Response 964335495

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Introduction

2. Are you answering on behalf of an organisation? If so, please provide your organisation's name.

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Yes
No

3. Do you give consent for your submission to be published in whole or in part?

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(Required)
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More detail about you

4. What role best describes you? Please select all that apply.

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Aged care consumer, including family and/or carer
Aged care service provider
Aged care worker/professional
Aged care advocate
Peak body - consumer
Peak body - provider
Peak body - professional
Other - please specify below

6. Where do you live, or, where does your organisation operate? Please select all that apply.

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NSW
VIC
QLD
WA
SA
TAS
ACT
NT

7. What is your location, or, the location where your organisation operates. Please select all that apply.

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Metropolitan
Regional
Rural/Remote

General questions about the draft standards

10. Do the consumer outcomes in the draft standards reflect the matters that are most important to consumers?

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

11. Are the organisation statements and requirements in the draft standards achievable for providers?

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know

12. Are the draft standards measurable?

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know
Antimicrobial stewardship is new to this set of standards and is important (one of World health organisation priorities) and suggest that actual measurables be included eg it is difficult for staff to minimise length of time of antibiotics when GPs are the prescribers and "increasing awareness" of AMS is vague and difficult to measure Thus instead suggest

Organisations would be expected to:

• have policies and procedures that support antimicrobial stewardship
• track infection rates and antimicrobial usage at a local level and participate in national surveillance such as AcNAPS with results reported back to clinicians and consumers
• provide education about antimicrobial stewardship to staff and consumers. Awareness is increased with participation in WHO antibiotic resistance week held in November each year
• adopt care strategies to minimise the need for antibiotics (such as measures to reduce the risk of urinary tract infections and minimise or treat minor skin infections)

14. Is the wording and the intent of the draft standards clear?

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Yes, always
Yes, mostly
Yes, sometimes
No
Don't know
Consider changing the wording of the medicines risk section - where the terms "drugs" "medication" and "medicines" are all used - the preferred term is "medicines" and it is more than just "misadventure" - adverse effects can be prevented through ongoing review and evaluation of their appropriateness thus consider rewording to:

 Adverse events or outcomes from medicines. Studies have highlighted the impact of medicines on avoidable hospital admissions, morbidity and mortality. Older people living in aged care homes generally have multiple medical conditions and use of a number of medicines together, and are at high risk of medicine-related adverse events. Medicines management, administration and evaluation is complex and organisations are expected to have in place policies and procedures that support quality use of medicines.

Specific suggestions about each draft standard

18. Do you have any specific suggestions in relation to draft Standard 3: Delivering personal care and/or clinical care? If so, what are they?

as per previous page - suggested wording changes to antimicrobial stewardship and medicines section