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["1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit.",null,"Code","Dropdown Selections"]
[null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?",1,"\"Yes\""]
[null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",1,"\"Yes\""]
[null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?",1,"\"Yes\""]
[1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,"1.2a","Is there a designated Medical Director for your ICU?",1,"\"Yes\""]
[null,"1.2b","Is the designated Medical Director a Fellow of CICM?",1,"\"Yes\""]
[null,"1.2c","Is there a NUM allocated  to your ICU?",1,"\"Yes\""]
[null,"1.2d","At what frequency does the NUM manage other clinical areas?","3,4,5","\"Sometimes\",\"A little\",\"Never\""]
["2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n"]
[null,"2.1a","Does your Unit function under a closed model?",1,"\"Yes\""]
[null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?",1,"\"Yes\""]
[null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?",1,"\"Always/almost always\""]
[null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant to provide phone advice?",1,"\"Always/almost always\""]
["2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",1,"\"Always/almost always\""]
["2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",1,"\"Always/almost always\""]
["2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",1,"\"Always/almost always\""]
["2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",1,"\"Always/almost always\""]
["2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,"What frequency is handover documented at transfer of care?"]
[null,"2.6a","Allied Health   ","1,7","\"Always/almost always\",\"N/A\"","Allocate a NA repsonse if the patient is followed by the same Allied clinician thoughout their ICU stay"]
[null,"2.6b","Medical",1,"\"Always/almost always\""]
[null,"2.6c","Nursing",1,"\"Always/almost always\""]
[null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,"2.6d","Allied Health   ","1,7","\"Always/almost always\",\"N/A\"","Allocate a NA repsonse if the patient is followed by the same Allied clinician thoughout their ICU stay"]
[null,"2.6e","Medical",1,"\"Always/almost always\""]
[null,"2.6f","Nursing",1,"\"Always/almost always\""]
["2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?",1,"\"\"Yes\"\""]
[null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?","1,2","\"Always/almost always\",\"Most of the time\""]
["2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",1,"\"Always/almost always\""]
[null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",1,"\"Always/almost always\""]
[null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?","1,7","\"Always/almost always\",\"N/A\""]
["2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?",1,"\"\"Yes\"\""]
["2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,"2.10","Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?",1,"\"\"Yes\"\""]
["3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n"]
[null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?",1,"\"\"Yes\"\""]
["3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?",1,"\"\"Yes\"\""]
["3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?","1,2","\"All/almost all\",\"Most\""]
["3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,3.4,"What proportion of guidelines are updated using the best available evidence?",1,"\"Always/almost always\""]
["3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?","1,2,3,4,5","\"Always/almost always\",\"Most of the time\",\"Sometimes\", \"A little\", \"Never\"","KC: Update to include all options except unsure"]
["4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?","5,6,7,8,9,10,\n11,12,13","4 or more","KC: reworded"]
[null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?","4,5,6,7,8,9,\n10,11,12,13","3 or more","KC: reworded"]
["4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",1,"\"Always/almost always\""]
["4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?",1,"\"Always/almost always\""]
["4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?",1,"\"Yes\""]
[null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",1,"\"Yes\""]
["4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?",1,"\"Yes\""]
[null,"4.5b","Does your Unit collect ACHS clinical indicators?",1,"\"Yes\""]
["4.6","Risk register developed and maintained in relation to the Service Model."]
[null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?",1,"\"Yes\""]
["5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,"5.1a","Does your Unit have a structured orientation program for nursing?",1,"\"Yes\""]
[null,"5.1b","Does your Unit have a structured orientation program for medicine?",1,"\"Yes\""]
[null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",1,"\"Yes\""]
[null,"5.1d","Does your Unit have a structured education program for nursing?",1,"\"Yes\""]
[null,"5.1e","Does your Unit have a structured education program for medicine?",1,"\"Yes\""]
["5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?",1,"\"Yes\""]
[null,"5.2b","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?",1,"\"Yes\"","KC: Remove NA"]
[null,"5.2c","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?",1,"\"All/almost all\"","KC: Remove Most"]
[null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",1,"\"All/almost all\"","KC: Remove NA"]
[null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",1,"\"Always/almost always\""]
["6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills?",1,"\"Always/almost always\""]
[null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills?",1,"\"Always/almost always\""]
["6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?",1,"\"Yes\""]
[null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?",1,"\"Yes\""]
[null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? ","1,2,3,4,5","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\",\"Never\""]
[null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?","1,2,4","\"Yes\", \"No\", \"N/A\"","KC: Add No"]
["6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?","1,2","\"All/almost all\",\"Most\"","KC: Add Most"]
[null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?",1,"\"Always/almost always\""]
[null,"6.3c","Do you have a supernumerary senior nurse in charge?","1,2","\"Yes\",\"No\"","KC: Add No"]
[null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?","1,2,3,4,5","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\",\"Never\""]
["6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",1,"\"Yes\""]
[null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?","1,2,3,4","\"All/almost all\",\"Most\",\"Some\",\"A few\""]
["6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?","1,2,3","\"Always/almost always\",\"Most of the time\",\"Sometimes\"","KC: Remove a little"]
[null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?","1,2,3","\"Always/almost always\",\"Most of the time\",\"Sometimes\"","KC: Remove a little"]
["6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,"6.6a","How frequently do you have access to a Clinical pharmacist?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.6b","How frequently do you have access to Physiotherapy?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.6c","How frequently do you have access to a Dietician?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.6d","How frequently do you have access to a Social Worker?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.6e","How frequently do you have access to a Speech Pathologist?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,"6.7a","How frequently do you have access to a Data Manager?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.7b","How frequently do you have access to a Bio Medical Engineer?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.7c","How frequently do you have access to Clerical Support?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.7d","How frequently do you have access to a Wards Person?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
[null,"6.7e","How frequently do you have access to a Cleaner?","1,2,3,4,7","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\", \"N/A\"","KC: Added NA"]
[null,"6.7f","How frequently do you have access to IT support?","1,2,3,4","\"Always/almost always\",\"Most of the time\",\"Sometimes\",\"A little\""]
["7.1","Intensive Care Services meet accepted national standards."]
[null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?",11,10]
[null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?",1,"\"Yes\""]
[null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?",1,"\"Yes\""]
["7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,"7.2a","How frequently do you have access to essential equipment in your Unit?  ",1,"\"Always/almost always\""]
[null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  ",1,"\"Yes\""]

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["Site","Question #","Question Words","SA1 Response","SA1 Standards met","SA2 Response","SA2 Standards met","SA3 Response","SA3 Standards met","SA4 Response","SA4 Standards met","SA5 Response","SA5 Standards met","SA6 Response","SA6 Standards met"]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C14","v":"1.1a"},{"$f":"SelfAssessment!D14","v":"Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F13),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C15","v":"1.1b"},{"$f":"SelfAssessment!D15","v":"Is there a Director for the LHD Intensive Care Service/Stream?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F14),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C16","v":"1.1c"},{"$f":"SelfAssessment!D16","v":"Are there clearly defined roles for the Intensive Care Directors at each unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E15),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F15),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C18","v":"1.2a"},{"$f":"SelfAssessment!D18","v":"Is there a designated Intensive Care Director for your ICU?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F17),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C19","v":"1.2b"},{"$f":"SelfAssessment!D19","v":"Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F18),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C20","v":"1.2c"},{"$f":"SelfAssessment!D20","v":"Is there a NUM allocated to your ICU?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E19),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F19),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C21","v":"1.2d"},{"$f":"SelfAssessment!D21","v":"At what frequency does the NUM manage other clinical areas?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E20),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F20),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C25","v":"2.1a"},{"$f":"SelfAssessment!D25","v":"Does your unit function under a closed collaborative medical model?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E24),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F24),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C26","v":"2.1b"},{"$f":"SelfAssessment!D26","v":"Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E25),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F25),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C27","v":"2.1c"},{"$f":"SelfAssessment!D27","v":"What frequency does an intensivist or designated specialist work within hours Monday-Friday?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E26),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F26),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C28","v":"2.1d"},{"$f":"SelfAssessment!D28","v":"What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E27),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F27),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C30","v":2.2000000000000002},{"$f":"SelfAssessment!D30","v":"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E29),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F29),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C32","v":2.2999999999999998},{"$f":"SelfAssessment!D32","v":"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E31),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F31),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C34","v":2.4},{"$f":"SelfAssessment!D34","v":"What frequency are daily combined medical or nursing ward rounds carried out?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E33),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F33),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C36","v":2.5},{"$f":"SelfAssessment!D36","v":"How frequently do multidisciplinary ward rounds occur at least twice weekly?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E35),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F35),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C39","v":"2.6a"},{"$f":"SelfAssessment!D39","v":"Allied health   "},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E38),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F38),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C40","v":"2.6b"},{"$f":"SelfAssessment!D40","v":"Medical"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E39),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F39),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C41","v":"2.6c"},{"$f":"SelfAssessment!D41","v":"Nursing"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E40),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F40),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C43","v":"2.6d"},{"$f":"SelfAssessment!D43","v":"Allied health   "},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E42),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F42),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C44","v":"2.6e"},{"$f":"SelfAssessment!D44","v":"Medical"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E43),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F43),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C45","v":"2.6f"},{"$f":"SelfAssessment!D45","v":"Nursing"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E44),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F44),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C47","v":"2.7a"},{"$f":"SelfAssessment!D47","v":"Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E46),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F46),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C48","v":"2.7b"},{"$f":"SelfAssessment!D48","v":"With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E47),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F47),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C50","v":"2.8a"},{"$f":"SelfAssessment!D50","v":"With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E49),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F49),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C51","v":"2.8b"},{"$f":"SelfAssessment!D51","v":"With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E50),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F50),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C52","v":"2.8c"},{"$f":"SelfAssessment!D52","v":"With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E51),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F51),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C54","v":2.9},{"$f":"SelfAssessment!D54","v":"Is there a formalised process in your unit for admission and transfer of patients?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E53),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F53),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C56","v":2.1},{"$f":"SelfAssessment!D56","v":"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E55),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F55),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C60","v":3.1},{"$f":"SelfAssessment!D60","v":"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E59),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F59),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C62","v":3.2},{"$f":"SelfAssessment!D62","v":"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E61),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F61),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C64","v":3.3},{"$f":"SelfAssessment!D64","v":"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E63),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F63),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C66","v":3.4},{"$f":"SelfAssessment!D66","v":"What proportion of guidelines are updated using the best available evidence?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E65),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F65),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C68","v":3.5},{"$f":"SelfAssessment!D68","v":"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E67),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F67),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C72","v":"4.1a"},{"$f":"SelfAssessment!D72","v":"How many times per year does your unit run morbidity and mortality meetings?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E71),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F71),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C73","v":"4.1b"},{"$f":"SelfAssessment!D73","v":"How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E72),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F72),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C75","v":4.2},{"$f":"SelfAssessment!D75","v":"With what frequency are the results of incident and audit reports fed back to staff?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E74),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F74),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C77","v":4.3},{"$f":"SelfAssessment!D77","v":"With what frequency does your unit take part in antibiotic stewardship?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E76),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F76),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C79","v":"4.4a"},{"$f":"SelfAssessment!D79","v":"Are patient/carer experience activities performed at least annually in your unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E78),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F78),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C80","v":"4.4b"},{"$f":"SelfAssessment!D80","v":"Are staff experience surveys performed at least annually in your Unit?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E79),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F79),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C82","v":"4.5a"},{"$f":"SelfAssessment!D82","v":"Does your unit collect a minimum clinical indicator or quality data set?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E81),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F81),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C83","v":"4.5b"},{"$f":"SelfAssessment!D83","v":"Does your unit collect Australian Council on Healthcare Standards clinical indicators?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E82),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F82),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C85","v":4.5999999999999996},{"$f":"SelfAssessment!D85","v":"Does your unit have a risk register that can be used in relation to the Service Model?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E84),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F84),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C89","v":"5.1a"},{"$f":"SelfAssessment!D89","v":"Does your unit have a structured orientation program for nursing staff?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E88),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F88),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C90","v":"5.1b"},{"$f":"SelfAssessment!D90","v":"Does your unit have a structured orientation program for medical staff?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E89),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F89),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C91","v":"5.1c"},{"$f":"SelfAssessment!D91","v":"Is supernumerary time allocated to staff as part of orientation?  "},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F90),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C92","v":"5.1d"},{"$f":"SelfAssessment!D92","v":"Does your unit have a structured education program for nursing staff?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F91),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C93","v":"5.1e"},{"$f":"SelfAssessment!D93","v":"Does your unit have a structured education program for medical staff?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E92),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F92),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C95","v":"5.2a"},{"$f":"SelfAssessment!D95","v":"Are there defined scopes of practice for senior medical officer roles in the ICU?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E94),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F94),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C96","v":"5.2b"},{"$f":"SelfAssessment!D96","v":"Are there defined scopes of practice for junior medical officer roles in the ICU?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E95),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F95),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C97","v":"5.2c"},{"$f":"SelfAssessment!D97","v":"What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E96),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F96),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C98","v":"5.2d"},{"$f":"SelfAssessment!D98","v":"What proportion of junior medical staff have clinical supervision requirements documented?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E97),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F97),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C99","v":"5.2e"},{"$f":"SelfAssessment!D99","v":"With what frequency are clinical supervision requirements clearly communicated?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E98),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F98),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C103","v":"6.1a"},{"$f":"SelfAssessment!D103","v":"With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E102),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F102),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C104","v":"6.1b"},{"$f":"SelfAssessment!D104","v":"With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E103),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F103),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C106","v":"6.2a"},{"$f":"SelfAssessment!D106","v":"Is the nursing profile of your unit based on the funded Intensive Care Service bed base?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E105),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F105),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C107","v":"6.2b"},{"$f":"SelfAssessment!D107","v":"Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E106),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F106),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C108","v":"6.2c"},{"$f":"SelfAssessment!D108","v":"With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E107),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F107),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C109","v":"6.2d"},{"$f":"SelfAssessment!D109","v":"Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E108),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F108),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C111","v":"6.3a"},{"$f":"SelfAssessment!D111","v":"How many senior nurses in charge have postgraduate qualifications in critical care?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E110),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F110),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C112","v":"6.3b"},{"$f":"SelfAssessment!D112","v":"When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E111),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F111),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C113","v":"6.3c"},{"$f":"SelfAssessment!D113","v":"Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E112),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F112),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C114","v":"6.3d"},{"$f":"SelfAssessment!D114","v":"If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E113),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F113),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C116","v":"6.4a"},{"$f":"SelfAssessment!D116","v":"Do 50% of your nursing staff have post graduate qualifications in critical care?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E115),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F115),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C117","v":"6.4b"},{"$f":"SelfAssessment!D117","v":"What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E116),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F116),NA())","v":{"$error":"#N/A"}}]
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[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C124","v":"6.6c"},{"$f":"SelfAssessment!D124","v":"How frequently do you have access to a dietitian?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E123),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F123),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C125","v":"6.6d"},{"$f":"SelfAssessment!D125","v":"How frequently do you have access to a social worker?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E124),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F124),NA())","v":{"$error":"#N/A"}}]
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[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C131","v":"6.7d"},{"$f":"SelfAssessment!D131","v":"How frequently do you have access to a wards person?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E130),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F130),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C132","v":"6.7e"},{"$f":"SelfAssessment!D132","v":"How frequently do you have access to a cleaner?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E131),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F131),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C133","v":"6.7f"},{"$f":"SelfAssessment!D133","v":"How frequently do you have access to IT support?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E132),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F132),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C137","v":"7.1a"},{"$f":"SelfAssessment!D137","v":"How many of the National Safety and Quality Health Service Standards does your unit meet?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E136),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F136),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C138","v":"7.1b"},{"$f":"SelfAssessment!D138","v":"Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E137),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F137),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C139","v":"7.1c"},{"$f":"SelfAssessment!D139","v":"Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?"},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E138),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F138),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C141","v":"7.2a"},{"$f":"SelfAssessment!D141","v":"How frequently do you have access to essential equipment in your unit?  "},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E140),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F140),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},{"$f":"SelfAssessment!C142","v":"7.2b"},{"$f":"SelfAssessment!D142","v":"Do you have an RMR register?  "},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),Recommendations_1!F141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),Recommendations_2!F141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),Recommendations_3!F141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),Recommendations_4!F141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),Recommendations_5!F141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!E141),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),Recommendations_6!F141),NA())","v":{"$error":"#N/A"}}]
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[{"$f":"SelfAssessment!$E$8","v":0},"F3","Standard Protocol & Procedures",{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!I13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),D86-D86),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!T13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),F86-$D86),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),'Dashboard comparison'!AE13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),H86-F86),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),'Dashboard comparison'!AP13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),J86-H86),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),'Dashboard comparison'!BA13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),L86-J86),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),'Dashboard comparison'!BL13),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),N86-L86),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},"F4","Patient Safety & Experience, Quality Systems & Data",{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!I14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),D87-D87),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!T14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),F87-$D87),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),'Dashboard comparison'!AE14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),H87-F87),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),'Dashboard comparison'!AP14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),J87-H87),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),'Dashboard comparison'!BA14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),L87-J87),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),'Dashboard comparison'!BL14),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),N87-L87),NA())","v":{"$error":"#N/A"}}]
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[{"$f":"SelfAssessment!$E$8","v":0},"F7","Equipment",{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!I17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),D90-D90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!T17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),F90-$D90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),'Dashboard comparison'!AE17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),H90-F90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),'Dashboard comparison'!AP17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),J90-H90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),'Dashboard comparison'!BA17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),L90-J90),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),'Dashboard comparison'!BL17),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),N90-L90),NA())","v":{"$error":"#N/A"}}]
[{"$f":"SelfAssessment!$E$8","v":0},"Total","Totals",{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!I18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),D91-D91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$E$9),NA(),'Dashboard comparison'!T18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),F91-$D91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$G$9),NA(),'Dashboard comparison'!AE18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),H91-F91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$H$9),NA(),'Dashboard comparison'!AP18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$F$9),NA(),J91-H91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),'Dashboard comparison'!BA18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$I$9),NA(),L91-J91),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),'Dashboard comparison'!BL18),NA())","v":{"$error":"#N/A"}},{"$f":"IFERROR(IF(ISBLANK(HistoricResponses!$J$9),NA(),N91-L91),NA())","v":{"$error":"#N/A"}}]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[]
["Historic data is stored here. Each time the users submit a response it is stored here with the date of assessment.\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:"]
["Functions","Date:"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit."]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?"]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?"]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?"]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,null,"1.2a","Is there a designated Medical Director for your ICU?"]
[null,null,"1.2b","Is the designated Medical Director a Fellow of CICM?"]
[null,null,"1.2c","Is there a NUM allocated  to your ICU?"]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?"]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n"]
[null,null,"2.1a","Does your Unit function under a closed model?"]
[null,null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?"]
[null,null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?"]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant/Specialist to provide phone advice?"]
[null,"2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?"]
[null,"2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?"]
[null,"2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied Health   "]
[null,null,"2.6b","Medical"]
[null,null,"2.6c","Nursing"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied Health   "]
[null,null,"2.6e","Medical"]
[null,null,"2.6f","Nursing"]
[null,"2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,"2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?"]
[null,"2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?"]
[null,"2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,null,"2.10","Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?"]
[]
["Functions","Recommended Standards"]
["Function 3:                Standard Protocol & Procedures","3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n"]
[null,null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?"]
[null,"3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?"]
[null,"3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?"]
[null,"3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?"]
[null,"3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?"]
[]
["Functions","Recommended Standards"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?"]
[null,null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?"]
[null,"4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?"]
[null,"4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?"]
[null,"4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?"]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?"]
[null,"4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?"]
[null,null,"4.5b","Does your Unit collect ACHS clinical indicators?"]
[null,"4.6","Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?"]
[]
["Functions","Recommended Standards"]
["Function 5:                            Education, Training & Supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,null,"5.1a","Does your Unit have a structured orientation program for nursing?"]
[null,null,"5.1b","Does your Unit have a structured orientation program for medicine?"]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  "]
[null,null,"5.1d","Does your Unit have a structured education program for nursing?"]
[null,null,"5.1e","Does your Unit have a structured education program for medicine?"]
[null,"5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?"]
[null,null,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?"]
[null,null,"5.2c","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?"]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?"]
[]
["Functions","Recommended Standards"]
["Function 6:                            Education, Training & Supervision","6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current credentialed airway skills?"]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?"]
[null,null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?"]
[null,null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? "]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?"]
[null,"6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?"]
[null,"6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?"]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a Clinical pharmacist?"]
[null,null,"6.6b","How frequently do you have access to Physiotherapy?"]
[null,null,"6.6c","How frequently do you have access to a Dietician?"]
[null,null,"6.6d","How frequently do you have access to a Social Worker?"]
[null,null,"6.6e","How frequently do you have access to a Speech Pathologist?"]
[null,null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","How frequently do you have access to a Data Manager?"]
[null,null,"6.7b","How frequently do you have access to a Bio Medical Engineer?"]
[null,null,"6.7c","How frequently do you have access to Clerical Support?"]
[null,null,"6.7d","How frequently do you have access to a Wards Person?"]
[null,null,"6.7e","How frequently do you have access to a Cleaner?"]
[null,null,"6.7f","How frequently do you have access to IT support?"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?"]
[null,null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?"]
[null,null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?"]
[null,"7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your Unit?  "]
[null,null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  "]
[null,null,"Additional Gaps:",1]
[null,null,null,2]
[null,null,null,3]
[null,null,null,4]
[null,null,null,5]
[null,null,null,6]
[null,null,null,7]
[null,null,null,8]
[null,null,null,9]
[null,null,null,10]
[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
[null,null,null,15]
[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,"Recommendations for additional gaps:",1]
[null,null,null,2]
[null,null,null,3]
[null,null,null,4]
[null,null,null,5]
[null,null,null,6]
[null,null,null,7]
[null,null,null,8]
[null,null,null,9]
[null,null,null,10]
[null,null,null,11]
[null,null,null,12]
[null,null,null,13]
[null,null,null,14]
[null,null,null,15]
[null,null,null,16]
[null,null,null,17]
[null,null,null,18]
[null,null,null,19]
[null,null,null,20]
[null,null,null,"Additional Comments:"]

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

{"sheet":"FacilityLookup","index":5,"n_rows":17,"n_cols":1,"rows_kept":17,"cut":false,"hidden":true,"merged":[]}
["<Please make a selection>"]
["Armidale               "]
["Bathurst               "]
["Bega                      "]
["Broken Hill"]
["Dubbo                   "]
["Fairfield"]
["Goulburn"]
["Grafton"]
["Griffith"]
["Kempsey"]
["Maitland"]
["Manning"]
["Mona Vale"]
["Ryde"]
["Shoalhaven"]
["Wyong"]

{"sheet":"ComboBoxResponsesLookup","index":6,"n_rows":15,"n_cols":7,"rows_kept":15,"cut":false,"hidden":true,"merged":[]}
[null,null,null,"For questions: \"How many times ….\")"]
[1,"Always/almost always (90-100%)","All/almost all (90-100%)",0,0,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" Baseline Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!E12),\"\",TEXT(HistoricResponses!E12,\"dd-mmm-yy\"))","v":" Baseline Self-Assessment "}]
[2,"Most of the time (60-89%)","Most (60-89%)",1,1,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" 2nd Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!F12),\"\",TEXT(HistoricResponses!F12,\"dd-mmm-yy\"))","v":" 2nd Self-Assessment "}]
[3,"Sometimes (30-59%)","Some (30-59%)",2,2,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" 3rd Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!G12),\"\",TEXT(HistoricResponses!G12,\"dd-mmm-yy\"))","v":" 3rd Self-Assessment "}]
[4,"A little (1-29%)","A few (1-29%)",3,3,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" 4th Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!H12),\"\",TEXT(HistoricResponses!H12,\"dd-mmm-yy\"))","v":" 4th Self-Assessment "}]
[5,"Never (0%)","None (0%)",4,4,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" 5th Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!I12),\"\",TEXT(HistoricResponses!I12,\"dd-mmm-yy\"))","v":" 5th Self-Assessment "}]
[6,"Unsure","Unsure",5,5,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" 6th Self-Assessment\"&\" \"&IF(ISBLANK(HistoricResponses!J12),\"\",TEXT(HistoricResponses!J12,\"dd-mmm-yy\"))","v":" 6th Self-Assessment "}]
[null,"N/A","N/A",6,6,null,{"$f":"TRIM(SelfAssessment!$E$8)&\" Comparison of Self-Assessment Results\"","v":" Comparison of Self-Assessment Results"}]
[null,null,null,7,7]
[null,null,null,8,8]
[null,null,null,9,9]
[null,"Yes",null,10,10]
[null,"No",null,11,"Unsure"]
[null,"Unsure",null,12]
[null,"N/A",null,"Unsure"]

{"sheet":"Collated Responses CHARTS","index":7,"n_rows":443,"n_cols":39,"rows_kept":443,"cut":false,"hidden":true,"merged":[[7,1,7,3],[6,4,6,6],[7,4,7,6],[0,3,0,9],[1,3,1,9],[6,1,6,3]]}
[null,null,null,"Intensive Care Service Model"]
[null,null,null,"Self Assessment Tool"]
[]
[null,"These are the total responses collated from multiple self-assessments completed during the assessment period."]
[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$12:$ZZ$12),\"DD-MMM-YYYY\")&\" to \"&TEXT(MAX(HistoricResponses!$E$12:$ZZ$12),\"DD-MMM-YYYY\")","v":"from 00-Jan-1900 to 00-Jan-1900"}]
[null,"Total no. of assessments completed:",null,null,{"$f":"COUNTA(HistoricResponses!$E$12:$ZZ$12)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"COLLATED RESPONSES FOR CHARTS (collating responses in HistoricResponses worksheet)"]
[]
[null,"Function 1: Leadership and Governance",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.1a",{"$f":"COUNTIF(HistoricResponses!E14:ZZ14,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E14:ZZ14,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.1b",{"$f":"COUNTIF(HistoricResponses!E15:ZZ15,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E15:ZZ15,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.1c",{"$f":"COUNTIF(HistoricResponses!E16:ZZ16,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E16:ZZ16,1)","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.2a",{"$f":"COUNTIF(HistoricResponses!E18:ZZ18,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E18:ZZ18,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.2b",{"$f":"COUNTIF(HistoricResponses!E19:ZZ19,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E19:ZZ19,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.2c",{"$f":"COUNTIF(HistoricResponses!E20:ZZ20,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E20:ZZ20,1)","v":0},null,null,null,"grouped results:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,"3,4,5","1-2"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Always / almost always (90-100%)","Most of the time (60-89%)","Sometimes (30-59%)","A little (1-29%)","Never (0%)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1.2d",{"$f":"COUNTIF(HistoricResponses!$E$21:$ZZ$21,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E$21:$ZZ$21,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E$21:$ZZ$21,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E$21:$ZZ$21,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E$21:$ZZ$21,5)","v":0},17,{"$f":"SUM(W21:X21)","v":0}]
[]
[]
[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,"2.1a",{"$f":"COUNTIF(HistoricResponses!E25:ZZ25,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E25:ZZ25,1)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.1b",{"$f":"COUNTIF(HistoricResponses!E26:ZZ26,2)","v":0},{"$f":"COUNTIF(HistoricResponses!E26:ZZ26,1)","v":0},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,"2.1c",{"$f":"COUNTIF(HistoricResponses!$E27:$ZZ27,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E27:$ZZ27,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E27:$ZZ27,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E27:$ZZ27,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E27:$ZZ27,5)","v":0},{"$f":"SUM(X27:AA27)","v":0},{"$f":"W27","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2.1d",{"$f":"COUNTIF(HistoricResponses!$E28:$ZZ28,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E28:$ZZ28,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E28:$ZZ28,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E28:$ZZ28,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E28:$ZZ28,5)","v":0},{"$f":"SUM(X28:AA28)","v":0},{"$f":"W28","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.2000000000000002,{"$f":"COUNTIF(HistoricResponses!$E30:$ZZ30,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E30:$ZZ30,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E30:$ZZ30,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E30:$ZZ30,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E30:$ZZ30,5)","v":0},{"$f":"SUM(X30:AA30)","v":0},{"$f":"W30","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.2999999999999998,{"$f":"COUNTIF(HistoricResponses!$E32:$ZZ32,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E32:$ZZ32,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E32:$ZZ32,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E32:$ZZ32,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E32:$ZZ32,5)","v":0},{"$f":"SUM(X32:AA32)","v":0},{"$f":"W32","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.4,{"$f":"COUNTIF(HistoricResponses!$E34:$ZZ34,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E34:$ZZ34,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E34:$ZZ34,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E34:$ZZ34,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E34:$ZZ34,5)","v":0},{"$f":"SUM(X34:AA34)","v":0},{"$f":"W34","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2.5,{"$f":"COUNTIF(HistoricResponses!$E36:$ZZ36,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E36:$ZZ36,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E36:$ZZ36,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E36:$ZZ36,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E36:$ZZ36,5)","v":0},{"$f":"SUM(X36:AA36)","v":0},{"$f":"W36","v":0}]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"HistoricResponses!C38&\" \n\"&HistoricResponses!C39&\" \"&HistoricResponses!D39","v":"What frequency is handover documented at transfer of care? \n2.6a Allied Health   "},"2.6a",{"$f":"COUNTIF(HistoricResponses!$E39:$ZZ39,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E39:$ZZ39,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E39:$ZZ39,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E39:$ZZ39,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E39:$ZZ39,5)","v":0},{"$f":"SUM(X39:AA39)","v":0},{"$f":"W39","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"HistoricResponses!C38&\" \n\"&HistoricResponses!C40&\" \"&HistoricResponses!D40","v":"What frequency is handover documented at transfer of care? \n2.6b Medical"},"2.6b",{"$f":"COUNTIF(HistoricResponses!$E40:$ZZ40,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E40:$ZZ40,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E40:$ZZ40,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E40:$ZZ40,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E40:$ZZ40,5)","v":0},{"$f":"SUM(X40:AA40)","v":0},0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"HistoricResponses!C38&\" \n\"&HistoricResponses!C41&\" \"&HistoricResponses!D41","v":"What frequency is handover documented at transfer of care? \n2.6c Nursing"},"2.6c",{"$f":"COUNTIF(HistoricResponses!$E41:$ZZ41,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E41:$ZZ41,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E41:$ZZ41,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E41:$ZZ41,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E41:$ZZ41,5)","v":0},{"$f":"SUM(X41:AA41)","v":0},0]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"HistoricResponses!$C$42&\" \n\"&HistoricResponses!C43&\" \"&HistoricResponses!D43","v":"What frequency is handover carried out using a standardised process at transfer of care? \n2.6d Allied Health   "},"2.6d",{"$f":"COUNTIF(HistoricResponses!$E43:$ZZ43,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E43:$ZZ43,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E43:$ZZ43,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E43:$ZZ43,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E43:$ZZ43,5)","v":0},{"$f":"SUM(X43:AA43)","v":0},{"$f":"W43","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,{"$f":"HistoricResponses!$C$42&\" \n\"&HistoricResponses!C44&\" \"&HistoricResponses!D44","v":"What frequency is handover carried out using a standardised process at transfer of care? \n2.6e Medical"},"2.6e",{"$f":"COUNTIF(HistoricResponses!$E44:$ZZ44,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E44:$ZZ44,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E44:$ZZ44,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E44:$ZZ44,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E44:$ZZ44,5)","v":0},{"$f":"SUM(X44:AA44)","v":0},0]
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[]
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[]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"NO","YES"]
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[]
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[]
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[]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,1,">1","1-3","4-6","7-8","9-10"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2,3,4,5",1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"7.2a",{"$f":"COUNTIF(HistoricResponses!$E141:$ZZ141,1)","v":0},{"$f":"COUNTIF(HistoricResponses!$E141:$ZZ141,2)","v":0},{"$f":"COUNTIF(HistoricResponses!$E141:$ZZ141,3)","v":0},{"$f":"COUNTIF(HistoricResponses!$E141:$ZZ141,4)","v":0},{"$f":"COUNTIF(HistoricResponses!$E141:$ZZ141,5)","v":0},{"$f":"SUM(X142:AA142)","v":0},{"$f":"W142","v":0}]
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[]
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[null,"Function 3: Standard Protocol & Procedures"]
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[null,"Function  4: Patient Safety & Experience, Quality Systems & Data"]
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[null,"Function 5:  Education, Training & Supervision"]
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[null,"Function 6: Education, Training & Supervision"]
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[]
[null,"Function 7: Equipment"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[null,null,null,"Name","Role","Email",null,null,"Status"]
["Respondent(s)",null,null,null,null,null,null,null,{"$f":"COUNTBLANK((D5:F5))","v":3}]
[]
[]
["Facility Name",null,null,null,null,{"$f":"COUNTBLANK((E8))","v":1}]
["Date of assessment\n(Overwrite the date if needed)",null,null,{"$f":"TODAY()","v":"2019-07-31"},null,{"$f":"COUNTBLANK((D9))","v":0}]
[null,null,null,null,null,{"$f":"COUNTIF((I5:I7),1)","v":0}]
[]
["Functions","Recommended standards"]
["Function 1:\nLeadership and governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses",null,"Your comments"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",null,0]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",null,0]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",null,0]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses",null,"Your comments"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",null,0]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",null,0]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",null,0]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",null,0]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses",null,"Your comments"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",null,0]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",null,0]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",null,0]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",null,0]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses",null,"Your comments"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",null,0]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses",null,"Your comments"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",null,0]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses",null,"Your comments"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",null,0]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses",null,"Your comments"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",null,0]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses",null,"Your comments"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",null,0]
[null,null,"2.6b","Medical",null,0]
[null,null,"2.6c","Nursing",null,0]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",null,0]
[null,null,"2.6e","Medical",null,0]
[null,null,"2.6f","Nursing",null,0]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses",null,"Your comments"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",null,0]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",null,0]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses",null,"Your comments"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",null,0]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",null,0]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",null,0]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses",null,"Your comments"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",null,0]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses",null,"Your comments"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",null,0]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses",null,"Your comments"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",null,0]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses",null,"Your comments"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",null,0]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses",null,"Your comments"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",null,0]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses",null,"Your comments"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",null,0]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses",null,"Your comments"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",null,0]
[]
["Functions","Recommended Standards"]
["Function  4:\nPatient safety and experience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses",null,"Your comments"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",null,0]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",null,0]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses",null,"Your comments"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",null,0]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses",null,"Your comments"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",null,0]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses",null,"Your comments"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",null,0]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",null,0]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses",null,"Your comments"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",null,0]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",null,0]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses",null,"Your comments"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",null,0]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and clinical supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses",null,"Your comments"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",null,0]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",null,0]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",null,0]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",null,0]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",null,0]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses",null,"Your comments"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",null,0]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",null,0]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",null,0]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",null,0]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",null,0]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce management and support services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses",null,"Your comments"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",null,0]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",null,0]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses",null,"Your comments"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",null,0]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",null,0]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",null,0]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",null,3]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses",null,"Your comments"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",null,0]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",null,0]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",null,0]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",null,0]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses",null,"Your comments"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",null,0]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",null,0]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses",null,"Your comments"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",null,0]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",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,"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,"Your comments",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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","How frequently do you 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,"Drop Down 86",8]
[null,null,"6.6b","How frequently do you 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,"Drop Down 87",8]
[null,null,"6.6c","How frequently do you have access to a dietitian?",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,"Drop Down 88",8]
[null,null,"6.6d","How frequently do you 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,"Drop Down 89",8]
[null,null,"6.6e","How frequently do you 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,"Drop Down 90",8]
[null,6.7,"Access to clerical and support services including data manager, 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,"Your comments"]
[null,null,"6.7a","How frequently do you have access to a data manager?",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,"Drop Down 91",8]
[null,null,"6.7b","How frequently do you 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,"Drop Down 92",8]
[null,null,"6.7c","How frequently do you 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,"Drop Down 93",8]
[null,null,"6.7d","How frequently do you 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,"Drop Down 94",8]
[null,null,"6.7e","How frequently do you 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,"Drop Down 95",8]
[null,null,"6.7f","How frequently do you 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,"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,"Drop Down 97",8]
["Functions","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,"Drop Down 98",8]
["Function 7:\nEquipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses",null,"Your comments",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 99",8]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",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,"Drop Down 100",8]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",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,"Drop Down 101",8]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",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,"Drop Down 102",8]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses",null,"Your comments",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"7.2a","How frequently do you have access to essential equipment in your unit?  ",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,"Drop Down 104",8]
[null,null,"7.2b","Do you have an 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,"Drop Down 105",8]
[null,null,null,null,null,{"$f":"COUNTIF((F14:F142),0) + COUNTIF((I5:I7),1)","v":81},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
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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,"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]
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[null,null,"Intensive Care Service Model"]
[null,null,"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:",734,580,734,580,734,580,734,734,580,621,360]
[null,null,null,"Name:","Test goulburn","Test goulburn","Test goulburn","Test goulburn","Unsure to all","Unsure to all","Unsure to all","asdf","asdf","asdf","asdf"]
[null,null,null,"Role:","xxx","xxx","xxx","xxx","DM","DM","DM","asdfsd","asdfsd","asdfsd","asdfsd"]
["Functions","Date:",null,null,"2018-04-26","2018-04-26","2018-04-26","2018-04-26","2018-04-26","2018-04-26","2018-05-07","2018-05-15","2018-05-16","2018-05-17","2018-05-17"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each Unit."]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your Unit and a Level 5 or 6 Unit?","Does unsure flag red as well for all tabs?","Does unsure flag red as well for all tabs?"]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?"]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each Unit?"]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments","Your Comments"]
[null,null,"1.2a","Is there a designated Medical Director for your ICU?"]
[null,null,"1.2b","Is the designated Medical Director a Fellow of CICM?"]
[null,null,"1.2c","Is there a NUM allocated  to your ICU?"]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?"]
[]
["Functions","Recommended Standards"]
["Function 2:                       Care Planning, Coordination & Delivery","2.1","Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. \n\n\n\n",null,"Your comments","Your comments","Your comments","Your comments","Your comments","Your comments","Your comments","Your comments","Your comments","Your comments","Your comments"]
[null,null,"2.1a","Does your Unit function under a closed model?"]
[null,null,"2.1b","Does the primary responsibility for patient management in your Unit lie with the intensive care team rather than the inpatient team?"]
[null,null,"2.1c","What frequency does an intensivist/designated specialist work within hours Monday-Friday?"]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\nan on-call intensivist/designated specialist,\nor a networked Intensive Care Consultant/Specialist to provide phone advice?"]
[null,"2.2","Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?"]
[null,"2.3","Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.4","Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,null,2.4,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?"]
[null,"2.5","Minimum twice weekly formal multidisciplinary ward rounds occur, dependant on the Unit and available allied health staff."]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?"]
[null,"2.6","Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied Health   "]
[null,null,"2.6b","Medical"]
[null,null,"2.6c","Nursing"]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied Health   "]
[null,null,"2.6e","Medical"]
[null,null,"2.6f","Nursing"]
[null,"2.7","Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,null,"2.7b","With what frequency is the formalised process utlised to support  communication between the Level 4 Intensive Care Unit and the networked higher level Unit?"]
[null,"2.8","Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?"]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?"]
[null,"2.9","Formalised process for admission and transfer of patients.  After hours (6pm -8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your Unit for admission and transfer of patients?"]
[null,"2.10","Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker.  \n"]
[null,null,"2.10","Is there an admission process in your Unit that includes documentation of the name and contact details of the patient's substitute decision maker?"]
[]
["Functions","Recommended Standards"]
["Function 3:                Standard Protocol & Procedures","3.1","Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.\n\n\n\n"]
[null,null,3.1,"Is there a formal agreement between your Unit and the networked referral hospital outlining functional linkages?"]
[null,"3.2","Clearly documented escalation plan for management and upgrade of care supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your Unit have a written escalation plan for upgrade of care that is signed off at executive level?"]
[null,"3.3","Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?"]
[null,"3.4","Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?"]
[null,"3.5","Tele-health solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which Telehealth is utilised by your unit where appropriate?"]
[]
["Functions","Recommended Standards"]
["Function  4:                   Patient Safety & Experience, Quality Systems & Data","4.1","Regular local multi-disciplinary Morbidity and Mortality (M&M) meetings and  combined Intensive Care Network multidisciplinary meetings: consider quarterly.\n\n\n\n"]
[null,null,"4.1a","How many times  per year  does your Unit run Morbidity and Mortality meetings?"]
[null,null,"4.1b","How many times per year does your Unit run combined multidisciplinary meetings with the networked hospital?"]
[null,"4.2","Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?"]
[null,"4.3","Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your Unit take part in antibiotic stewardship?"]
[null,"4.4","Undertake patient/carer & staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your Unit?"]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?"]
[null,"4.5","Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your Unit collect a minimum clinical indicator / quality data set?"]
[null,null,"4.5b","Does your Unit collect ACHS clinical indicators?"]
[null,"4.6","Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your Unit have a risk register that can be used in relation to the Service Model?"]
[]
["Functions","Recommended Standards"]
["Function 5:                            Education, Training & Supervision","5.1","Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.\n\n\n\n"]
[null,null,"5.1a","Does your Unit have a structured orientation program for nursing?"]
[null,null,"5.1b","Does your Unit have a structured orientation program for medicine?"]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  "]
[null,null,"5.1d","Does your Unit have a structured education program for nursing?"]
[null,null,"5.1e","Does your Unit have a structured education program for medicine?"]
[null,"5.2","Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for Senior Medical Officer roles in the ICU?"]
[null,null,"5.2b","Are there defined scopes of practice for Junior Medical Officer roles in the ICU?","Remove the NA option please","Remove the NA option please"]
[null,null,"5.2c","What proportion of medical staff responsible for your Unit are credentialed within a defined scope of practice?"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?"]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?"]
[]
["Functions","Recommended Standards"]
["Function 6:                            Education, Training & Supervision","6.1","Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current credentialed airway skills?"]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24hrs per day, responsible to ICU, with current vascular access skills?"]
[null,"6.2","Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your Unit based on the funded Intensive Care Service bed base?"]
[null,null,"6.2b","Is the nursing profile of your Unit based on patient severity of illness (as clinically determined)?"]
[null,null,"6.2c","With what frequency does your Unit provide additional services outside the ICU? "]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?"]
[null,"6.3","Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have post graduate qualifications in critical care?"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have post-graduate qualifications in critical care?"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?"]
[null,"6.4","AIM for 50% of nursing staff within the ICU to hold post graduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualitifications have extensive experience in critical care ≥ 5 years?","What is the scale behind this?","What is the scale behind this?"]
[null,"6.5","Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?"]
[null,"6.6","Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a Clinical pharmacist?"]
[null,null,"6.6b","How frequently do you have access to Physiotherapy?"]
[null,null,"6.6c","How frequently do you have access to a Dietician?"]
[null,null,"6.6d","How frequently do you have access to a Social Worker?"]
[null,null,"6.6e","How frequently do you have access to a Speech Pathologist?"]
[null,null,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners."]
[null,null,"6.7a","How frequently do you have access to a Data Manager?","Would change the scale in all these areas to answer never if they have none or little","Would change the scale in all these areas to answer never if they have none or little"]
[null,null,"6.7b","How frequently do you have access to a Bio Medical Engineer?"]
[null,null,"6.7c","How frequently do you have access to Clerical Support?"]
[null,null,"6.7d","How frequently do you have access to a Wards Person?"]
[null,null,"6.7e","How frequently do you have access to a Cleaner?"]
[null,null,"6.7f","How frequently do you have access to IT support?"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment","7.1","Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your Unit meet?"]
[null,null,"7.1b","Does your Unit meet the CICM minimum standards for Intensive Care Units?"]
[null,null,"7.1c","Does your Unit meet ACCCN Nursing Staffing standards?"]
[null,"7.2","Essential equipment is available in the Unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your Unit?  "]
[null,null,"7.2b","Do you have a Replacement, Maintenance and Repair (RMR) register?  "]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s):",null,null,{"$f":"IF(HistoricResponses!E10=\"\",\"\",HistoricResponses!E10)","v":""}]
["Role:",null,null,{"$f":"IF(HistoricResponses!E11=\"\",\"\",HistoricResponses!E11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment",null,null,{"$f":"IF(HistoricResponses!$E$12=\"\",\"\",TEXT(HistoricResponses!$E$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."}]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."}]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."}]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."}]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"}]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."}]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"}]
[]
["Functions","Recommended standards"]
["Function 2: \nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."}]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."}]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."}]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."}]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."}]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "}]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."}]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"}]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."}]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."}]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."}]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."}]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."}]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."}]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."}]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."}]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."}]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."}]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."}]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."}]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."}]
[]
["Functions","Recommended Standards"]
["Function 3:      \nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."}]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."}]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."}]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."}]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."}]
[]
["Functions","Recommended Standards"]
["Function  4: \nPatient safety and experience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."}]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."}]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."}]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."}]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."}]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."}]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."}]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."}]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."}]
[]
["Functions","Recommended Standards"]
["Function 5:  \nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."}]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."}]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."}]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."}]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."}]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."}]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."}]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."}]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."}]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."}]
[]
["Functions","Recommended Standards"]
["Function 6:                  Workforce Management & Support Services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."}]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."}]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."}]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."}]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0}]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."}]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."}]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."}]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0}]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0}]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."}]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."}]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"}]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"}]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"}]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"}]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"}]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"}]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"}]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"}]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!E129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"}]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!E130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"}]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!E131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"}]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"}]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!E133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"}]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"}]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"}]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"}]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"}]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!E142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"}]
[]
[]
[null,"Any additional gaps"]
[null,"No.","Gap",null,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"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s):",null,null,{"$f":"IF(HistoricResponses!F10=\"\",\"\",HistoricResponses!F10)","v":""}]
["Role:",null,null,{"$f":"IF(HistoricResponses!F11=\"\",\"\",HistoricResponses!F11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment",null,null,{"$f":"IF(HistoricResponses!$F$12=\"\",\"\",TEXT(HistoricResponses!$F$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,null,null,null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."},null,null,null,null,null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,null,null,null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."},null,null,null,null,null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards"]
["Function  4: \nPatient safety and experience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5: \nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6: \nWorkforce management and support services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!F129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!F130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!F131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!F133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:\nEquipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!F142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,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:"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s):",null,null,{"$f":"IF(HistoricResponses!G10=\"\",\"\",HistoricResponses!G10)","v":""}]
["Role:",null,null,{"$f":"IF(HistoricResponses!G11=\"\",\"\",HistoricResponses!G11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment:",null,null,{"$f":"IF(HistoricResponses!$G$12=\"\",\"\",TEXT(HistoricResponses!$G$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,null,null,null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."},null,null,null,null,null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,null,null,null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."},null,null,null,null,null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards"]
["Function  4: \nPatient safety and experience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce Management & Support Services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!G129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!G130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!G131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!G133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:\nEquipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is used.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!G142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,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:"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s):",null,null,{"$f":"IF(HistoricResponses!H10=\"\",\"\",HistoricResponses!H10)","v":""}]
["Role:",null,null,{"$f":"IF(HistoricResponses!H11=\"\",\"\",HistoricResponses!H11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment",null,null,{"$f":"IF(HistoricResponses!$H$12=\"\",\"\",TEXT(HistoricResponses!$H$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:\nLeadership and governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,null,null,null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."},null,null,null,null,null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,null,null,null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3: \nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."},null,null,null,null,null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards"]
["Function  4:  \nPatient safety and eperience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce Management & Support Services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!H129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!H130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!H131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!H133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!H142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any additional gaps?"]
[null,"No.","Gap",null,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"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s):",null,null,{"$f":"IF(HistoricResponses!I10=\"\",\"\",HistoricResponses!I10)","v":""}]
["Role:",null,null,{"$f":"IF(HistoricResponses!I11=\"\",\"\",HistoricResponses!I11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment",null,null,{"$f":"IF(HistoricResponses!$I$12=\"\",\"\",TEXT(HistoricResponses!$I$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:            Leadership and Governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,null,null,null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."},null,null,null,null,null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,null,null,null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."},null,null,null,null,null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards"]
["Function  4:  \nPatient safety and eperience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce management and support services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!I129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!I130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!I131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!I133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!I142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any additional gaps?"]
[null,"No.","Gap",null,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"]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["NB: These recommendations are based on responses collated from multiple self-assessments completed during the assessment period listed below"]
["Respondent(s)",null,null,{"$f":"IF(HistoricResponses!J10=\"\",\"\",HistoricResponses!J10)","v":""}]
["Role",null,null,{"$f":"IF(HistoricResponses!J11=\"\",\"\",HistoricResponses!J11)","v":""}]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""}]
["Date of baseline assessment",null,null,{"$f":"IF(HistoricResponses!$J$12=\"\",\"\",TEXT(HistoricResponses!$J$12,\"DD-MMM-YYYY\"))","v":""}]
[]
["Functions","Recommended Standards",null,null,null,null,null,null,null,null,"To be filled in by Units",null,null,"This column will be removed while finalising"]
["Function 1:\nLeadership and governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline","Meets recommendation (where there are Y/N answers Y is taken as 1)"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(G13=1,\"Yes\",IF(G13=2,\"No\",IF(G13=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G13=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J14","v":0},{"$f":"IF(F13=\"Yes\",CommentLookup!F13,CommentLookup!H13)","v":"There is not a formal Intensive Care Service network agreement between the Unit and aLevel 5 or 6 Unit."},null,null,null,null,null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(G14=1,\"Yes\",IF(G14=2,\"No\",IF(G14=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G14=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J15","v":0},{"$f":"IF(F14=\"Yes\",CommentLookup!F14,CommentLookup!H14)","v":"There is no Director for the LHD Intensive Care Service/Stream."},null,null,null,null,null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(G15=1,\"Yes\",IF(G15=2,\"No\",IF(G15=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G15=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J16","v":0},{"$f":"IF(F15=\"Yes\",CommentLookup!F15,CommentLookup!H15)","v":"There are not clearly defined roles for the Intensive Care Directors at each Unit."},null,null,null,null,null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(G17=1,\"Yes\",IF(G17=2,\"No\",IF(G17=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G17=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J18","v":0},{"$f":"IF(F17=\"Yes\",CommentLookup!F17,CommentLookup!H17)","v":"There is no designated Medical Director for the ICU."},null,null,null,null,null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(G18=1,\"Yes\",IF(G18=2,\"No\",IF(G18=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G18=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J19","v":0},{"$f":"IF(F18=\"Yes\",CommentLookup!F18,CommentLookup!H18)","v":"The Medical Director is not a Fellow of CICM"},null,null,null,null,null,1]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(G19=1,\"Yes\",IF(G19=2,\"No\",IF(G19=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G19=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J20","v":0},{"$f":"IF(F19=\"Yes\",CommentLookup!F19,CommentLookup!H19)","v":"There is no Nurse Unit Manager allocated to the ICU."},null,null,null,null,null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(G20=1,\"Always/almost always\",IF(G20=2,\"Most of the time\",IF(G20=3,\"Sometimes\",IF(G20=4,\"A little\",IF(G20=5,\"Never\",IF(G20=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G20=3,G20=4,G20=5),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J21","v":0},{"$f":"IF(F20=\"Yes\",CommentLookup!F20,CommentLookup!H20)","v":"The  NUM manages other clinical areas is not within the recommended standard"},null,null,null,null,null,"3,4,5"]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(G24=1,\"Yes\",IF(G24=2,\"No\",IF(G24=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G24=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J25","v":0},{"$f":"IF(F24=\"Yes\",CommentLookup!F24,CommentLookup!H24)","v":"Unit does not function under a closed model."},null,null,null,null,null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(G25=1,\"Yes\",IF(G25=2,\"No\",IF(G25=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G25=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J26","v":0},{"$f":"IF(F25=\"Yes\",CommentLookup!F25,CommentLookup!H25)","v":"The primary responsibility for patient management in the Unit lies with the admitting team rather than the critical care team."},null,null,null,null,null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(G26=1,\"Always/almost always\",IF(G26=2,\"Most of the time\",IF(G26=3,\"Sometimes\",IF(G26=4,\"A little\",IF(G26=5,\"Never\",IF(G26=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G26=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J27","v":0},{"$f":"IF(F26=\"Yes\",CommentLookup!F26,CommentLookup!H26)","v":"Unit does not have an intensivist/designated specialist within hours Monday-Friday."},null,null,null,null,null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(G27=1,\"Always/almost always\",IF(G27=2,\"Most of the time\",IF(G27=3,\"Sometimes\",IF(G27=4,\"A little\",IF(G27=5,\"Never\",IF(G27=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G27=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J28","v":0},{"$f":"IF(F27=\"Yes\",CommentLookup!F27,CommentLookup!H27)","v":"ICU does not have after-hours access to senior critical care advice either through an on-call Intensivist/Designated Specialist, or a networked Intensive Care Consultant/Specilaist to provide phone advice."},null,null,null,null,null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(G29=1,\"Always/almost always\",IF(G29=2,\"Most of the time\",IF(G29=3,\"Sometimes\",IF(G29=4,\"A little\",IF(G29=5,\"Never\",IF(G29=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G29=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J30","v":0},{"$f":"IF(F29=\"Yes\",CommentLookup!F29,CommentLookup!H29)","v":"There is not a  medical officeronsite that is primarily responsible for the Intensive Care Service 24 hours per day."},null,null,null,null,null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(G31=1,\"Always/almost always\",IF(G31=2,\"Most of the time\",IF(G31=3,\"Sometimes\",IF(G31=4,\"A little\",IF(G31=5,\"Never\",IF(G31=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G31=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J32","v":0},{"$f":"IF(F31=\"Yes\",CommentLookup!F31,CommentLookup!H31)","v":"All patients do not have management plans documented daily by the intensivist or designated specialist "},null,null,null,null,null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(G33=1,\"Always/almost always\",IF(G33=2,\"Most of the time\",IF(G33=3,\"Sometimes\",IF(G33=4,\"A little\",IF(G33=5,\"Never\",IF(G33=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G33=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J34","v":0},{"$f":"IF(F33=\"Yes\",CommentLookup!F33,CommentLookup!H33)","v":"Combined medical/nursing ward rounds are infrequently carried out daily."},null,null,null,null,null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(G35=1,\"Always/almost always\",IF(G35=2,\"Most of the time\",IF(G35=3,\"Sometimes\",IF(G35=4,\"A little\",IF(G35=5,\"Never\",IF(G35=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G35=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J36","v":0},{"$f":"IF(F35=\"Yes\",CommentLookup!F35,CommentLookup!H35)","v":"Multidisciplinary ward rounds are held twice weekly infrequently"},null,null,null,null,null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(G38=1,\"Always/almost always\",IF(G38=2,\"Most of the time\",IF(G38=3,\"Sometimes\",IF(G38=4,\"A little\",IF(G38=5,\"Never\",IF(G38=6,\"Unsure\",IF(G38=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G38=1,G38=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J39","v":0},{"$f":"IF(F38=\"Yes\",CommentLookup!F38,CommentLookup!H38)","v":"Clinical handover is documented at every transfer of care by allied health infrequently."},null,null,null,null,null,1]
[null,null,"2.6b","Medical",{"$f":"IF(G39=1,\"Always/almost always\",IF(G39=2,\"Most of the time\",IF(G39=3,\"Sometimes\",IF(G39=4,\"A little\",IF(G39=5,\"Never\",IF(G39=6,\"Unsure\",IF(G39=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G39=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J40","v":0},{"$f":"IF(F39=\"Yes\",CommentLookup!F39,CommentLookup!H39)","v":"Clinical handover is documented at every transfer of care by medical Staff infrequently."},null,null,null,null,null,1]
[null,null,"2.6c","Nursing",{"$f":"IF(G40=1,\"Always/almost always\",IF(G40=2,\"Most of the time\",IF(G40=3,\"Sometimes\",IF(G40=4,\"A little\",IF(G40=5,\"Never\",IF(G40=6,\"Unsure\",IF(G40=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G40=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J41","v":0},{"$f":"IF(F40=\"Yes\",CommentLookup!F40,CommentLookup!H40)","v":"Clinical handover is documented at every transfer of care by nursing staff infrequently."},null,null,null,null,null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(G42=1,\"Always/almost always\",IF(G42=2,\"Most of the time\",IF(G42=3,\"Sometimes\",IF(G42=4,\"A little\",IF(G42=5,\"Never\",IF(G42=6,\"Unsure\",IF(G42=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G42=1,G42=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J43","v":0},{"$f":"IF(F42=\"Yes\",CommentLookup!F42,CommentLookup!H42)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by allied health."},null,null,null,null,null,1]
[null,null,"2.6e","Medical",{"$f":"IF(G43=1,\"Always/almost always\",IF(G43=2,\"Most of the time\",IF(G43=3,\"Sometimes\",IF(G43=4,\"A little\",IF(G43=5,\"Never\",IF(G43=6,\"Unsure\",IF(G43=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G43=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J44","v":0},{"$f":"IF(F43=\"Yes\",CommentLookup!F43,CommentLookup!H43)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by medical staff."},null,null,null,null,null,1]
[null,null,"2.6f","Nursing",{"$f":"IF(G44=1,\"Always/almost always\",IF(G44=2,\"Most of the time\",IF(G44=3,\"Sometimes\",IF(G44=4,\"A little\",IF(G44=5,\"Never\",IF(G44=6,\"Unsure\",IF(G44=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G44=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J45","v":0},{"$f":"IF(F44=\"Yes\",CommentLookup!F44,CommentLookup!H44)","v":"Handover is infrequently carried out using a standardised process at every transfer of care by nursing staff."},null,null,null,null,null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G46=1,\"Yes\",IF(G46=2,\"No\",IF(G46=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G46=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J47","v":0},{"$f":"IF(F46=\"Yes\",CommentLookup!F46,CommentLookup!H46)","v":"There is not a formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit."},null,null,null,null,null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(G47=1,\"Always/almost always\",IF(G47=2,\"Most of the time\",IF(G47=3,\"Sometimes\",IF(G47=4,\"A little\",IF(G47=5,\"Never\",IF(G47=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G47=1,G47=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J48","v":0},{"$f":"IF(F47=\"Yes\",CommentLookup!F47,CommentLookup!H47)","v":"The formalised process to support regular communication between the Level 4 Intensive Care Unit and the networked higher level Unit is not utilised frequently."},null,null,null,null,null,"1,2"]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G49=1,\"Always/almost always\",IF(G49=2,\"Most of the time\",IF(G49=3,\"Sometimes\",IF(G49=4,\"A little\",IF(G49=5,\"Never\",IF(G49=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G49=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J50","v":0},{"$f":"IF(F49=\"Yes\",CommentLookup!F49,CommentLookup!H49)","v":"A nursing discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G50=1,\"Always/almost always\",IF(G50=2,\"Most of the time\",IF(G50=3,\"Sometimes\",IF(G50=4,\"A little\",IF(G50=5,\"Never\",IF(G50=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G50=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J51","v":0},{"$f":"IF(F50=\"Yes\",CommentLookup!F50,CommentLookup!H50)","v":"A medical discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(G51=1,\"Always/almost always\",IF(G51=2,\"Most of the time\",IF(G51=3,\"Sometimes\",IF(G51=4,\"A little\",IF(G51=5,\"Never\",IF(G51=6,\"Unsure\",IF(G51=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G51=1,G51=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J52","v":0},{"$f":"IF(F51=\"Yes\",CommentLookup!F51,CommentLookup!H51)","v":"An allied health discharge summary is infrequently completed when patients are discharged from ICU to the ward."},null,null,null,null,null,1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(G53=1,\"Yes\",IF(G53=2,\"No\",IF(G53=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G53=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J54","v":0},{"$f":"IF(F53=\"Yes\",CommentLookup!F53,CommentLookup!H53)","v":"There is no formalised process for the admission and transfer of patients in the Unit."},null,null,null,null,null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(G55=1,\"Yes\",IF(G55=2,\"No\",IF(G55=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G55=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J56","v":0},{"$f":"IF(F55=\"Yes\",CommentLookup!F55,CommentLookup!H55)","v":"The admission process does not include the documentation of the name and contact details of the patient's substitute decision maker."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(G59=1,\"Yes\",IF(G59=2,\"No\",IF(G59=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G59=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J60","v":0},{"$f":"IF(F59=\"Yes\",CommentLookup!F59,CommentLookup!H59)","v":"There is no formal agreement between the Unit and the networked referral hospital outlining functional linkages."},null,null,null,null,null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(G61=1,\"Yes\",IF(G61=2,\"No\",IF(G61=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G61=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J62","v":0},{"$f":"IF(F61=\"Yes\",CommentLookup!F61,CommentLookup!H61)","v":"The Unit does not have a written escalation plan for upgrade of care that is signed off at executive level."},null,null,null,null,null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(G63=1,\"All/almost all\",IF(G63=2,\"Most\",IF(G63=3,\"Some\",IF(G63=4,\"A few\",IF(G63=5,\"None\",IF(G63=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(OR(G63=1,G63=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J64","v":0},{"$f":"IF(F63=\"Yes\",CommentLookup!F63,CommentLookup!H63)","v":"A lower than recommended proportion of guidelines and procedures are standardised across the LHD Intensive Care Network."},null,null,null,null,null,1]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(G65=1,\"All/almost all\",IF(G65=2,\"Most\",IF(G65=3,\"Some\",IF(G65=4,\"A few\",IF(G65=5,\"None\",IF(G65=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G65=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J66","v":0},{"$f":"IF(F65=\"Yes\",CommentLookup!F65,CommentLookup!H65)","v":"Guidelines are not always/almost always updated using the best available evidence."},null,null,null,null,null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G67=1,\"Always/almost always\",IF(G67=2,\"Most of the time\",IF(G67=3,\"Sometimes\",IF(G67=4,\"A little\",IF(G67=5,\"Never\",IF(G67=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G67<>6,G67<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J68","v":0},{"$f":"IF(F67=\"Yes\",CommentLookup!F67,CommentLookup!H67)","v":"Telehealth is infrequently utilised by the unit where appropriate."},null,null,null,null,null,"1,2,3"]
[]
["Functions","Recommended Standards"]
["Function  4:  \nPatient safety and eperience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(G71=14,\"Unsure\",IF(G71>0,G71-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G71>4,G71<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J72","v":0},{"$f":"IF(F71=\"Yes\",CommentLookup!F71,CommentLookup!H71)","v":"The Unit does not run regular Morbidity and Mortality meetings."},null,null,null,null,null,"4,5,6,7"]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(G72=14,\"Unsure\",IF(G72>0,G72-1,\"Blank\"))","v":"Blank"},{"$f":"IF(AND(G72>3,G72<14),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J73","v":0},{"$f":"IF(F72=\"Yes\",CommentLookup!F72,CommentLookup!H72)","v":"Combined multidisciplinary meetings are not run regularly by the Unit with the networked hospital."},null,null,null,null,null,"4,5,6,7,8,9,10,11,12"]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(G74=1,\"Always/almost always\",IF(G74=2,\"Most of the time\",IF(G74=3,\"Sometimes\",IF(G74=4,\"A little\",IF(G74=5,\"Never\",IF(G74=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G74=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J75","v":0},{"$f":"IF(F74=\"Yes\",CommentLookup!F74,CommentLookup!H74)","v":"The results of incident and audit reports are infrequently fed back to staff."},null,null,null,null,null,"1,2"]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(G76=1,\"Always/almost always\",IF(G76=2,\"Most of the time\",IF(G76=3,\"Sometimes\",IF(G76=4,\"A little\",IF(G76=5,\"Never\",IF(G76=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G76=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J77","v":0},{"$f":"IF(F76=\"Yes\",CommentLookup!F76,CommentLookup!H76)","v":"The Unit infrequently takes part in antibiotic stewardship."},null,null,null,null,null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(G78=1,\"Yes\",IF(G78=2,\"No\",IF(G78=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G78=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J79","v":0},{"$f":"IF(F78=\"Yes\",CommentLookup!F78,CommentLookup!H78)","v":"Patient/carer experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(G79=1,\"Yes\",IF(G79=2,\"No\",IF(G79=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G79=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J80","v":0},{"$f":"IF(F79=\"Yes\",CommentLookup!F79,CommentLookup!H79)","v":"Staff experience surveys are not performed at least annually in the Unit."},null,null,null,null,null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(G81=1,\"Yes\",IF(G81=2,\"No\",IF(G81=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G81=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J82","v":0},{"$f":"IF(F81=\"Yes\",CommentLookup!F81,CommentLookup!H81)","v":"The Unit does not collect a minimum clinical indicator / quality data set."},null,null,null,null,null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(G82=1,\"Yes\",IF(G82=2,\"No\",IF(G82=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G82=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J83","v":0},{"$f":"IF(F82=\"Yes\",CommentLookup!F82,CommentLookup!H82)","v":"The Unit does not collect ACHS clinical indicators."},null,null,null,null,null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(G84=1,\"Yes\",IF(G84=2,\"No\",IF(G84=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G84=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J85","v":0},{"$f":"IF(F84=\"Yes\",CommentLookup!F84,CommentLookup!H84)","v":"The Unit does not have a risk register that can be used in relation to the Service Model."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(G88=1,\"Yes\",IF(G88=2,\"No\",IF(G88=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G88=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J89","v":0},{"$f":"IF(F88=\"Yes\",CommentLookup!F88,CommentLookup!H88)","v":"The Unit does not have a structured orientation program for nursing."},null,null,null,null,null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(G89=1,\"Yes\",IF(G89=2,\"No\",IF(G89=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G89=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J90","v":0},{"$f":"IF(F89=\"Yes\",CommentLookup!F89,CommentLookup!H89)","v":"The Unit does not have a structured orientation program for medicine."},null,null,null,null,null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(G90=1,\"Yes\",IF(G90=2,\"No\",IF(G90=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G90=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J91","v":0},{"$f":"IF(F90=\"Yes\",CommentLookup!F90,CommentLookup!H90)","v":"Supernumerary time is not allocated to staff as part of orientation."},null,null,null,null,null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(G91=1,\"Yes\",IF(G91=2,\"No\",IF(G91=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G91=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J92","v":0},{"$f":"IF(F91=\"Yes\",CommentLookup!F91,CommentLookup!H91)","v":"The Unit does not have a structured education program for nursing."},null,null,null,null,null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(G92=1,\"Yes\",IF(G92=2,\"No\",IF(G92=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G92=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J93","v":0},{"$f":"IF(F92=\"Yes\",CommentLookup!F92,CommentLookup!H92)","v":"The Unit does not have a structured education program for medicine."},null,null,null,null,null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(G94=1,\"Yes\",IF(G94=2,\"No\",IF(G94=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G94=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J95","v":0},{"$f":"IF(F94=\"Yes\",CommentLookup!F94,CommentLookup!H94)","v":"There are not defined scopes of practice for Senior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(G95=1,\"Yes\",IF(G95=2,\"No\",IF(G95=3,\"Unsure\",IF(G95=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(G95=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J96","v":0},{"$f":"IF(F95=\"Yes\",CommentLookup!F95,CommentLookup!H95)","v":"There are not defined scopes of practice for Junior Medical Officer roles in the ICU."},null,null,null,null,null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(G96=1,\"All/almost all\",IF(G96=2,\"Most\",IF(G96=3,\"Some\",IF(G96=4,\"A few\",IF(G96=5,\"None\",IF(G96=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G96=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J97","v":0},{"$f":"IF(F96=\"Yes\",CommentLookup!F96,CommentLookup!H96)","v":"A large proportion of medical staff responsible for the Unit are not credentialed within a defined scope of practice."},null,null,null,null,null,"1,2"]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(G97=1,\"All/almost all\",IF(G97=2,\"Most\",IF(G97=3,\"Some\",IF(G97=4,\"A few\",IF(G97=5,\"None\",IF(G97=6,\"Unsure\",IF(G97=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G97=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J98","v":0},{"$f":"IF(F97=\"Yes\",CommentLookup!F97,CommentLookup!H97)","v":"A large proportion of junior medical staff do not have clinical supervision requirements documented."},null,null,null,null,null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(G98=1,\"Always/almost always\",IF(G98=2,\"Most of the time\",IF(G98=3,\"Sometimes\",IF(G98=4,\"A little\",IF(G98=5,\"Never\",IF(G98=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G98=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J99","v":0},{"$f":"IF(F98=\"Yes\",CommentLookup!F98,CommentLookup!H98)","v":"Clinical supervision requirements are clearly communicated infrequently."},null,null,null,null,null,1]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce management and support services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(G102=1,\"Always/almost always\",IF(G102=2,\"Most of the time\",IF(G102=3,\"Sometimes\",IF(G102=4,\"A little\",IF(G102=5,\"Never\",IF(G102=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G102=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J103","v":0},{"$f":"IF(F102=\"Yes\",CommentLookup!F102,CommentLookup!H102)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current credentialed airway skills."},null,null,null,null,null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(G103=1,\"Always/almost always\",IF(G103=2,\"Most of the time\",IF(G103=3,\"Sometimes\",IF(G103=4,\"A little\",IF(G103=5,\"Never\",IF(G103=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G103=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J104","v":0},{"$f":"IF(F103=\"Yes\",CommentLookup!F103,CommentLookup!H103)","v":"The Unit infrequently has a medical officer onsite 24hrs per day, immediately available to ICU, with current vascular access skills."},null,null,null,null,null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(G105=1,\"Yes\",IF(G105=2,\"No\",IF(G105=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G105=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J106","v":0},{"$f":"IF(F105=\"Yes\",CommentLookup!F105,CommentLookup!H105)","v":"The nursing profile of the Unit is not based on the funded bed base."},null,null,null,null,null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(G106=1,\"Yes\",IF(G106=2,\"No\",IF(G106=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G106=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J107","v":0},{"$f":"IF(F106=\"Yes\",CommentLookup!F106,CommentLookup!H106)","v":"The nursing profile of the Unit is based on patient severity of illness (as clinically determined)."},null,null,null,null,null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G107=1,\"Always/almost always\",IF(G107=2,\"Most of the time\",IF(G107=3,\"Sometimes\",IF(G107=4,\"A little\",IF(G107=5,\"Never\",IF(G107=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(AND(G107<>6,G107<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J108","v":0},{"$f":"IF(F107=\"Yes\",CommentLookup!F107,CommentLookup!H107)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G108=1,\"Yes\",IF(G108=2,\"No\",IF(G108=3,\"Unsure\",IF(G108=4,\"N/A\",\"Blank\"))))","v":"Blank"},{"$f":"IF(OR(G108=1, G108=2,G108=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J109","v":0},{"$f":"IF(F108=\"Yes\",CommentLookup!F108,CommentLookup!H108)","v":"Additional services are provided outside the ICU, without funded nursing positions to support these services above the nursing staff profile."},null,null,null,null,null,1]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(G110=1,\"All/almost all\",IF(G110=2,\"Most\",IF(G110=3,\"Some\",IF(G110=4,\"A few\",IF(G110=5,\"None\",IF(G110=6,\"Unsure\",IF(G110=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G110=1,G110=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J111","v":0},{"$f":"IF(F110=\"Yes\",CommentLookup!F110,CommentLookup!H110)","v":"Lower than recommended number of senior nurses in charge have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(G111=1,\"Always/almost always\",IF(G111=2,\"Most of the time\",IF(G111=3,\"Sometimes\",IF(G111=4,\"A little\",IF(G111=5,\"Never\",IF(G111=6,\"Unsure\",\"Blank\"))))))","v":"Blank"},{"$f":"IF(G111=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J112","v":0},{"$f":"IF(F111=\"Yes\",CommentLookup!F111,CommentLookup!H111)","v":"A senior nurse in charge with post graduate critical care qualifications is not often rostered on when the NUM is not on duty."},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G112=1,\"Yes\",IF(G112=2,\"No\",IF(G112=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(OR(G112=1,G112=2),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J113","v":0},{"$f":"IF(F112=\"Yes\",CommentLookup!F112,CommentLookup!H112)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(G113=1,\"Always/almost always\",IF(G113=2,\"Most of the time\",IF(G113=3,\"Sometimes\",IF(G113=4,\"A little\",IF(G113=5,\"Never\",IF(G113=6,\"Unsure\",IF(G113=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(AND(G113<>6,G113<>0),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J114","v":0},{"$f":"IF(F113=\"Yes\",CommentLookup!F113,CommentLookup!H113)","v":0},null,null,null,null,null,"1,2,3,4,5"]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(G115=1,\"Yes\",IF(G115=2,\"No\",IF(G115=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G115=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J116","v":0},{"$f":"IF(F115=\"Yes\",CommentLookup!F115,CommentLookup!H115)","v":"Less than 50% of nursing staff have post graduate qualifications in critical care."},null,null,null,null,null,"1,2"]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(G116=1,\"All/almost all\",IF(G116=2,\"Most\",IF(G116=3,\"Some\",IF(G116=4,\"A few\",IF(G116=5,\"None\",IF(G116=6,\"Unsure\",IF(G116=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G116=1,G116=2,G116=3,G116=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J117","v":0},{"$f":"IF(F116=\"Yes\",CommentLookup!F116,CommentLookup!H116)","v":"A not acceptable  proportion of nursing staff without post graduate qualifications do not have extensive experience in critical care ≥ 5 years."},null,null,null,null,null,"1,2,3,4"]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(G118=1,\"Always/almost always\",IF(G118=2,\"Most of the time\",IF(G118=3,\"Sometimes\",IF(G118=4,\"A little\",IF(G118=5,\"Never\",IF(G118=6,\"Unsure\",IF(G118=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G118=1,G118=2,G118=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J119","v":0},{"$f":"IF(F118=\"Yes\",CommentLookup!F118,CommentLookup!H118)","v":"Unit does not have frequent access to an onsite CNE"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(G119=1,\"Always/almost always\",IF(G119=2,\"Most of the time\",IF(G119=3,\"Sometimes\",IF(G119=4,\"A little\",IF(G119=5,\"Never\",IF(G119=6,\"Unsure\",IF(G119=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G119=1,G119=2,G119=3),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J120","v":0},{"$f":"IF(F119=\"Yes\",CommentLookup!F119,CommentLookup!H119)","v":"Unit does not have frequent access to an ICU CNC"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(G121=1,\"Always/almost always\",IF(G121=2,\"Most of the time\",IF(G121=3,\"Sometimes\",IF(G121=4,\"A little\",IF(G121=5,\"Never\",IF(G121=6,\"Unsure\",IF(G121=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G121=1,G121=2,G121=3,G121=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J122","v":0},{"$f":"IF(F121=\"Yes\",CommentLookup!F121,CommentLookup!H121)","v":"The Unit does not have frequent access to a Clinical Pharmacist"},null,null,null,null,null,"1,2,3",null,"Missing the YES options for this question"]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(G122=1,\"Always/almost always\",IF(G122=2,\"Most of the time\",IF(G122=3,\"Sometimes\",IF(G122=4,\"A little\",IF(G122=5,\"Never\",IF(G122=6,\"Unsure\",IF(G122=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G122=1,G122=2,G122=3,G122=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J123","v":0},{"$f":"IF(F122=\"Yes\",CommentLookup!F122,CommentLookup!H122)","v":"The Unit does not have frequent access to Physiotherapy"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(G123=1,\"Always/almost always\",IF(G123=2,\"Most of the time\",IF(G123=3,\"Sometimes\",IF(G123=4,\"A little\",IF(G123=5,\"Never\",IF(G123=6,\"Unsure\",IF(G123=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G123=1,G123=2,G123=3,G123=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J124","v":0},{"$f":"IF(F123=\"Yes\",CommentLookup!F123,CommentLookup!H123)","v":"The Unit does not have frequent access to a Dietitian"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(G124=1,\"Always/almost always\",IF(G124=2,\"Most of the time\",IF(G124=3,\"Sometimes\",IF(G124=4,\"A little\",IF(G124=5,\"Never\",IF(G124=6,\"Unsure\",IF(G124=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G124=1,G124=2,G124=3,G124=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J125","v":0},{"$f":"IF(F124=\"Yes\",CommentLookup!F124,CommentLookup!H124)","v":"The Unit does not have frequent access to a Social Worker"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(G125=1,\"Always/almost always\",IF(G125=2,\"Most of the time\",IF(G125=3,\"Sometimes\",IF(G125=4,\"A little\",IF(G125=5,\"Never\",IF(G125=6,\"Unsure\",IF(G125=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G125=1,G125=2,G125=3,G125=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J126","v":0},{"$f":"IF(F125=\"Yes\",CommentLookup!F125,CommentLookup!H125)","v":"The Unit does not have frequent access to a Speech Pathologist"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,6.7,"Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Access to clerical and support services including data manager, biomedical engineer, information technology, wards person and cleaners.","Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"6.7a","How frequently do you have access to a data manager?",{"$f":"IF(G127=1,\"Always/almost always\",IF(G127=2,\"Most of the time\",IF(G127=3,\"Sometimes\",IF(G127=4,\"A little\",IF(G127=5,\"Never\",IF(G127=6,\"Unsure\",IF(G127=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(OR(G127=1,G127=2,G127=3,G127=4),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J128","v":0},{"$f":"IF(F127=\"Yes\",CommentLookup!F127,CommentLookup!H127)","v":"The Unit does not have frequent access to a Data Manager"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?","Blank","No",{"$f":"HistoricResponses!J129","v":0},{"$f":"IF(F128=\"Yes\",CommentLookup!F128,CommentLookup!H128)","v":"The Unit does not have frequent access to a Biomedical Engineer"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7c","How frequently do you have access to clerical support?","Blank","No",{"$f":"HistoricResponses!J130","v":0},{"$f":"IF(F129=\"Yes\",CommentLookup!F129,CommentLookup!H129)","v":"The Unit does not have frequent access to Clerical support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7d","How frequently do you have access to a wards person?","Blank","No",{"$f":"HistoricResponses!J131","v":0},{"$f":"IF(F130=\"Yes\",CommentLookup!F130,CommentLookup!H130)","v":"The Unit does not have frequent access to a Wards person"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7e","How frequently do you have access to a cleaner?","Blank",{"$f":"IF(OR(G131=1,G131=2,G131=3,G131=4,G131=7),\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J132","v":0},{"$f":"IF(F131=\"Yes\",CommentLookup!F131,CommentLookup!H131)","v":"The Unit does not have frequent access to a Cleaner"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[null,null,"6.7f","How frequently do you have access to IT support?","Blank","No",{"$f":"HistoricResponses!J133","v":0},{"$f":"IF(F132=\"Yes\",CommentLookup!F132,CommentLookup!H132)","v":"The Unit does not have frequent access to Information Technology support"},null,null,null,null,null,"1,2",null,"Missing the YES options for this question"]
[]
["Functions","Recommended Standards"]
["Function 7:            Equipment",7.1,"Intensive Care Services meet accepted national standards.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(G136=12,\"Unsure\",IF(G136>0,G136-1,\"Blank\"))","v":"Blank"},{"$f":"IF(G136=11,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J137","v":0},{"$f":"IF(F136=\"Yes\",CommentLookup!F136,CommentLookup!H136)","v":"Unit does not meet a sufficient number of the National Safety and Quality Health Service Standards"},null,null,null,null,null,null,null,"Missing the YES options for this question"]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(G137=1,\"Yes\",IF(G137=2,\"No\",IF(G137=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G137=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J138","v":0},{"$f":"IF(F137=\"Yes\",CommentLookup!F137,CommentLookup!H137)","v":"The Unit does not meet the CICM minimum standards for Intensive Care Units"},null,null,null,null,null,1]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(G138=1,\"Yes\",IF(G138=2,\"No\",IF(G138=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G138=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J139","v":0},{"$f":"IF(F138=\"Yes\",CommentLookup!F138,CommentLookup!H138)","v":"The Unit does not meet ACCCN Nursing Staffing standards"},null,null,null,null,null,1]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised.",null,"Responses","Standard met?",null,"Comments",null,null,"Proposed Solution","Action Plan","Timeline"]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(G140=1,\"Always/almost always\",IF(G140=2,\"Most of the time\",IF(G140=3,\"Sometimes\",IF(G140=4,\"A little\",IF(G140=5,\"Never\",IF(G140=6,\"Unsure\",IF(G140=7,\"N/A\",\"Blank\")))))))","v":"Blank"},{"$f":"IF(G140=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J141","v":0},{"$f":"IF(F140=\"Yes\",CommentLookup!F140,CommentLookup!H140)","v":"The Unit does not have frequent access to essential equipment"},null,null,null,null,null,1]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(G141=1,\"Yes\",IF(G141=2,\"No\",IF(G141=3,\"Unsure\",\"Blank\")))","v":"Blank"},{"$f":"IF(G141=1,\"Yes\",\"No\")","v":"No"},{"$f":"HistoricResponses!J142","v":0},{"$f":"IF(F141=\"Yes\",CommentLookup!F141,CommentLookup!H141)","v":"A Replacement, Maintenance and Repair (RMR) register is not utilised by the Unit"},null,null,null,null,null,1]
[]
[]
[null,"Any Additional Gaps?"]
[null,"No.","Gap",null,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:"]

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["Intensive Care Service Model",null,null,null,null,null,null,null,null,null,null,"Intensive Care Service Model",null,null,null,null,null,null,null,null,null,null,"Intensive Care Service Model",null,null,null,null,null,null,null,null,null,null,"Intensive Care Service Model",null,null,null,null,null,null,null,null,null,null,"Intensive Care Service Model",null,null,null,null,null,null,null,null,null,null,"Intensive Care Service Model"]
["Self Assessment Tool",null,null,null,null,null,null,null,null,null,null,"Self Assessment Tool",null,null,null,null,null,null,null,null,null,null,"Self Assessment Tool",null,null,null,null,null,null,null,null,null,null,"Self Assessment Tool",null,null,null,null,null,null,null,null,null,null,"Self Assessment Tool",null,null,null,null,null,null,null,null,null,null,"Self Assessment Tool"]
[]
["Facility",{"$f":"Recommendations_1!D8","v":""},null,null,null,null,null,null,null,null,null,"Facility",{"$f":"Recommendations_2!$D$8","v":""},null,null,null,null,null,null,null,null,null,"Facility",{"$f":"Recommendations_3!$D$8","v":""},null,null,null,null,null,null,null,null,null,"Facility",{"$f":"Recommendations_4!$D$8","v":""},null,null,null,null,null,null,null,null,null,"Facility",{"$f":"Recommendations_5!$D$8","v":""},null,null,null,null,null,null,null,null,null,"Facility",{"$f":"Recommendations_5!$D$8","v":""}]
[]
["Results from baseline Self Assessment",null,null,null,null,null,null,null,null,null,null,"Results from 2nd Self Assessment",null,null,null,null,null,null,null,null,null,null,"Results from 3rd Self Assessment",null,null,null,null,null,null,null,null,null,null,"Results from 4th Self Assessment",null,null,null,null,null,null,null,null,null,null,"Results from 5th Self Assessment",null,null,null,null,null,null,null,null,null,null,"Results from 6th Self Assessment"]
["Date",{"$f":"Recommendations_1!$D$9","v":""},null,null,null,null,null,null,null,null,null,"Date",{"$f":"Recommendations_2!$D$9","v":""},null,null,null,null,null,null,null,null,null,"Dated",{"$f":"Recommendations_3!$D$9","v":""},null,null,null,null,null,null,null,null,null,"Dated",{"$f":"Recommendations_4!$D$9","v":""},null,null,null,null,null,null,null,null,null,"Dated:",{"$f":"Recommendations_5!$D$9","v":""},null,null,null,null,null,null,null,null,null,"Dated",{"$f":"Recommendations_6!$D$9","v":""}]
[]
[]
["List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)",null,null,"List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)","Change from baseline assessment",null,"List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)","Change from previous assessment",null,"List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)","Change from previous assessment",null,"List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)","Change from previous assessment",null,"List of functions",null,null,null,null,"Total questions","Meeting standards","Not meeting standards","Percentage \n(meeting standards)","Change from previous assessment"]
["Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G11:H11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$13:'Recommendations_1'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$13:'Recommendations_1'!$F$20,\"No\"))","v":0},{"$f":"IF(F11=0,NA(),G11/F11)","v":{"$error":"#N/A"}},{"$f":"I11","v":{"$error":"#N/A"}},null,"Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R11:S11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$13:'Recommendations_2'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$13:'Recommendations_2'!$F$20,\"No\"))","v":0},{"$f":"IF(Q11=0,NA(),R11/Q11)","v":{"$error":"#N/A"}},{"$f":"T11-I11","v":{"$error":"#N/A"}},null,"Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC11:AD11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$13:'Recommendations_3'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$13:'Recommendations_3'!$F$20,\"No\"))","v":0},{"$f":"IF(AB11=0,NA(),AC11/AB11)","v":{"$error":"#N/A"}},{"$f":"AE11-T11","v":{"$error":"#N/A"}},null,"Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN11:AO11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$13:'Recommendations_4'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$13:'Recommendations_4'!$F$20,\"No\"))","v":0},{"$f":"IF(AM11=0,NA(),AN11/AM11)","v":{"$error":"#N/A"}},{"$f":"AP11-AE11","v":{"$error":"#N/A"}},null,"Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY11:AZ11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$13:'Recommendations_5'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$13:'Recommendations_5'!$F$20,\"No\"))","v":0},{"$f":"IF(AX11=0,NA(),AY11/AX11)","v":{"$error":"#N/A"}},{"$f":"BA11-AP11","v":{"$error":"#N/A"}},null,"Function 1: Leadership and governance",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ11:BK11))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$13:'Recommendations_6'!$F$20,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$13:'Recommendations_6'!$F$20,\"No\"))","v":0},{"$f":"IF(BI11=0,NA(),BJ11/BI11)","v":{"$error":"#N/A"}},{"$f":"BL11-BA11","v":{"$error":"#N/A"}}]
["Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G12:H12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$24:'Recommendations_1'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$24:'Recommendations_1'!$F$55,\"No\"))","v":0},{"$f":"IF(F12=0,NA(),G12/F12)","v":{"$error":"#N/A"}},{"$f":"I12","v":{"$error":"#N/A"}},null,"Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R12:S12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$24:'Recommendations_2'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$24:'Recommendations_2'!$F$55,\"No\"))","v":0},{"$f":"IF(Q12=0,NA(),R12/Q12)","v":{"$error":"#N/A"}},{"$f":"T12-I12","v":{"$error":"#N/A"}},null,"Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC12:AD12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$24:'Recommendations_3'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$24:'Recommendations_3'!$F$55,\"No\"))","v":0},{"$f":"IF(AB12=0,NA(),AC12/AB12)","v":{"$error":"#N/A"}},{"$f":"AE12-T12","v":{"$error":"#N/A"}},null,"Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN12:AO12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$24:'Recommendations_4'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$24:'Recommendations_4'!$F$55,\"No\"))","v":0},{"$f":"IF(AM12=0,NA(),AN12/AM12)","v":{"$error":"#N/A"}},{"$f":"AP12-AE12","v":{"$error":"#N/A"}},null,"Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY12:AZ12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$24:'Recommendations_5'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$24:'Recommendations_5'!$F$55,\"No\"))","v":0},{"$f":"IF(AX12=0,NA(),AY12/AX12)","v":{"$error":"#N/A"}},{"$f":"BA12-AP12","v":{"$error":"#N/A"}},null,"Function 2: Care planning, coordination and delivery",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ12:BK12))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$24:'Recommendations_6'!$F$55,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$24:'Recommendations_6'!$F$55,\"No\"))","v":0},{"$f":"IF(BI12=0,NA(),BJ12/BI12)","v":{"$error":"#N/A"}},{"$f":"BL12-BA12","v":{"$error":"#N/A"}}]
["Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G13:H13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$59:'Recommendations_1'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$59:'Recommendations_1'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R13:S13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$59:'Recommendations_2'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$59:'Recommendations_2'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC13:AD13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$59:'Recommendations_3'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$59:'Recommendations_3'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN13:AO13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$59:'Recommendations_4'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$59:'Recommendations_4'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY13:AZ13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$59:'Recommendations_5'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$59:'Recommendations_5'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 3: Standard protocol and procedures",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ13:BK13))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$59:'Recommendations_6'!$F$67,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$59:'Recommendations_6'!$F$67,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"}]
["Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G14:H14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$71:'Recommendations_1'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$71:'Recommendations_1'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R14:S14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$71:'Recommendations_2'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$71:'Recommendations_2'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC14:AD14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$71:'Recommendations_3'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$71:'Recommendations_3'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN14:AO14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$71:'Recommendations_4'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$71:'Recommendations_4'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY14:AZ14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$71:'Recommendations_5'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$71:'Recommendations_5'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function  4: Patient safety and experience, quality systems and data",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ14:BK14))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$71:'Recommendations_6'!$F$84,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$71:'Recommendations_6'!$F$84,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"}]
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["Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G16:H16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$102:'Recommendations_1'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$102:'Recommendations_1'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R16:S16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$102:'Recommendations_2'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$102:'Recommendations_2'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC16:AD16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$102:'Recommendations_3'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$102:'Recommendations_3'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN16:AO16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$102:'Recommendations_4'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$102:'Recommendations_4'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY16:AZ16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$102:'Recommendations_5'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$102:'Recommendations_5'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 6: Workforce management and support services",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ16:BK16))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$102:'Recommendations_6'!$F$132,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$102:'Recommendations_6'!$F$132,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"}]
["Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!E$12),0,SUM(G17:H17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$136:'Recommendations_1'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$E$12),0,COUNTIF(Recommendations_1!$F$136:'Recommendations_1'!$F$141,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,SUM(R17:S17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$136:'Recommendations_2'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!F$12),0,COUNTIF(Recommendations_2!$F$136:'Recommendations_2'!$F$141,\"No\"))","v":0},{"$error":"#N/A"},{"$error":"#N/A"},null,"Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!G$12),0,SUM(AC17:AD17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$136:'Recommendations_3'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$G$12),0,COUNTIF(Recommendations_3!$F$136:'Recommendations_3'!$F$141,\"No\"))","v":0},{"$f":"IF(AB17=0,NA(),AC17/AB17)","v":{"$error":"#N/A"}},{"$error":"#N/A"},null,"Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!H$12),0,SUM(AN17:AO17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$136:'Recommendations_4'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$H$12),0,COUNTIF(Recommendations_4!$F$136:'Recommendations_4'!$F$141,\"No\"))","v":0},{"$f":"IF(AM17=0,NA(),AN17/AM17)","v":{"$error":"#N/A"}},{"$error":"#N/A"},null,"Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!I$12),0,SUM(AY17:AZ17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$136:'Recommendations_5'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$I$12),0,COUNTIF(Recommendations_5!$F$136:'Recommendations_5'!$F$141,\"No\"))","v":0},{"$f":"IF(AX17=0,NA(),AY17/AX17)","v":{"$error":"#N/A"}},{"$error":"#N/A"},null,"Function 7: Equipment",null,null,null,null,{"$f":"IF(ISBLANK(HistoricResponses!J$12),0,SUM(BJ17:BK17))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$136:'Recommendations_6'!$F$141,\"Yes\"))","v":0},{"$f":"IF(ISBLANK(HistoricResponses!$J$12),0,COUNTIF(Recommendations_6!$F$136:'Recommendations_6'!$F$141,\"No\"))","v":0},{"$f":"IF(BI17=0,NA(),BJ17/BI17)","v":{"$error":"#N/A"}},{"$error":"#N/A"}]
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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
["Facility",null,null,{"$f":"IF(SelfAssessment!D8=\"\",\"\",SelfAssessment!D8)","v":""},"Baseline Assessment Results","2nd Self-Assessment Results","3rd Self-Assessment Results","4th Self-Assessment Results","5th Self-Assessment Results","6th Self-Assessment Results"]
[]
[]
[null,"Recommended Standards",null,null,{"$f":"Recommendations_1!$D$9","v":""},{"$f":"Recommendations_2!$D$9","v":""},{"$f":"Recommendations_3!$D$9","v":""},{"$f":"Recommendations_4!$D$9","v":""},{"$f":"Recommendations_5!$D$9","v":""},{"$f":"Recommendations_6!$D$9","v":""}]
[null,"1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit."]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F13=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F13=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F13=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F13=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F13=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F13=\"Yes\",1,0))","v":""}]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F14=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F14=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F14=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F14=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F14=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F14=\"Yes\",1,0))","v":""}]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F15=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F15=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F15=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F15=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F15=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F15=\"Yes\",1,0))","v":""}]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level."]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F17=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F17=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F17=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F17=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F17=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F17=\"Yes\",1,0))","v":""}]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F18=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F18=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F18=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F18=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F18=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F18=\"Yes\",1,0))","v":""}]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F19=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F19=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F19=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F19=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F19=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F19=\"Yes\",1,0))","v":""}]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F20=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F20=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F20=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F20=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F20=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F20=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended standards"]
[null,2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. "]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F24=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F24=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F24=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F24=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F24=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F24=\"Yes\",1,0))","v":""}]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F25=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F25=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F25=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F25=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F25=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F25=\"Yes\",1,0))","v":""}]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F26=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F26=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F26=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F26=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F26=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F26=\"Yes\",1,0))","v":""}]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F27=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F27=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F27=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F27=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F27=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F27=\"Yes\",1,0))","v":""}]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day."]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F29=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F29=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F29=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F29=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F29=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F29=\"Yes\",1,0))","v":""}]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients."]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F31=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F31=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F31=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F31=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F31=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F31=\"Yes\",1,0))","v":""}]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. "]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F33=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F33=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F33=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F33=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F33=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F33=\"Yes\",1,0))","v":""}]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F35=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F35=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F35=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F35=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F35=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F35=\"Yes\",1,0))","v":""}]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care."]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F38=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F38=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F38=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F38=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F38=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F38=\"Yes\",1,0))","v":""}]
[null,null,"2.6b","Medical",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F39=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F39=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F39=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F39=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F39=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F39=\"Yes\",1,0))","v":""}]
[null,null,"2.6c","Nursing",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F40=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F40=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F40=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F40=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F40=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F40=\"Yes\",1,0))","v":""}]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F42=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F42=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F42=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F42=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F42=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F42=\"Yes\",1,0))","v":""}]
[null,null,"2.6e","Medical",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F43=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F43=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F43=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F43=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F43=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F43=\"Yes\",1,0))","v":""}]
[null,null,"2.6f","Nursing",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F44=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F44=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F44=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F44=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F44=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F44=\"Yes\",1,0))","v":""}]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients."]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F46=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F46=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F46=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F46=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F46=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F46=\"Yes\",1,0))","v":""}]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F47=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F47=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F47=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F47=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F47=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F47=\"Yes\",1,0))","v":""}]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. "]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F49=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F49=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F49=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F49=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F49=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F49=\"Yes\",1,0))","v":""}]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F50=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F50=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F50=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F50=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F50=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F50=\"Yes\",1,0))","v":""}]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F51=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F51=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F51=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F51=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F51=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F51=\"Yes\",1,0))","v":""}]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised."]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F53=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F53=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F53=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F53=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F53=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F53=\"Yes\",1,0))","v":""}]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. "]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F55=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F55=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F55=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F55=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F55=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F55=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended Standards"]
[null,3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs."]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F59=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F59=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F59=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F59=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F59=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F59=\"Yes\",1,0))","v":""}]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive."]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F61=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F61=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F61=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F61=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F61=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F61=\"Yes\",1,0))","v":""}]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation."]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F63=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F63=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F63=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F63=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F63=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F63=\"Yes\",1,0))","v":""}]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members."]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F65=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F65=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F65=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F65=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F65=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F65=\"Yes\",1,0))","v":""}]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals."]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F67=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F67=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F67=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F67=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F67=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F67=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended Standards"]
[null,4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly."]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F71=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F71=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F71=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F71=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F71=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F71=\"Yes\",1,0))","v":""}]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F72=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F72=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F72=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F72=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F72=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F72=\"Yes\",1,0))","v":""}]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly."]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F74=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F74=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F74=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F74=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F74=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F74=\"Yes\",1,0))","v":""}]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare."]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F76=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F76=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F76=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F76=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F76=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F76=\"Yes\",1,0))","v":""}]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. "]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F78=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F78=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F78=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F78=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F78=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F78=\"Yes\",1,0))","v":""}]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F79=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F79=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F79=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F79=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F79=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F79=\"Yes\",1,0))","v":""}]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients."]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F81=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F81=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F81=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F81=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F81=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F81=\"Yes\",1,0))","v":""}]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F82=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F82=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F82=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F82=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F82=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F82=\"Yes\",1,0))","v":""}]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model."]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F84=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F84=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F84=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F84=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F84=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F84=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended Standards"]
[null,5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive."]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F88=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F88=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F88=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F88=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F88=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F88=\"Yes\",1,0))","v":""}]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F89=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F89=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F89=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F89=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F89=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F89=\"Yes\",1,0))","v":""}]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F90=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F90=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F90=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F90=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F90=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F90=\"Yes\",1,0))","v":""}]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F91=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F91=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F91=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F91=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F91=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F91=\"Yes\",1,0))","v":""}]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F92=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F92=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F92=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F92=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F92=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F92=\"Yes\",1,0))","v":""}]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated."]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F94=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F94=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F94=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F94=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F94=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F94=\"Yes\",1,0))","v":""}]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F95=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F95=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F95=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F95=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F95=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F95=\"Yes\",1,0))","v":""}]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F96=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F96=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F96=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F96=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F96=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F96=\"Yes\",1,0))","v":""}]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F97=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F97=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F97=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F97=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F97=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F97=\"Yes\",1,0))","v":""}]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F98=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F98=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F98=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F98=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F98=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F98=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended Standards"]
[null,6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit."]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F102=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F102=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F102=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F102=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F102=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F102=\"Yes\",1,0))","v":""}]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F103=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F103=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F103=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F103=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F103=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F103=\"Yes\",1,0))","v":""}]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered."]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F105=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F105=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F105=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F105=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F105=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F105=\"Yes\",1,0))","v":""}]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F106=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F106=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F106=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F106=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F106=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F106=\"Yes\",1,0))","v":""}]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F107=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F107=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F107=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F107=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F107=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F107=\"Yes\",1,0))","v":""}]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F108=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F108=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F108=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F108=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F108=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F108=\"Yes\",1,0))","v":""}]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty."]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F110=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F110=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F110=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F110=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F110=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F110=\"Yes\",1,0))","v":""}]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F111=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F111=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F111=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F111=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F111=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F111=\"Yes\",1,0))","v":""}]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F112=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F112=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F112=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F112=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F112=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F112=\"Yes\",1,0))","v":""}]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F113=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F113=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F113=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F113=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F113=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F113=\"Yes\",1,0))","v":""}]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%)."]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F115=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F115=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F115=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F115=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F115=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F115=\"Yes\",1,0))","v":""}]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F116=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F116=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F116=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F116=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F116=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F116=\"Yes\",1,0))","v":""}]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant."]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F118=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F118=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F118=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F118=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F118=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F118=\"Yes\",1,0))","v":""}]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F119=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F119=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F119=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F119=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F119=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F119=\"Yes\",1,0))","v":""}]
[null,6.6,"Access to allied health clinicians including clinical pharmacist, physiotherapist, dietitian, social worker and speech pathologist."]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F121=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F121=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F121=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F121=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F121=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F121=\"Yes\",1,0))","v":""}]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F122=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F122=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F122=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F122=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F122=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F122=\"Yes\",1,0))","v":""}]
[null,null,"6.6c","How frequently do you have access to a dietitian?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F123=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F123=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F123=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F123=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F123=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F123=\"Yes\",1,0))","v":""}]
[null,null,"6.6d","How frequently do you have access to a social worker?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F124=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F124=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F124=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F124=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F124=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F124=\"Yes\",1,0))","v":""}]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F125=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F125=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F125=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F125=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F125=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F125=\"Yes\",1,0))","v":""}]
[null,6.7,"Access to clerical and support services including data manager, 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","How frequently do you have access to a data manager?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F127=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F127=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F127=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F127=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F127=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F127=\"Yes\",1,0))","v":""}]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F128=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F128=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F128=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F128=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F128=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F128=\"Yes\",1,0))","v":""}]
[null,null,"6.7c","How frequently do you have access to clerical support?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F129=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F129=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F129=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F129=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F129=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F129=\"Yes\",1,0))","v":""}]
[null,null,"6.7d","How frequently do you have access to a wards person?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F130=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F130=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F130=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F130=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F130=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F130=\"Yes\",1,0))","v":""}]
[null,null,"6.7e","How frequently do you have access to a cleaner?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F131=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F131=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F131=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F131=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F131=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F131=\"Yes\",1,0))","v":""}]
[null,null,"6.7f","How frequently do you have access to IT support?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F132=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F132=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F132=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F132=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F132=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F132=\"Yes\",1,0))","v":""}]
[]
[null,"Recommended Standards"]
[null,7.1,"Intensive Care Services meet accepted national standards."]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F136=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F136=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F136=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F136=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F136=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F136=\"Yes\",1,0))","v":""}]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F137=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F137=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F137=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F137=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F137=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F137=\"Yes\",1,0))","v":""}]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F138=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F138=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F138=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F138=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F138=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F138=\"Yes\",1,0))","v":""}]
[null,7.2,"Essential equipment is available in the unit, and a Replacement, Maintenance and Repair (RMR) register is utilised."]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F140=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F140=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F140=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F140=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F140=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F140=\"Yes\",1,0))","v":""}]
[null,null,"7.2b","Do you have an RMR register?  ",{"$f":"IF(ISBLANK(HistoricResponses!E$12),\"\",IF(Recommendations_1!$F141=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!F$12),\"\",IF(Recommendations_2!$F141=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!G$12),\"\",IF(Recommendations_3!$F141=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!H$12),\"\",IF(Recommendations_4!$F141=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!I$12),\"\",IF(Recommendations_5!$F141=\"Yes\",1,0))","v":""},{"$f":"IF(ISBLANK(HistoricResponses!J$12),\"\",IF(Recommendations_6!$F141=\"Yes\",1,0))","v":""}]

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[null,null,"Intensive Care Service Model"]
[null,null,"Self Assessment Tool"]
[]
[]
[null,null,"This worksheet provides an example of the minimum responses which must be entered in order to meet the standards"]
[]
[]
[]
[]
[]
[]
["Functions","Recommended Standards"]
["Function 1:\nLeadership and governance","1.1","LHD/Region Intensive Care Services have a network arrangement in place between Level 4 and 5/6 ICUs, which includes a nominated Director for the LHD Intensive Care Service/Stream and clearly defined roles for the Intensive Care Directors at each unit.",null,"Responses"]
[null,null,"1.1a","Is there a formal Intensive Care Service network arrangement between your unit and a Level 5 or 6 unit?",null,1]
[null,null,"1.1b","Is there a Director for the LHD Intensive Care Service/Stream?",null,1]
[null,null,"1.1c","Are there clearly defined roles for the Intensive Care Directors at each unit?",null,1]
[null,1.2,"Designated Intensive Care Director and Nurse Unit Manager with overall responsibility for leadership and governance of the ICS at the facility level.",null,"Responses"]
[null,null,"1.2a","Is there a designated Intensive Care Director for your ICU?",null,1]
[null,null,"1.2b","Is the designated Intensive Care Director a Fellow of College of Intensive Care Medicine?",null,2]
[null,null,"1.2c","Is there a NUM allocated to your ICU?",null,1]
[null,null,"1.2d","At what frequency does the NUM manage other clinical areas?",null,3]
[]
["Functions","Recommended standards"]
["Function 2:\nCare planning, coordination and delivery",2.1,"Arrangements in place where primary responsibility for patient management is provided by the intensivist or designated specialist, in collaboration with the inpatient teams. ",null,"Responses"]
[null,null,"2.1a","Does your unit function under a closed collaborative medical model?",null,1]
[null,null,"2.1b","Does the primary responsibility for patient management in your unit lie with the intensive care team rather than the inpatient team?",null,1]
[null,null,"2.1c","What frequency does an intensivist or designated specialist work within hours Monday-Friday?",null,1]
[null,null,"2.1d","What frequency does the ICU have after-hours access to senior critical care advice either through:\n• an on-call intensivist or designated specialist, or\n• a networked intensive care consultant or specialist to provide phone advice?",null,1]
[null,2.2000000000000002,"Designated onsite medical officer rostered with primary responsibility for the provision of Intensive Care Services, 24 hours per day.",null,"Responses"]
[null,null,2.2000000000000002,"What frequency is a medical officer onsite who is primarily responsible for the Intensive Care Service?",null,1]
[null,2.2999999999999998,"Minimum, daily individual management plans and clinical review by the intensivist/designated specialist for all admitted patients.",null,"Responses"]
[null,null,2.2999999999999998,"What frequency do all patients have management plans documented daily by the intensivist or designated specialist?",null,1]
[null,2.4,"Minimum, daily combined medical/nursing ward rounds, which include multidisciplinary team members as available. ",null,"Responses"]
[null,null,2.4,"What frequency are daily combined medical or nursing ward rounds carried out?",null,1]
[null,2.5,"Minimum twice weekly formal multidisciplinary ward rounds which include allied health representation",null,"Responses"]
[null,null,2.5,"How frequently do multidisciplinary ward rounds occur at least twice weekly?",null,1]
[null,2.6,"Medical, nursing and allied health clinical handover is carried out using a standardised process that is documented at each transfer of care.",null,"Responses"]
[null,null,"What frequency is handover documented at transfer of care?"]
[null,null,"2.6a","Allied health   ","or N/A",1]
[null,null,"2.6b","Medical",null,1]
[null,null,"2.6c","Nursing",null,1]
[null,null,"What frequency is handover carried out using a standardised process at transfer of care?"]
[null,null,"2.6d","Allied health   ","or N/A",1]
[null,null,"2.6e","Medical",null,1]
[null,null,"2.6f","Nursing",null,1]
[null,2.7,"Formal process to support regular communication within the network between the Level 4  and 5/6 ICU to discuss the flow of patients requiring intensive care within the LHD/Region, including the appropriate location of at risk patients.",null,"Responses"]
[null,null,"2.7a","Is there a formalised process to support regular communication between the Level 4 ICU and the networked higher level unit?",null,1]
[null,null,"2.7b","With what frequency is the formalised process used to support  communication between the Level 4 ICU and the networked higher level unit?","or Always/\nalmost always",2]
[null,2.8,"Documented medical/nursing/allied ICU discharge summary completed and discussed with the receiving medical/nursing/allied teams for all patients transferred from intensive care to the ward. ",null,"Responses"]
[null,null,"2.8a","With what frequency is a nursing discharge summary completed when patients are discharged from ICU to the ward?",null,1]
[null,null,"2.8b","With what frequency is a medical discharge summary completed when patients are discharged from ICU to the ward?",null,1]
[null,null,"2.8c","With what frequency is an allied health discharge summary completed when patients are discharged from ICU to the ward?","or N/A",1]
[null,2.9,"Formalised process for admission and transfer of patients.  After hours (6pm-8am) discharges are minimised.",null,"Responses"]
[null,null,2.9,"Is there a formalised process in your unit for admission and transfer of patients?",null,1]
[null,2.1,"Admission process to include identification and documentation of the name and contact details for the patient’s substitute decision maker. ",null,"Responses"]
[null,null,2.1,"Is there an admission process in your unit that includes documentation of the name and contact details of the patient's substitute decision maker?",null,1]
[]
["Functions","Recommended Standards"]
["Function 3:\nStandard protocol and procedures",3.1,"Formal LHD/Region Intensive Care Network agreements based on negotiated referral patterns, outlining functional linkages between the Level 4 and 5/6 ICUs.",null,"Responses"]
[null,null,3.1,"Is there a formal agreement between your unit and the networked referral hospital outlining functional linkages?",null,1]
[null,3.2,"Clearly documented escalation plan for management and upgrade of care, that is supported and endorsed by the LHD Executive.",null,"Responses"]
[null,null,3.2,"Does your unit have a written escalation plan for upgrade of care that is signed off at executive level?",null,1]
[null,3.3,"Guidelines and procedures standardised across the LHD Intensive Care Service Network as appropriate to reduce clinical variation.",null,"Responses"]
[null,null,3.3,"What proportion of guidelines and procedures are standardised across the LHD Intensive Care Network?","or all/\nalmost all",2]
[null,3.4,"Process for the update of guidelines and procedures based on the best available evidence, with input from multidisciplinary team members.",null,"Responses"]
[null,null,3.4,"What proportion of guidelines are updated using the best available evidence?",null,1]
[null,3.5,"Telehealth solutions where appropriate to support clinical decision making across networked hospitals.",null,"Responses"]
[null,null,3.5,"What is the frequency with which telehealth is used by your unit where appropriate?\n*(All responses to this question except unsure will satisfy this question)","Any response will be treated as meeting this\n standard except unsure",5]
[]
["Functions","Recommended Standards"]
["Function  4:\nPatient safety and experience, quality systems and data",4.0999999999999996,"Regular local multidisciplinary morbidity and mortality meetings and combined intensive care network multidisciplinary meetings, consider quarterly.",null,"Responses"]
[null,null,"4.1a","How many times per year does your unit run morbidity and mortality meetings?","not \"Unsure\"",4]
[null,null,"4.1b","How many times per year does your unit run combined multidisciplinary meetings with the networked hospital?","not \"Unsure\"",5]
[null,4.2,"Results of audit and incident reporting fed back to the multidisciplinary team, at minuted meetings minimum monthly.",null,"Responses"]
[null,null,4.2,"With what frequency are the results of incident and audit reports fed back to staff?",null,1]
[null,4.3,"Antimicrobial stewardship in line with the CEC Quality Use of Antimicrobials in Healthcare.",null,"Responses"]
[null,null,4.3,"With what frequency does your unit take part in antibiotic stewardship?",null,1]
[null,4.4000000000000004,"Undertake patient/carer and staff experience activities at a minimum annually. ",null,"Responses"]
[null,null,"4.4a","Are patient/carer experience activities performed at least annually in your unit?",null,1]
[null,null,"4.4b","Are staff experience surveys performed at least annually in your Unit?",null,1]
[null,4.5,"Collection of a minimum data set, including the Level 4 Intensive Care Clinical Indicators for all Intensive Care Service patients.",null,"Responses"]
[null,null,"4.5a","Does your unit collect a minimum clinical indicator or quality data set?",null,1]
[null,null,"4.5b","Does your unit collect Australian Council on Healthcare Standards clinical indicators?",null,1]
[null,4.5999999999999996,"Risk register developed and maintained in relation to the Service Model.",null,"Responses"]
[null,null,4.5999999999999996,"Does your unit have a risk register that can be used in relation to the Service Model?",null,1]
[]
["Functions","Recommended Standards"]
["Function 5:\nEducation, training and clinical supervision",5.0999999999999996,"Structured orientation and education programs available to medical and nursing staff, supported by the LHD Executive.",null,"Responses"]
[null,null,"5.1a","Does your unit have a structured orientation program for nursing staff?",null,1]
[null,null,"5.1b","Does your unit have a structured orientation program for medical staff?",null,1]
[null,null,"5.1c","Is supernumerary time allocated to staff as part of orientation?  ",null,1]
[null,null,"5.1d","Does your unit have a structured education program for nursing staff?",null,1]
[null,null,"5.1e","Does your unit have a structured education program for medical staff?",null,1]
[null,5.2,"Medical staff responsible for the Intensive Care Service, work within a defined scope of practice with clinical supervision requirements clearly documented and communicated.",null,"Responses"]
[null,null,"5.2a","Are there defined scopes of practice for senior medical officer roles in the ICU?",null,1]
[null,null,"5.2b","Are there defined scopes of practice for junior medical officer roles in the ICU?",null,1]
[null,null,"5.2c","What proportion of medical staff responsible for your unit are credentialed within a defined scope of practice?",null,1]
[null,null,"5.2d","What proportion of junior medical staff have clinical supervision requirements documented?",null,1]
[null,null,"5.2e","With what frequency are clinical supervision requirements clearly communicated?",null,1]
[]
["Functions","Recommended Standards"]
["Function 6:\nWorkforce management and support services  ",6.1,"Medical officers with current credentialed airway and vascular access skills immediately available within the hospital 24 hours a day, to the Intensive Care Unit.",null,"Responses"]
[null,null,"6.1a","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed airway skills?",null,1]
[null,null,"6.1b","With what frequency do you have a medical officer onsite 24 hours per day, immediately available to ICU, with current credentialed vascular access skills?",null,1]
[null,6.2,"Nursing staff profile based on the Intensive Care Service bed base, and the patient severity of illness. Additional services provided outside the ICU to be considered.",null,"Responses"]
[null,null,"6.2a","Is the nursing profile of your unit based on the funded Intensive Care Service bed base?",null,1]
[null,null,"6.2b","Is the nursing profile of your unit based on patient severity of illness (as clinically determined)?",null,1]
[null,null,"6.2c","With what frequency does your unit provide additional services outside the ICU? \n*(All responses to this question except unsure will satisfy this question)","Any response except unsure",5]
[null,null,"6.2d","Are these services supported by funded nursing positions, above the nursing staff profile?\n*(All responses to this question except unsure will satisfy this question)","Any response except unsure",2]
[null,6.3,"Senior nurse in charge nurse with the appropriate skills, experience and qualifications for the clinical environment, when the NUM is not on duty.",null,"Responses"]
[null,null,"6.3a","How many senior nurses in charge have postgraduate qualifications in critical care?","or All\n/almost all",2]
[null,null,"6.3b","When the NUM is not on duty, how frequently does a senior nurse in charge have postgraduate qualifications in critical care?",null,1]
[null,null,"6.3c","Do you have a supernumerary senior nurse in charge?  \n*(All responses to this question except unsure will satisfy this question)","Any response will be treated as meeting this standard",2]
[null,null,"6.3d","If yes, how frequently is the senior nurse in charge supernumerary?  \n*(All responses to this question except unsure will satisfy this question)","Any response will be treated as meeting this standard",5]
[null,6.4,"AIM for 50% of nursing staff within the ICU to hold postgraduate qualifications or significant experience in critical care (optimally 75%).",null,"Responses"]
[null,null,"6.4a","Do 50% of your nursing staff have post graduate qualifications in critical care?",null,1]
[null,null,"6.4b","What proportion of nursing staff without postgraduate qualifications have extensive experience in critical care ≥ 5 years?",null,4]
[null,6.5,"Access to onsite Clinical Nurse Educator and access to an ICU Clinical Nurse Consultant.",null,"Responses"]
[null,null,"6.5a","How frequently do you have access to an onsite Clinical Nurse Educator (CNE)?",null,4]
[null,null,"6.5b","How frequently do you have access to an ICU Clinical Nurse Consultant (CNC)?",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,"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,"Drop Down 85",8]
[null,null,"6.6a","How frequently do you have access to a clinical pharmacist?",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,"Drop Down 86",8]
[null,null,"6.6b","How frequently do you have access to a physiotherapist?",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,"Drop Down 87",8]
[null,null,"6.6c","How frequently do you have access to a dietitian?",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,"Drop Down 88",8]
[null,null,"6.6d","How frequently do you have access to a social worker?",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,"Drop Down 89",8]
[null,null,"6.6e","How frequently do you have access to a speech pathologist?",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,"Drop Down 90",8]
[null,6.7,"Access to clerical and support services including data manager, 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","How frequently do you have access to a data manager?",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,"Drop Down 91",8]
[null,null,"6.7b","How frequently do you have access to a biomedical engineer?",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,"Drop Down 92",8]
[null,null,"6.7c","How frequently do you have access to clerical support?",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,"Drop Down 93",8]
[null,null,"6.7d","How frequently do you have access to a wards person?",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,"Drop Down 94",8]
[null,null,"6.7e","How frequently do you have access to a cleaner?",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,"Drop Down 95",8]
[null,null,"6.7f","How frequently do you have access to IT support?",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,"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,"Drop Down 97",8]
["Functions","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,"Drop Down 98",8]
["Function 7:            Equipment",7.1,"Intensive Care Services meet accepted national standards.",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,"Drop Down 99",8]
[null,null,"7.1a","How many of the National Safety and Quality Health Service Standards does your unit meet?","not \"Unsure\"",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,"Drop Down 100",8]
[null,null,"7.1b","Does your unit meet the College of Intensive Care Medicine minimum standards for ICUs?",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,"Drop Down 101",8]
[null,null,"7.1c","Does your unit meet Australian College of Critical Care Nurses nursing staffing standards?","Any response will be treated as meeting this standard",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,"Drop Down 102",8]
[null,7.2,"Essential equipment is available in the unit, 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,"Drop Down 103",8]
[null,null,"7.2a","How frequently do you have access to essential equipment in your unit?  ",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,"Drop Down 104",8]
[null,null,"7.2b","Do you have an RMR register?  ",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,"Drop Down 105",8]
[null,null,null,null,null,{"$f":"COUNTIF((F14:F142),0) + COUNTIF((#REF!),1)","v":{"$error":"#REF!"}},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"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,"Drop Down 123",8]
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