Clinical Reviews
&
Monitoring.
Someone keeping an eye on it. Regularly.
And writing down what they see.
Clinical review and monitoring is a regular check on how someone’s health is tracking, carried out by an AHPRA-registered nurse. The nurse takes observations, talks with the person and the people around them, checks the care plan against what is actually happening day to day, and records what they find.
Some health conditions need someone to keep an eye on them. Not constantly, but regularly, and by someone who knows what they are looking at.
Patients & Families
For referrers and Support Coordinators
Funding Your
Reviews.
Nursing supports may be funded through an NDIS plan, depending on how that plan is set up. Plan-managed, self-managed and agency-managed participants can all access our nurses, and we handle the service agreements and the reporting.
Providers can also engage us directly. Where reviews are part of assuring your own service delivery rather than a participant’s funded support, that work usually sits with the organisation.
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When People Use This
01
After a Hospital Stay
Coming home is often the point where things get missed. Medications change, new equipment arrives, and the plan on file was written for how things were before. A nurse review picks up what changed while someone was in hospital and makes sure the plan at home matches it.
02
Living With a Long-Term Condition
03
Checking the Plan Is Working in Practice
04
When Something Has Changed
05
Observations and Vital Signs
Blood pressure, heart rate, temperature, oxygen levels, weight, and how someone is presenting generally. Recorded properly and kept, so the numbers mean something in three months. Observations taken once are data. Observations taken regularly are information.
06
Working With the GP
What a Review Involves
The nurse records observations, which may include blood pressure, heart rate, temperature, oxygen levels, weight, and how someone is presenting generally.
They talk with the participant, and with family or support workers where that helps. The people who see someone every day notice the things that do not show up in a single set of numbers, and a good review uses both.
They check what the care plan or the hospital discharge summary says against what is actually happening day to day. Those two things drift apart quietly, and the gap between them is usually where the risk sits.
They write down what they found and share it with the GP and anyone else involved in the person’s care, with your consent. If something needs medical attention, they say so and help get it organised.
Available in clinic or at home. Observations have to be taken in person, so this is not a service we deliver by telehealth.
What a review is not
A nurse review records what is happening and flags what needs attention. Diagnosing a condition and changing treatment are the GP’s role. Our nurses will tell you plainly what they observed and who should see it.
Clinical Review Through the NDIS
If a participant relies on high intensity daily personal activities, the NDIS Practice Standards say their health status is subject to regular and timely review by an appropriately qualified health practitioner, with their consent. Regular nursing review is one way providers meet that.
Beyond the compliance question, a documented record of how someone is tracking is one of the more useful things to have going into a plan reassessment.
We cannot promise a particular plan outcome. What we can do is make sure the people making those decisions are working from something written down and current.
Optimum NDIS
Referrals.
Optimum NDIS
Referrals.
If you are a Support Coordinator, LAC officer, Plan Manager or another health care professional and you would like to submit a referral for one of your participants, please select one of the below options.
Get in Touch.
12 clinics across NSW & Tasmania
Email us
hello@opt.net.au
Speak to us
1800 678 647
Locations
Telehealth
Available everywhere for everyone.
In Your Home
Illawarra
Horsely
Dapto
Wollongong
Shellharbour
Albion Park
Kiama
SOUTH COAST
Nowra
Shoalhaven
SOUTH WEST SYDNEY
Moorebank
Liverpool
Warwick Farm
Casula
Chipping Norton
Wattle Grove
Where to Access a Clinical Review and Monitoring
Common Questions About Clinical Review and Monitoring
When should I request a clinical review?
How often should a long-term condition be reviewed?
What observations are taken?
It depends on the condition, how stable it is, and what else is in place. Some people are reviewed monthly, others quarterly, others only when something changes. We will recommend a cadence for the situation, and change it when the situation changes.
Can this happen after a hospital discharge?
Yes, and it is one of the most useful times to do it. Medications change in hospital, equipment changes, and the care plan at home was written for how things were before the admission. A review shortly after discharge catches the gap between the two.
Is this different from seeing my GP?
Who can request a review?
Renata Bell
OPTIMUM HEALTH SOLUTIONS
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