1. Developing an ANP post for an Older Person Day Hospital
Sarah Cosgrave, cANP Older Persons
24th May 2018

2. Background 2008 -2011 Staff Nurse on Our Lady’s Ward
Completed Grad Dip Care of the Older Person & MSc Care of the Older Person UCD
CNM 2 Carew House Day Hospital
Research Nurse with ARCH
Dementia Champion DCU, Nurse Prescribing with Health Assessment UCD
2018
Commenced Candidate ANP post Older Persons
Advanced Practice Modules UCD

3. Older People by Numbers
SVUH Local Data
Population Projections
1 in 5 attenders → approaching 1 in 3
Attendances at Day Hospital
New Patients
Return
2014
597
857
2015
593
881
2016
604
995
2017
676
1116

5. Vision My Vision Team Vision Rapid Assessment Clinic
Early Cognitive Assessment Clinic
PHN – ANP referrals
ANP & CPN combined assessments
Dementia Support & follow up tele- clinic
Team Vision
APN assessments in Emergency Department
Domiciliary Visits
Input in Memory Harbour
Input with inpatient team
Dementia Support

6. Local Need – numbers attending day hospital

7. Local Information Waiting time >10 weeks Active Cancellation List
Patients awaiting cancellation – both new & review patients
DNA rate is high
Requests for assessments
Cognitive concerns
Falls
Accessing services
PHN request
LTC application
Query PD

8. Developing Case Load
Not disease specific
Impact on the service already provided
Reduce waiting times
Integrating Services between hospital & community

9. Plan………
Support & Intervention following diagnosis of dementia
Domiciliary visits for patients who continue to DNA
PHN to ANP referrals for nurse led clinic
2 sessions a month with Memory Harbour Clonskeagh with community OT

10. Plan……..
Further Development of CGA documentation – enhance development of specific pathways
Education on acute wards
Work with local day hospitals on development of vision between sites

11. Core Competencies as ANP

12. Challenges
Transition from CNM 2 to cANP
Role within team
Developing case load
Advanced decision making

13. Conclusion
At times I may think change is slow
Exciting & challenging times ahead
Worthwhile for our patients & families attending our service