NDIS Comprehensive Nurse Continence Specialist Assessment

 Bowel care is a routine part of personal support. It requires a specialist level of support where the participant is at risk of severe constipation or faecal incontinence.

 A bowel care plan needs to be developed by the Continence Nurse Specialist who can then arrange for education and training for those support workers attending to the participants routine bowel care as required by NDIS Practice Standards 2020.

 All workers working with a participant requiring complex bowel care have received training, relating specifically to each participant’s needs, type of complex bowel care and high intensity support skills descriptor for providing complex bowel care, delivered by an appropriately qualified health practitioner or person that meets the high intensity support skills descriptor for complex bowel care.   NDIS Practice Standards 2020.

 Replacing and disposing of   bags and monitoring health of people using indwelling and suprapubic   catheters can be part of a general support worker role. In these cases,  insertion of the catheter is done by a health practitioner (Registered Nurse). 

In some cases, a support  worker may insert an intermittent catheter. This requires high intensity   support and oversight by a health practitioner.  Insertion of indwelling and   suprapubic catheters should be done by a health practitioner.

The Continence Nurse can then be contacted to arrange skill training on delivering care and support of the catheter as required by NDIS Practice Standards 2020

 All workers have completed training, relating specifically to each participant’s needs, type of catheter and high intensity support skills descriptor for catheter changing and management, delivered by an appropriately qualified health practitioner or a person that meets the high intensity support skills descriptor for urinary catheter changing and management.   NDIS Practice Standards 2020.