4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?",{"$f":"'Recommendations-and-Solutions6'!E72","v":"No"},{"$f":"IF(Y71=\"Yes\",1,0)","v":0}]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,null,null,"Undertake patient/carer & staff experience activities at a minimum annually.",null,null,null,"Undertake patient/carer & staff experience activities at a minimum annually.",null,null,null,"Undertake patient/carer & staff experience activities at a minimum annually.",null,null,null,"Undertake patient/carer & staff experience activities at a minimum annually.",null,null,null,"Undertake patient/carer & staff experience activities at a minimum annually."]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions'!E74","v":"No"},0,"4.5a","Are patient/carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions2'!E74","v":"No"},{"$f":"IF(I73=\"Yes\",1,0)","v":0},"4.5a","Are patient/carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions3'!E74","v":"No"},{"$f":"IF(M73=\"Yes\",1,0)","v":0},"4.5a","Are patient/carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions4'!E74","v":"No"},{"$f":"IF(Q73=\"Yes\",1,0)","v":0},"4.5a","Are patient/carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions5'!E74","v":"No"},{"$f":"IF(U73=\"Yes\",1,0)","v":0},"4.5a","Are patient/carer experience activities performed at least annually in the COU?",{"$f":"'Recommendations-and-Solutions6'!E74","v":"No"},{"$f":"IF(Y73=\"Yes\",1,0)","v":0}]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions'!E75","v":"No"},0,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions2'!E75","v":"No"},0,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions3'!E75","v":"No"},0,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions4'!E75","v":"No"},0,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions5'!E75","v":"No"},0,"4.5b","Are staff experience surveys performed at least annually in  the COU?",{"$f":"'Recommendations-and-Solutions6'!E75","v":"No"},0]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive",null,null,null,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,null,null,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,null,null,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,null,null,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,null,null,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive."]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions'!E79","v":"No"},{"$f":"IF(E78=\"Yes\",1,0)","v":0},"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions2'!E79","v":"No"},{"$f":"IF(I78=\"Yes\",1,0)","v":0},"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions3'!E79","v":"No"},{"$f":"IF(M78=\"Yes\",1,0)","v":0},"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions4'!E79","v":"No"},{"$f":"IF(Q78=\"Yes\",1,0)","v":0},"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions5'!E79","v":"No"},{"$f":"IF(U78=\"Yes\",1,0)","v":0},"5.1a","Is there a structured orientation program for the COU nursing?",{"$f":"'Recommendations-and-Solutions6'!E79","v":"No"},{"$f":"IF(Y78=\"Yes\",1,0)","v":0}]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions'!E80","v":"No"},0,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions2'!E80","v":"No"},0,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions3'!E80","v":"No"},0,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions4'!E80","v":"No"},0,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions5'!E80","v":"No"},0,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",{"$f":"'Recommendations-and-Solutions6'!E80","v":"No"},0]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions'!E81","v":"No"},0,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions2'!E81","v":"No"},0,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions3'!E81","v":"No"},0,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions4'!E81","v":"No"},0,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions5'!E81","v":"No"},0,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",{"$f":"'Recommendations-and-Solutions6'!E81","v":"No"},0]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions'!E82","v":"No"},0,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions2'!E82","v":"No"},0,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions3'!E82","v":"No"},0,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions4'!E82","v":"No"},0,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions5'!E82","v":"No"},0,"5.1d","Does  the COU have a structured education program for nursing?",{"$f":"'Recommendations-and-Solutions6'!E82","v":"No"},0]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated",null,null,null,"Medical staff responsible for the Close Observation Unit work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,null,null,"Medical staff responsible for the Close Observation Unit work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,null,null,"Medical staff responsible for the Close Observation Unit work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,null,null,"Medical staff responsible for the Close Observation Unit work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,null,null,"Medical staff responsible for the Close Observation Unit 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 COU?",{"$f":"'Recommendations-and-Solutions'!E84","v":"No"},0,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions2'!E84","v":"No"},{"$f":"IF(I83=\"Yes\",1,0)","v":0},"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions3'!E84","v":"No"},{"$f":"IF(M83=\"Yes\",1,0)","v":0},"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions4'!E84","v":"No"},{"$f":"IF(Q83=\"Yes\",1,0)","v":0},"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions5'!E84","v":"No"},{"$f":"IF(U83=\"Yes\",1,0)","v":0},"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions6'!E84","v":"No"},{"$f":"IF(Y83=\"Yes\",1,0)","v":0}]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",{"$f":"'Recommendations-and-Solutions'!E85","v":"No"},0,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions2'!E85","v":"No"},0,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions3'!E85","v":"No"},0,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions4'!E85","v":"No"},0,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions5'!E85","v":"No"},0,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the COU?",{"$f":"'Recommendations-and-Solutions6'!E85","v":"No"},0]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions'!E86","v":"No"},0,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions2'!E86","v":"No"},0,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions3'!E86","v":"No"},0,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions4'!E86","v":"No"},0,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions5'!E86","v":"No"},0,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?",{"$f":"'Recommendations-and-Solutions6'!E86","v":"No"},0]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day",null,null,null,"Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?",null,null,null,"Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?",null,null,null,"Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?",null,null,null,"Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?",null,null,null,"Medical officers with current credentialed airway and vascular access skills immediately available to the Close Observation Unit 24 hours a day?"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions'!E90","v":"No"},0,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions2'!E90","v":"No"},{"$f":"IF(I89=\"Yes\",1,0)","v":0},"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions3'!E90","v":"No"},{"$f":"IF(M89=\"Yes\",1,0)","v":0},"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions4'!E90","v":"No"},{"$f":"IF(Q89=\"Yes\",1,0)","v":0},"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions5'!E90","v":"No"},{"$f":"IF(U89=\"Yes\",1,0)","v":0},"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",{"$f":"'Recommendations-and-Solutions6'!E90","v":"No"},{"$f":"IF(Y89=\"Yes\",1,0)","v":0}]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions'!E91","v":"No"},0,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions2'!E91","v":"No"},0,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions3'!E91","v":"No"},0,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions4'!E91","v":"No"},0,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions5'!E91","v":"No"},0,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?",{"$f":"'Recommendations-and-Solutions6'!E91","v":"No"},0]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered",null,null,null,"Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered.",null,null,null,"Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered.",null,null,null,"Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered.",null,null,null,"Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered.",null,null,null,"Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered."]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions'!E93","v":"No"},0,6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions2'!E93","v":"No"},{"$f":"IF(I92=\"Yes\",1,0)","v":0},6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions3'!E93","v":"No"},{"$f":"IF(M92=\"Yes\",1,0)","v":0},6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions4'!E93","v":"No"},{"$f":"IF(Q92=\"Yes\",1,0)","v":0},6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions5'!E93","v":"No"},{"$f":"IF(U92=\"Yes\",1,0)","v":0},6.2,"Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",{"$f":"'Recommendations-and-Solutions6'!E93","v":"No"},{"$f":"IF(Y92=\"Yes\",1,0)","v":0}]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty",null,null,null,"Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,null,null,"Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,null,null,"Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,null,null,"Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,null,null,"Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions'!E95","v":"No"},0,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions2'!E95","v":"No"},{"$f":"IF(I94=\"Yes\",1,0)","v":0},"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions3'!E95","v":"No"},{"$f":"IF(M94=\"Yes\",1,0)","v":0},"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions4'!E95","v":"No"},{"$f":"IF(Q94=\"Yes\",1,0)","v":0},"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions5'!E95","v":"No"},{"$f":"IF(U94=\"Yes\",1,0)","v":0},"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions6'!E95","v":"No"},{"$f":"IF(Y94=\"Yes\",1,0)","v":0}]
[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 or acute care?",{"$f":"'Recommendations-and-Solutions'!E96","v":"No"},0,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions2'!E96","v":"No"},0,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions3'!E96","v":"No"},0,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions4'!E96","v":"No"},0,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions5'!E96","v":"No"},0,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions6'!E96","v":"No"},0]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care",null,null,null,"AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care.",null,null,null,"AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care.",null,null,null,"AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care.",null,null,null,"AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care.",null,null,null,"AIM for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions'!E98","v":"No"},0,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions2'!E98","v":"No"},{"$f":"IF(I97=\"Yes\",1,0)","v":0},"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions3'!E98","v":"No"},{"$f":"IF(M97=\"Yes\",1,0)","v":0},"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions4'!E98","v":"No"},{"$f":"IF(Q97=\"Yes\",1,0)","v":0},"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions5'!E98","v":"No"},{"$f":"IF(U97=\"Yes\",1,0)","v":0},"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?",{"$f":"'Recommendations-and-Solutions6'!E98","v":"No"},{"$f":"IF(Y97=\"Yes\",1,0)","v":0}]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions'!E99","v":"No"},0,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions2'!E99","v":"No"},0,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions3'!E99","v":"No"},0,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions4'!E99","v":"No"},0,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions5'!E99","v":"No"},0,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?",{"$f":"'Recommendations-and-Solutions6'!E99","v":"No"},0]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,null,null,"Access to onsite Clinical Nurse Educator and access to a Clinical Nurse Consultant.",null,null,null,"Access to onsite Clinical Nurse Educator and access to a Clinical Nurse Consultant.",null,null,null,"Access to onsite Clinical Nurse Educator and access to a Clinical Nurse Consultant.",null,null,null,"Access to onsite Clinical Nurse Educator and access to a Clinical Nurse Consultant.",null,null,null,"Access to onsite Clinical Nurse Educator and access to a Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?",{"$f":"'Recommendations-and-Solutions'!E101","v":"No"},0,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"'Recommendations-and-Solutions2'!E101","v":"No"},{"$f":"IF(I100=\"Yes\",1,0)","v":0},"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"'Recommendations-and-Solutions3'!E101","v":"No"},{"$f":"IF(M100=\"Yes\",1,0)","v":0},"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"'Recommendations-and-Solutions4'!E101","v":"No"},{"$f":"IF(Q100=\"Yes\",1,0)","v":0},"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"'Recommendations-and-Solutions5'!E101","v":"No"},{"$f":"IF(U100=\"Yes\",1,0)","v":0},"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"'Recommendations-and-Solutions6'!E101","v":"No"},{"$f":"IF(Y100=\"Yes\",1,0)","v":0}]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?",{"$f":"'Recommendations-and-Solutions'!E102","v":"No"},0,"6.5b","How frequently do you have access to a Clinical Nurse Consultant (CNC)?",{"$f":"'Recommendations-and-Solutions2'!E102","v":"No"},0,"6.5b","How frequently do you have access to a Clinical Nurse Consultant (CNC)?",{"$f":"'Recommendations-and-Solutions3'!E102","v":"No"},0,"6.5b","How frequently do you have access to a Clinical Nurse Consultant (CNC)?",{"$f":"'Recommendations-and-Solutions4'!E102","v":"No"},0,"6.5b","How frequently do you have access to a Clinical Nurse Consultant (CNC)?",{"$f":"'Recommendations-and-Solutions5'!E102","v":"No"},0,"6.5b","How frequently do you have access to a Clinical Nurse Consultant (CNC)?",{"$f":"'Recommendations-and-Solutions6'!E102","v":"No"},0]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,null,null,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,null,null,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,null,null,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,null,null,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,null,null,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions'!E104","v":"No"},0,"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions2'!E104","v":"No"},{"$f":"IF(I103=\"Yes\",1,0)","v":0},"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions3'!E104","v":"No"},{"$f":"IF(M103=\"Yes\",1,0)","v":0},"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions4'!E104","v":"No"},{"$f":"IF(Q103=\"Yes\",1,0)","v":0},"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions5'!E104","v":"No"},{"$f":"IF(U103=\"Yes\",1,0)","v":0},"6.6a","Does the COU have access to a clinical pharmacist?",{"$f":"'Recommendations-and-Solutions6'!E104","v":"No"},{"$f":"IF(Y103=\"Yes\",1,0)","v":0}]
[null,null,"6.6b","Does the COU have access to a physiotherapist?",{"$f":"'Recommendations-and-Solutions'!E105","v":"No"},0,"6.6b","Does the COU have access to a Physiotherapy?",{"$f":"'Recommendations-and-Solutions2'!E105","v":"No"},0,"6.6b","Does the COU have access to a Physiotherapy?",{"$f":"'Recommendations-and-Solutions3'!E105","v":"No"},0,"6.6b","Does the COU have access to a Physiotherapy?",{"$f":"'Recommendations-and-Solutions4'!E105","v":"No"},0,"6.6b","Does the COU have access to a Physiotherapy?",{"$f":"'Recommendations-and-Solutions5'!E105","v":"No"},0,"6.6b","Does the COU have access to a Physiotherapy?",{"$f":"'Recommendations-and-Solutions6'!E105","v":"No"},0]
[null,null,"6.6c","Does the COU have access to a dietician?",{"$f":"'Recommendations-and-Solutions'!E106","v":"No"},0,"6.6c","Does the COU have access to  a Dietician?",{"$f":"'Recommendations-and-Solutions2'!E106","v":"No"},0,"6.6c","Does the COU have access to  a Dietician?",{"$f":"'Recommendations-and-Solutions3'!E106","v":"No"},0,"6.6c","Does the COU have access to  a Dietician?",{"$f":"'Recommendations-and-Solutions4'!E106","v":"No"},0,"6.6c","Does the COU have access to  a Dietician?",{"$f":"'Recommendations-and-Solutions5'!E106","v":"No"},0,"6.6c","Does the COU have access to  a Dietician?",{"$f":"'Recommendations-and-Solutions6'!E106","v":"No"},0]
[null,null,"6.6d","Does the COU have access to a social worker?",{"$f":"'Recommendations-and-Solutions'!E107","v":"No"},0,"6.6d","Does the COU have access to  a Social Worker?",{"$f":"'Recommendations-and-Solutions2'!E107","v":"No"},0,"6.6d","Does the COU have access to  a Social Worker?",{"$f":"'Recommendations-and-Solutions3'!E107","v":"No"},0,"6.6d","Does the COU have access to  a Social Worker?",{"$f":"'Recommendations-and-Solutions4'!E107","v":"No"},0,"6.6d","Does the COU have access to  a Social Worker?",{"$f":"'Recommendations-and-Solutions5'!E107","v":"No"},0,"6.6d","Does the COU have access to  a Social Worker?",{"$f":"'Recommendations-and-Solutions6'!E107","v":"No"},0]
[null,null,"6.6e","Does the COU have access to a speech pathologist?",{"$f":"'Recommendations-and-Solutions'!E108","v":"No"},0,"6.6e","Does the COU have access to a Speech Pathologist?",{"$f":"'Recommendations-and-Solutions2'!E108","v":"No"},0,"6.6e","Does the COU have access to a Speech Pathologist?",{"$f":"'Recommendations-and-Solutions3'!E108","v":"No"},0,"6.6e","Does the COU have access to a Speech Pathologist?",{"$f":"'Recommendations-and-Solutions4'!E108","v":"No"},0,"6.6e","Does the COU have access to a Speech Pathologist?",{"$f":"'Recommendations-and-Solutions5'!E108","v":"No"},0,"6.6e","Does the COU have access to a Speech Pathologist?",{"$f":"'Recommendations-and-Solutions6'!E108","v":"No"},0]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.",null,null,"Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners.",null,null,null,"Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners.",null,null,null,"Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners.",null,null,null,"Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners.",null,null,null,"Access to clerical and support services including  biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?",{"$f":"'Recommendations-and-Solutions'!E110","v":"No"},0,"6.7a","Does the COU have access to a Bio Medical Engineer?",{"$f":"'Recommendations-and-Solutions2'!E110","v":"No"},{"$f":"IF(I109=\"Yes\",1,0)","v":0},"6.7a","Does the COU have access to a Bio Medical Engineer?",{"$f":"'Recommendations-and-Solutions3'!E110","v":"No"},{"$f":"IF(M109=\"Yes\",1,0)","v":0},"6.7a","Does the COU have access to a Bio Medical Engineer?",{"$f":"'Recommendations-and-Solutions4'!E110","v":"No"},{"$f":"IF(Q109=\"Yes\",1,0)","v":0},"6.7a","Does the COU have access to a Bio Medical Engineer?",{"$f":"'Recommendations-and-Solutions5'!E110","v":"No"},{"$f":"IF(U109=\"Yes\",1,0)","v":0},"6.7a","Does the COU have access to a Bio Medical Engineer?",{"$f":"'Recommendations-and-Solutions6'!E110","v":"No"},{"$f":"IF(Y109=\"Yes\",1,0)","v":0}]
[null,null,"6.7b","Does the COU have access to clerical support?",{"$f":"'Recommendations-and-Solutions'!E110","v":"No"},0,"6.7b","Does the COU have access to Clerical Support?",{"$f":"'Recommendations-and-Solutions2'!E110","v":"No"},0,"6.7b","Does the COU have access to Clerical Support?",{"$f":"'Recommendations-and-Solutions3'!E110","v":"No"},0,"6.7b","Does the COU have access to Clerical Support?",{"$f":"'Recommendations-and-Solutions4'!E110","v":"No"},0,"6.7b","Does the COU have access to Clerical Support?",{"$f":"'Recommendations-and-Solutions5'!E110","v":"No"},0,"6.7b","Does the COU have access to Clerical Support?",{"$f":"'Recommendations-and-Solutions6'!E110","v":"No"},0]
[null,null,"6.7c","Does the COU have access to a wards person?",{"$f":"'Recommendations-and-Solutions'!E110","v":"No"},0,"6.7c","Does the COU have access to a Wards Person?",{"$f":"'Recommendations-and-Solutions2'!E110","v":"No"},0,"6.7c","Does the COU have access to a Wards Person?",{"$f":"'Recommendations-and-Solutions3'!E110","v":"No"},0,"6.7c","Does the COU have access to a Wards Person?",{"$f":"'Recommendations-and-Solutions4'!E110","v":"No"},0,"6.7c","Does the COU have access to a Wards Person?",{"$f":"'Recommendations-and-Solutions5'!E110","v":"No"},0,"6.7c","Does the COU have access to a Wards Person?",{"$f":"'Recommendations-and-Solutions6'!E110","v":"No"},0]
[null,null,"6.7d"," Does the COU have access to a cleaner?",{"$f":"'Recommendations-and-Solutions'!E110","v":"No"},0,"6.7d"," Does the COU have access to a Cleaner?",{"$f":"'Recommendations-and-Solutions2'!E110","v":"No"},0,"6.7d"," Does the COU have access to a Cleaner?",{"$f":"'Recommendations-and-Solutions3'!E110","v":"No"},0,"6.7d"," Does the COU have access to a Cleaner?",{"$f":"'Recommendations-and-Solutions4'!E110","v":"No"},0,"6.7d"," Does the COU have access to a Cleaner?",{"$f":"'Recommendations-and-Solutions5'!E110","v":"No"},0,"6.7d"," Does the COU have access to a Cleaner?",{"$f":"'Recommendations-and-Solutions6'!E110","v":"No"},0]
[null,null,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions'!E110","v":"No"},0,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions2'!E110","v":"No"},0,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions3'!E110","v":"No"},0,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions4'!E110","v":"No"},0,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions5'!E110","v":"No"},0,"6.7e","Does the COU have access to IT support?",{"$f":"'Recommendations-and-Solutions6'!E110","v":"No"},0]
[]
["Principle","Recommended standards",null,null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit",null,null,null,"Recommended standards for close observation unit"]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,null,null,"Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,null,null,"Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,null,null,"Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,null,null,"Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,null,null,"Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",{"$f":"'Recommendations-and-Solutions'!E118","v":"No"},0,"7.1a","How frequently do you have access to essential equipment in your Unit?",{"$f":"'Recommendations-and-Solutions2'!E118","v":"No"},{"$f":"IF(I117=\"Yes\",1,0)","v":0},"7.1a","How frequently do you have access to essential equipment in your Unit?",{"$f":"'Recommendations-and-Solutions3'!E118","v":"No"},{"$f":"IF(M117=\"Yes\",1,0)","v":0},"7.1a","How frequently do you have access to essential equipment in your Unit?",{"$f":"'Recommendations-and-Solutions4'!E118","v":"No"},{"$f":"IF(Q117=\"Yes\",1,0)","v":0},"7.1a","How frequently do you have access to essential equipment in your Unit?",{"$f":"'Recommendations-and-Solutions5'!E118","v":"No"},{"$f":"IF(U117=\"Yes\",1,0)","v":0},"7.1a","How frequently do you have access to essential equipment in your Unit?",{"$f":"'Recommendations-and-Solutions6'!E118","v":"No"},{"$f":"IF(Y117=\"Yes\",1,0)","v":0}]
[null,null,"7.1b","Do you have a RMR register?  ",{"$f":"'Recommendations-and-Solutions'!E119","v":"No"},0,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"'Recommendations-and-Solutions2'!E119","v":"No"},0,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"'Recommendations-and-Solutions3'!E119","v":"No"},0,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"'Recommendations-and-Solutions4'!E119","v":"No"},0,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"'Recommendations-and-Solutions5'!E119","v":"No"},0,"7.1b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",{"$f":"'Recommendations-and-Solutions6'!E119","v":"No"},0]

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[null,null,"Close Observation Unit"]
[null,null,"Self Assessment Tool"]
[]
[null,null,null,"Name(s)","Email(s)"]
["Names(s) of respondent(s)"]
[]
[]
["Facility",null,null,null,"Canterbury"]
["Date of assessment:"]
[]
[]
["Principle","Recommended standards"]
["Principle 1:            Leadership and governance","1.1","Close observation unit leadership and goverance model",null,"Meets recommendation (where there are Y/N answers Y is taken as 1)","Comments for yes(meeting Recommendations)","Doesn't meet recommendation","Comments for Not meeting recommendations"]
[null,null,"1.1a","Is there a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide?",1,"There is a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide",null,"There is not a formal networked agreement with an intensive care service for the escalation and transfer of patients requiring a higher level of care than the COU can safely provide"]
[null,null,"1.1b","Is there a documented medical leadership and goverance model for the COU?",1,"There is a documented medical leadership and goverance model for the COU",null,"There is no documented medical leadership and goverance model for the COU"]
[null,null,"1.1c","Are there clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU?",1,"There are clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU.",null,"There are not clearly defined roles and responsibilities of the medical clinicians providing care to the patients within the COU"]
[null,"1.2","1.2a","Is there a documented nursing leadership and goverance model for the COU?",1,"There is a documented nursing leadership and goverance model for the COU.",null,"There is not a documented nursing leadership and goverance model for the COU"]
[null,null,"1.2b","Are there clearly defined roles and responsibilities of the nursing clinicians providing care to the patients within the COU?",1,"There are clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU",null,"There are not clearly defined roles and responsibilities of the Nursing clinicians providing care to the patients within the COU"]
[null,null,"1.2c","Are there clearly defined roles and responsibilities of the allied health clinicians providing care to the patients within the COU?","3,4,5","There are clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU","1,2","There are not clearly defined roles and responsibilities of the allied clinicians providing care to the patients within the COU"]
[]
[]
["Principle","Recommended standards"]
["Principle 2:                       Care planning, coordination and delivery","2.1","Each patient has a primary responsibility admitting officer ",null,1,"There is clear documentation advising which medical officer is primarily responsible for patient management",null,"There is no clear documentation advising which medical officer is primarily responsible for patient management"]
[null,null,2.1,"Is there clear documentation advising which medical officer is primarily responsible for patient management?"]
[null,"2.2","Formalised admission and discharge criteria",null,1,"There is a formalised process for admission and discharging patients in the COU","2,3,4,5","There is not a formalised process for admission and discharging patients in the COU"]
[null,null,2.2000000000000002,"Is there a formalised process for the admission and discharging of patients in the COU?"]
[null,"2.3","Process to identify and accept suitable patients for admission to the COU from another area",null,1,"There is a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities","2,3,4,5","There is not a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilities"]
[null,null,2.2999999999999998,"Is there a process to identify and accept suitable patients for admission to the COU from the emergency department, ward and other facilties?"]
[null,"2.4","Process for the transfer of patients requiring a higher level of care",null,1,"There is a clearly documented process for the transfer and retrieval of patients requiring a higher level of care","2,3,4,5","There is not a clearly documented process for the transfer and retrieval of patients requiring a higher level of care"]
[null,null,2.4,"Is there a clearly documented process for the transfer and retrieval of patients requiring a higher level of care?"]
[null,"2.5","Between the flags and escalation of care plans",null,1,"Every patient has a between the flags calling criteria documented on admission","2,3,4,5","Not every patient has a between the flags calling criteria documented on admission"]
[null,null,"2.5a","Does each patient have a between the flags calling criteria documented on admission?",1,"Every patient has a documented escalation of care plan on admission","2,3,4,5","Not every patient has a documented escalation of care plan on admission"]
[null,null,"2.5b","Does each patient have a documented escalation of care plan on admission?",1,"Every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team","2,3,4,5","Not every patient's between the flags calling criteria is reviewed daily by the primarily responsible medical officer or team"]
[null,null,"2.5c","Is each patient's between the flags calling criteria reviewed daily by the primarily responisble medical officer or team?",1,"Every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team","2,3,4,5","Not every patient's escalation of care plan is reviewed daily by the primarily responsible medical officer or team"]
[null,null,"2.5d","Is each patient's escalation of care plan reviewed daily by the primarly repsonisble medical officer or team?",1,"Every patient's between the flags calling criteria is reviewed by the primarily responsible medical officer or team prior to transfer to the ward","2,3,4,5","Not every patient's between the flags calling criteria  is reviewed by the primarily responsible medical officer or team prior to transfer to the ward"]
[null,null,"2.5e","Is each patient's between the flags calling criteria reviewed by the primarily responsible medical officer or team prior to transfer to the ward?",1,"Every patient's escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward","2,3,4,5","Not every patients' escalation of care plan is reviewed  by the primarily responsible medical officer or team prior to transfer to the ward"]
[null,null,"2.5f","Is each patient's escalation of care plan reviewed  by the primarily responsible medical officer or team prior to transfer to the ward?"]
[null,2.6,"Minimum, daily individual management plans and clinical review by the primarliy responsible admitting officer or team for all admitted patients",null,1,"Patients always or almost always have management plans documented daily by the admitting medical officer",null,"Patients do not always or almost always have management plans documented daily by the admitting medical officer"]
[null,null,2.6,"What frequency do all patients have management plans documented daily by the admitting medical officer?"]
[null,2.7,"Minimum, daily combined medical/nursing ward rounds, which may include multidisciplinary team members as available",null,1,"Daily combined medical and nursing ward rounds are always or almost always carried out",null,"Daily combined medical and nursing ward rounds are not always or almost always carried out"]
[null,null,2.7,"What frequency are daily combined medical and nursing ward rounds carried out?"]
[null,"2.8","Referral process to allied health",null,1,"There is a documented referral process for patients requiring an allied health consultation",null,"There is not a documented referral process for patients requiring an allied health consultation"]
[null,null,2.8,"Is there a documented referral process for patients requiring an allied health consultation?"]
[null,"2.9","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,"Handover is always or almost always documented by medical staff at transfer of care",null,"Handover is not always or almost always documented by medical staff at transfer of care"]
[null,null,"2.9a","Medical",null,"Handover is always or almost always documented by nursing staff at transfer of care",null,"Handover is not always or almost always documented by nursing staff at transfer of care"]
[null,null,"2.9b","Nursing",null,"Handover is always or almost always documented by allied health staff at transfer of care",null,"Handover is not always or almost always documented by allied health staff at transfer of care"]
[null,null,"2.9c","Allied health   "]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?",null,null,"Handover by medical staff is always or almost always carried out using a standardised process at transfer of care",null,"Handover by medical staff is not always or almost always carried out using a standardised process at transfer of care"]
[null,null,"2.9d","Medical",null,"Handover by nursing staff is always or almost always carried out using a standardised process at transfer of care",null,"Handover by nursing staff is not always or almost always carried out using a standardised process at transfer of care"]
[null,null,"2.9e","Nursing",null,"Handover by allied health staff is always or almost always carried out using a standardised process at transfer of care",null,"Handover by allied health staff is not always or almost always carried out using a standardised process at transfer of care"]
[null,null,"2.9f","Allied health   "]
[]
["Principle","Recommended standards"]
["Principle 3:                       Standard protocols, procedures and treatments","3.1","Guidelines and procedures are available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,1,"There are guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU",null,"There are no guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU"]
[null,null,3.1,"Are there guidelines and procedures available to manage the specific patient cohort or DRGs outlined in the admission criteria for the COU?"]
[null,"3.2","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members",null,1,"There is a process in place to develop, review and endorse policies, procedures and guidelines",null,"There is no process in place to develop, review and endorse policies, procedures and guidelines"]
[null,null,3.2,"Is there a process in place to develop, review and endorse policies, procedures and guidelines?"]
[null,"3.3","Telehealth solutions where appropriate to support clinical decision making across networked hospitals",null,1,"There is a teleheath model in place to support clinical decision making",null,"There is no teleheath model in place to support clinical decision making"]
[null,null,3.3,"Is there a teleheath model in place to support clinical decision making?"]
[]
["Principle","Recommended standards"]
["Principle  4:                   Patient safety and experience, quality outcomes and data","4.1","Mandatory auditing and incident review processes",null,1,"There is an auditing program for the COU","0,1,2,3","There is no auditing program for the COU"]
[null,null,"4.1a","Is there an auditing program for the COU?",1,"There is a process for the regular review of incidents","0,1,2,3","There is no process for the regular review of incidents"]
[null,null,"4.1b","Is there a process for the regular review of incidents?"]
[null,"4.2","Regular local multidisciplinary morbidity and mortality (M&M) meetings",null,1,"There is a regular M&M review process that includes the review of COU patients","3,4,5","There is not a regular M&M review process that includes the review of COU patients"]
[null,null,4.2,"Is there a regular M&M review process that includes the review of COU patients?"]
[null,"4.3"," Close observation unit activity and resources data collection",null,1,"A minimum COU activity data set is routinely collected and reviewed","2,3,4,5","A minimum COU activity data set is not routinely collected and reviewed"]
[null,null,"4.3a","Is there a minimum COU activity data set routinely collected and reviewed?",null,"A COU workforce activity data set is routinely collected and reviewed",null,"A COU workforce activity data set is not routinely collected and reviewed"]
[null,null,"4.3b","Is there a COU workforce activity data set routinely collected and reviewed?"]
[null,"4.4","Antimicrobial stewardship in line with the CEC Antimicrobial Stewardship Toolkit",null,1,"The COU always or almost always takes part in antibiotic stewardship",null,"The COU does not always or almost always take part in antibiotic stewardship"]
[null,null,4.4000000000000004,"With what frequency does the COU take part in antibiotic stewardship?"]
[null,"4.5","Undertake patient, carer and staff experience activities at a minimum annually",null,1,"Patient/carer experience activities are performed at least annually in the COU",null,"Patient/carer experience activities are not performed at least annually in the COU"]
[null,null,"4.5a","Are patient and carer experience activities performed at least annually in the COU?",1,"Staff experience surveys are performed at least annually in  the COU",null,"Staff experience surveys are not performed at least annually in  the COU"]
[null,null,"4.5b","Are staff experience surveys performed at least annually in  the COU?"]
[]
["Principle","Recommended standards"]
["Principle 5:                            Education, training and supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive",null,1,"The COU has a structured orientation program for nursing",null,"The COU does not have a structured orientation program for nursing"]
[null,null,"5.1a","Is there a structured orientation program for the COU nursing?",1,"The general facility medical orientation program includes the COU medical governance model",null,"The general facility medical orientation program does not include the COU medical governance model"]
[null,null,"5.1b","Does the general facility medical orientation program include the COU medical governance model?",1,"Supernumerary time is allocated to the COU nursing staff as part of orientation",null,"Supernumerary time is not allocated to the COU nursing staff as part of orientation"]
[null,null,"5.1c","Is supernumerary time allocated to the COU nursing staff as part of orientation?  ",1,"The COU has a structured education program for nursing",null,"The COU does not have a structured education program for nursing"]
[null,null,"5.1d","Does  the COU have a structured education program for nursing?"]
[null,"5.2","Medical staff responsible for the COU work within a defined scope of practice with clinical supervision requirements clearly documented and communicated",null,1,"There are defined scopes of practice for senior medical officer roles in the COU",null,"There are not defined scopes of practice for senior medical officer roles in the COU"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the COU?",1,"There are defined scopes of practice for junior medical officer roles in the COU",null,"There are not defined scopes of practice for junior medical officer roles in the COU"]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the COU?",1,"There are documented and approved medical procedures that can be undertaken in the COU","3,4,5","There are no documented and approved medical procedures that can be undertaken in the COU"]
[null,null,"5.2c","Are there documented and approved medical procedures that can be undertaken in the COU?"]
[]
["Principle","Recommended standards"]
["Principle 6:                  Workforce management and support services  ","6.1","Medical officers with current credentialed airway and vascular access skills immediately available to the COU 24 hours a day",null,1,"The COU always or almost always has a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills","2,3,4,5","The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current credentialed airway skills"]
[null,null,"6.1a","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current credentialed airway skills?",1,"The COU always or almost always has a medical officer on site and available to the COU 24hrs per day, with current vascular access skills","2,3,4,5","The COU does not always or almost always have a medical officer on site and available to the COU 24hrs per day, with current vascular access skills"]
[null,null,"6.1b","With what frequency do you have a medical officer on site available to the COU 24hrs per day, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the patient severity of illness. Additional services provided outside the COU to be considered",null,1,"The nursing profile of the COU is based on the patient severity of illness (as clinically determined)",null,"The nursing profile of the COU is not based on the patient severity of illness (as clinically determined)"]
[null,null,6.2,"Is the nursing profile of your COU based on patient severity of illness (as clinically determined)?"]
[null,"6.3","Senior nurse in charge with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty",null,"1,2,3","The recommended number of senior nurses in charge have post graduate qualifications in critical or acute care","3,4,6","There is a lower than recommended number of senior nurses in charge with post graduate qualifications in critical or acute care"]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical or acute care?",1,"A senior nurse in charge with post graduate critical or acute care qualifications is always or almost always rostered on when the NUM is not on duty",null,"A senior nurse in charge with post graduate critical or acute care qualifications is not always or almost always rostered on when the NUM is not on duty."]
[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 or acute care?"]
[null,"6.4","Aim for 50% of nursing staff within the COU to hold post graduate qualifications or significant experience in critical or acute care",null,1,"At least 50% of nursing staff have post graduate qualifications in critical or acute care.",null,"Less than 50% of nursing staff have post graduate qualifications in critical or acute care."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical or acute care?","1,2,3,4","An acceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care.",5,"An unacceptable proportion of nursing staff without post graduate qualifications have ≥ 5 years experience in critical care."]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical or acute care ≥ 5 years?"]
[null,"6.5","Access to onsite clinical nurse educator and access to a clinical nurse consultant",null,"1,2,3,4","The COU has frequent access to an onsite CNE",null,"The COU does not have frequent access to an onsite CNE"]
[null,null,"6.5a","How frequently do you have access to an onsite clinical nurse educator?","1,2,3,4","The COU has frequent access to a CNC",null,"The COU does not have frequent access to a CNC"]
[null,null,"6.5b","How frequently do you have access to a clinical nurse consultant?"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist",null,"1,2,3,4","The COU has access to a clinical pharmacist",null,"The COU does not have access to a clinical pharmacist"]
[null,null,"6.6a","Does the COU have access to a clinical pharmacist?","1,2,3,4","The COU has access to a physiotherapist",null,"The COU does not have access to a physiotherapist"]
[null,null,"6.6b","Does the COU have access to a physiotherapist?","1,2,3,4","The COU has access to a dietitian",null,"The COU does not have access to a dietitian"]
[null,null,"6.6c","Does the COU have access to a dietician?","1,2,3,4","The COU has access to a social worker",null,"The COU does not have access to a social worker"]
[null,null,"6.6d","Does the COU have access to a social worker?","1,2,3,4","The COU has access to a speech pathologist",null,"The COU does not have access to a speech pathologist"]
[null,null,"6.6e","Does the COU have access to a speech pathologist?"]
[null,"6.7","Access to clerical and support services including biomedical engineer, information technology, wards person and cleaners","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","1,2,3,4","The COU has access to a biomedical engineer",null,"The COU does not have access to a biomedical engineer"]
[null,null,"6.7a","Does the COU have access to a biomedical engineer?","1,2,3,4","The COU has access to clerical support",null,"The COU does not have access to clerical support"]
[null,null,"6.7b","Does the COU have access to clerical support?","1,2,3,4","The COU has access to a wards person",null,"The COU does not have access to a wards person"]
[null,null,"6.7c","Does the COU have access to a wards person?","1,2,3,4","The COU has access to a cleaner",null,"The COU does not have access to a cleaner"]
[null,null,"6.7d"," Does the COU have access to a cleaner?","1,2,3,4","The COU has access to IT support",null,"The COU does not have access to IT support"]
[null,null,"6.7e","Does the COU have access to IT support?"]
[]
["Principle","Recommended Standards"]
["Principle 7:            Equipment","7.1","Essential equipment is available in the COU, and a replacement, maintenance and repair (RMR) register is used",null,1,"The COU always or almost always has access to essential equipment",null,"The COU does not always or almost always have access to essential equipment"]
[null,null,"7.1a","How frequently do you have access to essential equipment in your COU?",1,"The COU has a RMR register",null,"The COU does not have a RMR register"]
[null,null,"7.1b","Do you have a RMR register?  ",0,0]
[]
[null,"Any Additional Gaps?"]
[null,"No.","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:"]

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["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]
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["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]
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["2016-02-19",1,2,2,1,1,1,1,1,1,1,1]
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["2016-02-19",2,2,2,1,1,1,1,1,1,1,1]
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["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]

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