District Nursing Service | Waitematā

Public Service, Older People's Health, Community, Community Health

Today

North Shore, Takapuna

Open today 8:30 AM to 3:30 PM.

Description

About the Service

Health New ZealandTe Whatu Ora - Waitematā District Nursing Service is located at North Shore Hospital, Waitākere Hospital, Hibiscus Coast, Helensville and Warkworth.

The purpose of the service is to prevent avoidable hospital admission or enable early discharge from hospital, and to promote self-care and independence. The District Nursing Service is a nurse-led service comprised of both Registered Nurses and Enrolled Nurses (RNs / ENs) who have the expertise to provide specialised nursing care for patients and family/whānau which cannot be delivered to the patient by another provider.

Specialist nursing care includes complex wound care, urology and gastrostomy care, and intravenous (IV) medication management that is delivered either in one of the District Nursing Clinics at each base or at home if the patient is house bound. These services are augmented by occupational and physical therapy, social work and dietitian services.

District nurses work closely with the Needs Assessment Service Coordination (NASC) service, and the community clinical nurse specialist roles of ostomy, continence and gerontology. They will also collaborate with primary health and hospice to support and provide palliative care to patients.
Note: The District Nursing Service will provide nursing services for Accident Compensation Commission (ACC) claimants awaiting approval of long-term claims only. Once claims are accepted, care is transferred to a private ACC provider.

The service provides:

specialised wound care, including leg ulcer assessment and treatment
palliative care, working with GPs and other providers to manage pain and other symptoms; this may include managing syringe drivers
assistance with the management of intravenous (IV) medications; urinary catheters; continence issues; stoma care; and injections, including rheumatic fever prophylaxis
provision of short term loan equipment if required for nursing care
education and advice about healthcare needs and/ or illness
support for patients undergoing chemotherapy or radiotherapy.

The service will not duplicate services already contracted for by Health New Zealand | Te Whatu Ora - Waitematā, or any other private provider.

People will not be eligible if:

they are functionally independent with non-complex health issues
their service needs can be reasonably met by their GP/practice nurse, primary health provider or lead maternity carer
their clinical situation/medical condition is being managed by a specialised mental health team, and the patient’s needs are solely related to a mental health condition
Surveillance checks, wellness, safety checks, healed wound checks
ACC patients with accepted ACC claim
Monitoring or blood pressure, blood glucose and body weights
Monitoring and troubleshooting only of PICO/NPWT dressings
Taking Ankle Brachial Pulse index and bladder scan for diagnostic purpose only
Application of moisturising creams and eye drops
they reside in a residential care facility where nursing care is provided
Surveillance checks, wellness, safety checks, healed wound checks
ACC patients with accepted ACC claim
Monitoring or blood pressure, blood glucose and body weights
Monitoring and troubleshooting only of PICO/NPWT dressings
Taking Ankle Brachial Pulse index and bladder scan for diagnostic purpose only
Application of moisturising creams and eye drops

How do I access this service?

Referral

If you are working and referring from the in-patient hospital setting it is vital that you use the e-referral system via clinical portal. There are several templates, please choose the appropriate referral and ensure you nominate a responsible clinician to take sole responsibility for the outcome of the referral if this is not yourself:

1. Please select the appropriate referral page

2. You will be prompted with the question “Are you the Responsible Clinician?” i.e. are you talking sole responsibility for the outcome of this referral?

3. If yes is selected, only you as referrer will receive electronic decline messages and notes

4. If no is selected, the referrer will be prompted to select the “Responsible Clinician” from a search function - and both the referrer and the clinician will receive an electronic declined notification

When a referral is accepted, we will triage the patient and contact them between 1-3 days in accordance with this Entry and Transfer of Care Criteria. We will arrange for a first assessment and ongoing care according to that assessment. Referrals must be received by 3:00pm if planned care is expected to be the following day.

In either case, it may be useful for you to provide your patient with equipment required, i.e. dressing pack and dressings. This may mitigate ongoing costs to the patient for care by a GP or practice nurse. Inability to pay for primary care is not part of our inclusion criteria.

If referring from outside of a Helath New Zealand hospital
please email: cas-referralcor@waitematadhb.govt.nz

Referral Expectations

With the patient’s permission, and in accordance with the Ministry of Health specifications, referrals to the District Nursing service are accepted from:

medical practitioners
practice nurses
other appropriate healthcare professionals
self, family/whānau and caregivers in partnership with the other healthcare providers
ACC community nursing providers.

Entry Criteria
Adults 16 years and over who are residing in the community and:

are housebound and have a need for generalist or specialist nursing care
or
are ambulatory and requiring specialist nursing services
are residents in a residential facility for people with intellectual and/or physical disability where nursing is not provided
meet the requirements based on the Ministry of Health 2001 Risk Assessment Framework.

Please telephone the referral screener for all requests, information and advice:
Phone: (09) 486 8945 ext 43222 (8.00 - 15.30hrs; Monday to Friday)
Email: OlderAdultsHomeHealth@Waitematadhb.govt.nz (for referrals)

Hours

North Shore, Takapuna

Open today 8:30 AM to 3:30 PM.

Mon – Fri	8:30 AM – 7:30 PM
Sat – Sun	8:30 AM – 3:30 PM

Public Holidays: Open on all public holidays The following public holidays differ to standard opening hours: Waitangi Day (6 Feb, 8:30 AM – 5:00 PM), Easter Monday (6 Apr, 8:30 AM – 3:30 PM), ANZAC Day (observed) (27 Apr, 8:30 AM – 3:30 PM), King's Birthday (1 Jun, 8:30 AM – 3:30 PM), Matariki (10 Jul, 8:30 AM – 3:30 PM), Labour Day (26 Oct, 8:30 AM – 3:30 PM).
Christmas: Open 22 Dec — 24 Dec. Open 24 Dec (8:30 AM – 3:30 PM). Open 25 Dec (8:30 AM – 3:30 PM). Open 26 Dec (8:30 AM – 3:30 PM). Open 27 Dec — 30 Dec. Open 30 Dec (8:30 AM – 3:30 PM). Open 31 Dec (8:30 AM – 3:30 PM). Open 1 Jan (8:30 AM – 3:30 PM). Open 2 Jan (8:30 AM – 3:30 PM). Open 3 Jan — 9 Jan.

Services Provided

Referrals to service

With the patient’s permission, and in accordance with Te Whatu Ora’s Service Specifications, referrals are accepted from: Medical practitioners Practice nurses Other appropriate health care professionals (HCPs) Self, family/whānau and caregivers, in partnership with other health care providers ACC providers, when claims have been declined

With the patient’s permission, and in accordance with Te Whatu Ora’s Service Specifications, referrals are accepted from:

Medical practitioners
Practice nurses
Other appropriate health care professionals (HCPs)
Self, family/whānau and caregivers, in partnership with other health care providers
ACC providers, when claims have been declined

Access & Response Times

The response time for each referral is based on an assessment of the patient’s level of risk from the information gained at referral. The time from receipt of referral to first contact with the patient/ family/whānau will meet Te Whatu Ora’s Service Specifications. Further details can be found here

The response time for each referral is based on an assessment of the patient’s level of risk from the information gained at referral.

The time from receipt of referral to first contact with the patient/ family/whānau will meet Te Whatu Ora’s Service Specifications.

Further details can be found here

Key Services Provided

Nursing assessment, care, education and support, Care Co-ordination for patients with complex needs, Specialised wound care for the effective assessment and management of complex surgical, traumatic and chronic wounds, Leg ulcer assessment, including Doppler ABI, and complex ulcer management, Rheumatic fever prophylaxis and education, Management of IV and IM medication (Bicillin), Pain and symptom management, including syringe driver management, Urology follow-up, including management of urethral strictures, trial removal of catheter (TROC), urinary catheter management and education for self-care, Continence assessment, education and supply of equipment in consultation with clinical nurse specialist, Ostomy assessment, care and education for self-care - in consultation with clinical nurse specialist, When providing these services district nurses may also provide:, Medication education and advice, Health education and advice, Referrals to other specialists and care providers, Access to supplies and equipment following a district nursing assessment of clinical need

Service types: Specialist nursing, Community nursing, Wound care, Palliative care, Medication administration, Rheumatic fever, Self management support, Community cancer nursing, Continence, Ostomy care, Older adult.

Nursing assessment, care, education and support
Care Co-ordination for patients with complex needs
Specialised wound care for the effective assessment and management of complex surgical, traumatic and chronic wounds
Leg ulcer assessment, including Doppler ABI, and complex ulcer management
Rheumatic fever prophylaxis and education
Management of IV and IM medication (Bicillin)
Pain and symptom management, including syringe driver management
Urology follow-up, including management of urethral strictures, trial removal of catheter (TROC), urinary catheter management and education for self-care
Continence assessment, education and supply of equipment in consultation with clinical nurse specialist
Ostomy assessment, care and education for self-care - in consultation with clinical nurse specialist
When providing these services district nurses may also provide:
Medication education and advice
Health education and advice
Referrals to other specialists and care providers
Access to supplies and equipment following a district nursing assessment of clinical need