Question 4.8.3: How many minutes of nursing care in total did the patient receive whilst under the care of the team?
This question should only be answered by non-inpatient teams. This is the total number of minutes which a patient receives nursing care.
This can only be answered if you have a nurse part as your team. If the patient receives nursing care outside of your team, you should not include these minutes in the proforma.
If a patient has severe aphasia or a communication impairment can 'medically unwell' be chosen for Q6.1, 6.2, 6.3, 6.7 & 6.8?
If a patient suffers from severe aphasia or a communication impairment, they can be recorded as medically unwell for a cognition screen. They cannot be recorded as medically unwell for other assessments, including PT, OT, SALT and mood screen.
6.7 & 6.8 What assessment methods can be recorded on SSNAP?
The general definition to know if the assessment method can be recorded on SSNAP highlights two criteria that have to be met:
An acceptable cognitive/mood assessment in SSNAP (in the same way as in clinical practice in general) is one that has published/peer-reviewed evidence of validity in clinical use (ideally specifically in stroke), and that it’s clinical use in the trust has been approved by an appropriate body – most typically the clinical service governance group. If these two criteria are met, then it would be considered acceptable as a ‘standardised measure’.
What should be entered if there is not an up to date Modified Rankin Scale (MRS) on discharge available (7.4)?
Although every effort should be made to record this accurately, if the MRS is not known then a best estimate should be entered based on clinical judgment. However, MRS should be achievable for all patients, therefore a ‘not known’ option is unavailable. MRS on discharge gives incredibly important data on outcomes.