Acute Support Allied Health Clinical Prioritisation

CHHS16/082
Canberra Hospital and Health Services

Operational Guideline
Acute Support Allied Health Clinical Prioritisation
Contents
Contents ..................................................................................................................................... 1
Purpose....................................................................................................................................... 2
Scope .......................................................................................................................................... 2
Section 1 – Prioritisation Framework ......................................................................................... 2
Category 1 – Immediate Risk.................................................................................................. 3
Category 2 – Significant Risk .................................................................................................. 3
Category 3 – Moderate Risk ................................................................................................... 3
Category 4 - Low risk .............................................................................................................. 3
Implementation .......................................................................................................................... 4
Related Policies, Procedures, Guidelines and Legislation .......................................................... 4
References .................................................................................................................................. 4
Search Terms .............................................................................................................................. 4
Doc Number Version Issued Review Date Area Responsible Page

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Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register
CHHS16/082
Purpose
The purpose of this procedure is to outline the Acute Support Allied Health clinical
prioritisation framework based on clinical risk, need and organisational priorities.
This framework assists Allied Health staff to manage their workload in terms of response to
referrals and allocation of resources.
Scope
This document applies to Division of Medicine, Acute Support Allied Health clinical staff.
Acute Support Allied Health disciplines include:
 Audiology
 Aboriginal and Torres Strait Islander Liaison Service
 Exercise Physiology
 Physiotherapy
 Nutrition
 Occupational Therapy
 Psychology (Clinical Psychology and Neuropsychology)
 Social Work
 Speech Pathology.
Acute Support disciplines provide services to a range of Clinical Divisions with a focus on
acute care at Canberra Hospital.
Section 1 – Prioritisation Framework
The following prioritisation categories provide an overarching framework for discipline

specific prioritisation protocols. Referrals will be triaged using the criteria outlined in each
discipline-specific protocol.
NOTE:
Clinical categories apply to Acute Support Allied Health Caseloads, and timeframes apply to
operational hours.

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Prioritisation Categories and response timeframes
Category 1 – Immediate Risk

Inpatients < 4hrs, Outpatients < 24hrs
 Allied health assessment/intervention will reduce risk of severe deterioration
 Allied health assessment/intervention is required to facilitate safe immediate discharge
 Allied health assessment/intervention is required to prevent a hospital admission
 Severe/critical incident response for patient or family (e.g. sudden traumatic death of
relative)
 Immediate safety issue for patient or family (e.g. child protection issue, domestic
violence, elder abuse)
Category 2 – Significant Risk

Inpatients: 1 working day, Outpatients < 14 days
 Recent acute event or issues where assessment/ intervention will prevent deterioration
of condition
 Discharge planned in 24hrs, intervention required to support safe discharge for those
patients medically fit for discharge
 Significant incident response for patient or family
 Safety Issue for patient or family that is not immediate but requires action as may delay
discharge / escalate into an immediate risk if not managed
Category 3 – Moderate Risk

Inpatients: 2 working days, Outpatients; 14 – 28 days
 Recent acute event or issue where assessment/intervention will improve functional or
health outcome
 Discharge planned in 48hrs, assessment/intervention required to support safe discharge
for those patients medically fit for discharge
 Moderate incident response for patient or family
Category 4 - Low risk

Inpatients: 3 working days, Outpatients; 28 - 90 days
 Assessment/intervention may result in functional improvement, no impact on discharge
date
 Discharge planned in 3-5 days, assessment/intervention required to support safe
discharge for those patients medically fit for discharge
 Support for patient or family may be beneficial.
Acute Support Allied Health do not provide intervention for the following:
 Therapy requested for a pre-existing condition not related to the reason the patient is
admitted to TCH
 Preoperative assessment requested for low risk patients
 Intervention requested where limited / no improvement likely.
Back to Table of Contents

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Implementation
Prioritisation framework and discipline specific prioritisation protocols will be included in

new staff orientation processes and embedded into daily workload management processes
within each discipline.
Related Policies, Procedures, Guidelines and Legislation
Policies
 Allied Health Professionals ACT Standards of Practice
 Risk Management Policy
 Risk Management Guideline
References
Clinical Guidelines for Stroke Management, the National Stroke Foundation Australia, 2010.
‘Allied Health Triage Prioritisation’ Eastern Health, Department of Health Victoria 2010
Search Terms
Allied Health, Priority, Prioritisation, Clinical priority
Disclaimer: This document has been developed by ACT Health, Canberra Hospital and Health Services
specifically for its own use. Use of this document and any reliance on the information contained therein by any
third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.
Date Amended Section Amended Approved By

Eg: 17 August 2014 Section 1 ED/CHHSPC Chair

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CHHS16/082

Canberra Hospital and Health Services

Doc Number Version Issued Review Date Area Responsible Page

Section 1 – Prioritisation Framework

The following prioritisation categories provide an overarching framework for discipline

Doc Number Version Issued Review Date Area Responsible Page

Prioritisation Categories and response timeframes

Category 1 – Immediate Risk

Category 2 – Significant Risk

Category 3 – Moderate Risk

Category 4 - Low risk

Back to Table of Contents

Prioritisation framework and discipline specific prioritisation protocols will be included in

Back to Table of Contents

Related Policies, Procedures, Guidelines and Legislation

Back to Table of Contents

Back to Table of Contents

Allied Health, Priority, Prioritisation, Clinical priority

Back to Table of Contents

Date Amended Section Amended Approved By

Doc Number Version Issued Review Date Area Responsible Page

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