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The management of patients with HIV-related conditions in the inpatient setting |
Demonstrates an understanding of own role in relation to the management of inpatients with HIV-related conditions
Demonstrates an understanding of the main HIV-related conditions precipitating inpatient care
Demonstrates a knowledge of the relevant local policies and protocols for the treatment and management of HIV-related conditions
Assists in the management of the critically ill patient
Demonstrates an awareness of the current national BHIVA guidelines and their relevance to inpatient care
Demonstrates an awareness of the potential rapidity of deterioration of patients with an HIV-related condition
Carries out the observations required for early detection of changes as per local protocol e.g. local early warning scores
Records and reports any deterioration promptly to the appropriate members of the care team
Able to explain to the patient the purpose of regular assessment of their condition and encourage self-reporting
Is aware of the potential needs of a patient receiving an HIV-positive diagnosis as an inpatient
Is aware of the potential impact for patients in the transition from chronic HIV infection to an acute illness
Demonstrates an awareness of the conditions, signs and symptoms that require either source or protective isolation
Demonstrates awareness of the potential risks to a patient who requires isolation e.g. risk of falls, deterioration, etc
Demonstrates an understanding of the potential effects of isolation on the psychological and social well-being of the patient
Demonstrates awareness of the potential effect of repeat admissions on a patient’s well-being
Demonstrates awareness of the differing needs of patients requiring rehabilitation
Demonstrates an understanding of the discharge process and local policies, guidelines and assessment tools to aid discharge planning, including case conferences and home visits
Demonstrates awareness of the support services statutory and voluntary available to patients on discharge
Documents and reports to the MDT any changes that may affect discharge plans
Assists the patient to articulate their needs on discharge
Demonstrates an understanding of the decision to change from acute intervention to palliation as directed by the care team in partnership with the patient and/or significant others
Is aware of advanced directives and their role in HIV care
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Supports and assists the patient to understand the nature of their condition and its impact on their health and well-being
Understands the relevant policies and protocols for the management and treatment of acute HIV-related conditions and is able to inform, support and involve patients in the planning of their care
Under supervision, provides one-to-one care of the critically ill, level one, patient including non-invasive ventilation
Plans the appropriate level of assessment and observation, in conjunction with the medical team, to ensure early detection of any changes
Records and interprets findings reporting to appropriate team members as per protocol
Ensures adequate social, psychological and spiritual support for patients facing acute illness and/or a new HIV-positive diagnosis
Assesses the need for isolation on all admissions as per local protocol
Assesses and mitigates the risk of caring for patients in isolation
Provides practical and psychological support for the patient to self manage the experience of isolation
Manages the potential effects of repeat admissions on the patent’s well-being and ensures continuity of care
Identifies, manages and refers, if required, the patient who has rehabilitation needs
Ensures discharge planning commences on admission, setting an expected date of discharge in conjunction with the medical team
Assesses plans and evaluates in partnership with the patient and their significant others, as appropriate, a comprehensive discharge package ensuring involvement of the relevant MDT members
Assesses the safety issues prior to discharge of the chronically ill/disabled patient
Supports patient within the case conference acting as their advocate as required
Supports a patient in the transition from acute to palliative care
Able to inform a patient regarding end-of-life decisions including advanced directives, wills etc.
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Ensures there is appropriate education and mentoring in the principles of managing inpatients with HIV-related conditions
Contributes to the development of guidelines and competencies for the nurse management of HIV-related conditions
Supports and supervises junior staff including medical staff to manage the critically ill patient
Is able to support staff in assessing acutely sick patients
Leads on the development of a multidisciplinary approach to the management of the newly diagnosed HIV patients admitted with an acute HIV-related condition
Supports staff in understanding the needs of patients with a new HIV-positive diagnosis or a new acute HIV-related condition
Develops cross-working with infection control and a regular review of policies in relation to the management of HIV-related conditions
Ensures the policies for isolation are understood and implemented by staff, patients and visitors
Develops systems of care delivery to ensure continuity of care for patients on each subsequent admission e.g. primary/team nursing, caseload management
Ensures MDT collaboration between primary, acute and rehabilitation care to assist in safe discharge
Develops MDT structures to enable regular review of patient care and preparation for discharge
Discusses end-of-life decisions with patients and their significant others
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