Eating Disorder Program - New Farm Clinic
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New Farm Clinic
Eating Disorder Program
Patient
informationTable of Contents Welcome to the Program 3 Goals of the Program 4 Eating Disorder Program Team: 4 Care Planning 5 Eating Disorder Program (EDP) Outline 5 Daily Routine 5 Phase 1: The Assessment Phase 6 Psychiatric Assessment 6 Physical Assessment 6 Nursing Assessment 6 Nutritional Assessment 7 Phase 2: The Intensive Nutritional Support Phase 7 Supported Meal Therapy 7 Unsupervised Meals in the Dining Room 7 Menu Planning 8 Rules of the Program Table 9 Supervised Snacks 10 Self Monitoring Food Sheets 10 After Meals Support Group 10 Monitoring Weight 11 Weekly Feedback Sheets 11 Oral Supplements 12 Naso-gastric Refeeding 12 Group Therapy 13 Gentle Exercise Program 14 Phase 3: The Advanced Phase – Discharge Planning 14 Risk Categories & Leave Restrictions 15
Welcome to the Program
Dear Patients
Welcome to the New Farm Clinic Eating Disorder Program. We hope
that your stay here is both comfortable and challenging. We believe
that you are here to change and we are here to help you with that
process in the hope that you will leave here with confidence in
yourself and your ability to manage life as it happens.
The staff are supportive and will encourage you, giving you time
to talk on a regular basis. In order to help and support you we
need to have some firm boundaries which will help to ensure you
follow up on your commitment to change
Regards
The Staff
New Farm Clinic
3Goals of the Program
The New Farm Clinic Eating Disorder Program provides specialised assessment and treatment for
patients with Anorexia Nervosa and Bulimia Nervosa.
The program provides an integrated treatment approach to address your physical, psychological,
social and nutritional needs. It is designed to be responsive to you as an individual and consider
different needs that you may have during the course of your recovery.
The aims of your inpatient care are to
• Restore your hydration and nutritional status;
• Restore normal eating patterns;
• Provide information about eating disorders and treatment;
• Promote a safe environment to enable the patient to ventilate and work through concerns.
• Provide interactions that empower patients and enhance self-esteem and self-efficacy.
These guidelines are intended to help you and your family to understand the treatment that will
be offered to help you to recover from your eating disorder.
Your admission to the program indicates your readiness to make a commitment towards
addressing your eating disorder.
If you need clarification of these guidelines at any point during your admission, please don’t
hesitate to discuss this with our staff.
Eating Disorder Program Team:
Psychiatrist* - The psychiatrist is responsible for identifying and addressing mental & physical
health problems, prescribing medications and monitoring their effects and referring patients to
other health care specialists if the need arises. The consultant psychiatrist will visit you most days.
Hospital policy requires a second opinion if you have been in hospital for more than 28 days to
ensure you are getting the best medical care possible.
Nursing Staff* - We have experienced nursing staff available 24 hours per day who will support
you throughout the program. Nursing staff coordinate the services within the hospital and will
contact your treating psychiatrist if they are concerned about you.
Dietician* - The dietician will assess your individual nutritional needs, advise on special dietary
requirements and supplements and conduct some group therapy programs on nutrition.
Psychologists* - Our psychologists provide both inpatient and outpatient group therapy.
Individual therapy sessions may be prescribed by your psychiatrist if appropriate.
General Practitioner - A general practitioner visits the hospital daily to do physical assessments
on all new patients and to treat minor physical illnesses that may become troublesome during
your hospitalisation. Please let the nursing staff know if you require the services of a general
practitioner.
Social Worker - Our social worker is available to assist patients with discharge planning.
The social worker can assist you with financial matters, to find accommodation and to access
appropriate community services as needed.
4Physiotherapist - The physiotherapist visits the unit weekly and conducts group therapy aimed
at toning your muscles and increasing core stability.
Registrar - Our Psychiatric Registrar will respond to emergencies during the day and assist with
the psychiatric care of patients on request from the psychiatrist.
Care Planning
*The team meet together each Thursday morning to discuss your physical and mental progress
and to decide together on the best treatment plan to support you throughout the coming week.
The team take into consideration your feedback (from your weekly feedback forms), results of
medical tests, your weight and your thought processes. The treatment plan is then recorded on a
weekly care plan which will be discussed with you by the nursing staff or your therapist.
Eating Disorder Program (EDP) Outline
Daily Routine
0630 hrs Weight - Monday & Thursday
0700 Medication
0730 - 0800 Breakfast
0800 - 0830 After breakfast support group
0900 - 1000 Group Therapy
1000 - 1030 Supervised Morning Tea
1030 - 1130 Group Therapy – EDP Specific
1130 Lunchtime medications
1200 Lunch
1230 - 1300 After meal support group
1330 Free Time
1400 - 1500 Group Therapy
1500 - 1530 Supervised afternoon tea
1530-1700 Free Time
1700 Medications
1730 - 1800 Dinner
1800 - 1830 After meal support
1930 Relaxation / Movie night
1930 - 2000 Supervised supper
2015 Naso-gastric feeds commence
2100 Evening medications
2200 Lights out
** See nursing staff for oral supplement times. Times are on the unit 3 notice board.
5General Program Rules
• No mobile phones are to be taken to the program table, to EDP or other inpatient groups.
• Discussion of patients own weight or the weight of others is not acceptable behaviour.
• Patients are not permitted to use the stairwell to access other areas of the hospital unless
there is an emergency.
• Patients are not permitted to conduct unsupervised exercise.
Leave
• Patients are allowed leave on a weekday after 3:30pm. Leave prior to 3:30pm will be made
at the discretion of the treating psychiatrist based upon individual circumstances. Leave may
only be taken if it is documented by the treating psychiatrist in the patient’s chart. This allows
patients to focus on normalising eating behaviour and to challenge thinking or focus on issues
that have led to hospitalisation.
• Patients are allowed leave between main meals during weekends and on public holidays.
That is, all patients must attend breakfast, lunch and dinner on the program table. Exceptions
to this rule are when the patient is on Category 1. The latter will be approved at the discretion
of the treating psychiatrist and, where possible, the team.
Phase 1: The Assessment Phase
The assessment phase aims to help you to adjust to the hospital environment and to establish
your individual treatment program. You will meet a lot of new people and may find this time
quite a struggle. Please feel free to ask any questions you may have and don’t hesitate to seek
support from nursing staff.
If this is your first admission you will be placed on an assessment phase which will last for three
days or until the next EDP Team meeting.
During this time you will be provided with information regarding your treatment and several
assessments will be conducted to identify your individual needs. These assessments include:-.
Psychiatric Assessment
Conducted by the psychiatrist, a treatment plan is devised and nursing instructions given to ward
staff. The psychiatrist will also prescribe medication and vitamin supplements for you based on
your physical and psychological assessment.
Physical Assessment
Conducted by the hospital General Practitioner to assess the patient’s physical health status. An
ECG (to monitor heart) and blood tests may be ordered at this time.
Nursing Assessment
On admission, a nursing assessment is performed. This includes mental health assessment,
weight and height and a urine test. A care plan is developed in liaison with yourself, the treating
6psychiatrist, the general practitioner and the dietician. The nurse can also advise you on group
therapy programs that will assist you
Nutritional Assessment
On the first Monday or Thursday after your admission the dietician will meet with you to develop
a menu plan. The menu plan is negotiated with the patient taking into account eating behaviour
prior to the development of the eating disorder and nutritional requirements. Following review
by the dietician a menu plan and a prescription for supplement drinks will be provided.
Until the above assessments are complete you will be given a hospital menu to complete and
meals will be eaten at the EDP table with all EDP patients except those on maintenance.
NB: All meals and snacks prescribed are provided by the hospital. Please don’t bring in extra
food as the hospital food has been assessed as nutritionally balanced by our dietician.
Phase 2: The Intensive Nutritional
Support Phase
The aim of the Intensive Nutritional Support phase is to:
• help you re-establish normal eating patterns leading to a healthy physical status;
• challenge your thinking about your eating disorder behaviour;
• identify any stressors in your life that may have precipitated this illness -behaviour.
All patients must attend all group therapy programs, supervised meals, supervised morning and
afternoon teas and after meal support group.
Diet drinks and food are not allowed for patients on the program. This includes soft drinks with
low or no calorie content and low fat foods unless ordered by the dietician.
** Patients are not to bring any food into the clinic unless approved by the dietician. All
appropriate food will be supplied as part of the program.
Supported Meal Therapy
The goals of supported meal therapy are for the therapist and nursing staff to model normal
eating and to coach, support and distract you throughout the meal.
A table in the dining room is reserved for patients requiring intensive nutritional support.
A staff member will be at the table for each meal to provide you with structure and support.
Unsupervised Meals in the Dining Room
Although you may be allowed to eat off the “eating disorders table” once on the maintenance
phase of the program you will still need some supervision and support after the meals.
Therefore, all patients on the program must attend the dining room at the same time and attend
after meal support group when the patients on the table go to after meal support group.
7Menu Planning
You may find that your selection of food has become very limited and rigid. The menu plan
is designed to provide you with a structure and guidance for your meal selection to help
re-establish normal eating patterns.
You will be provided with a menu plan by the dietician. Your menu plan is reviewed twice a week
with the dietician and you are encouraged to be actively involved in this process. The dietician
will start off with small meals and gradually build up to larger meals in order to help you gain
1kg per week if you are below your target weight.
The menu plan is designed to provide you with a structure and guidance for your meal selection
to help re-establish normal eating patterns.
Please use the menu plan as a guide for completing your menu. The nursing staff will discuss the
menu choices with you that comply with your meal plan.
• You may choose a fruit from the selection available – fruit salad is the only fruit serving at
lunch time. However you cannot choose a specific bowl of fruit from the servery.
• During the week all hot meals will be at lunch time. You have the option of ordering your hot
meal in the evening on Saturday and Sunday nights.
• All breads, including toast, will be served with butter or margarine. One full packet of butter
or margarine is to be used per piece of toast when spreads are ordered/used. One full packet
of butter or margarine is to be used for two Cruskits at morning or afternoon tea when
spreads are ordered/used.
• Sandwiches may be ordered if it is part of your menu plan.
• As a sandwich option it is acceptable to tick ‘salad’ when this is available and include the
protein offered with the salad option. If this option is not available, changes are not to be
made to other sandwich options other than specifying ‘white’ or ‘wholemeal’.
• It is not acceptable to make a sandwich from a meal served as a salad. Nor is it acceptable to
eat a sandwich with a knife or fork or to remove parts of the sandwich or wrap.
• Breads and any spreads are to be ordered from the menu.
• All condiments must be ordered on the menu. Two (2) sachets of tomato sauce may be ordered
with the appropriate meal. No more than 1 (1) sachet of salt and / or pepper are allowed.
• Steamed vegetables are only served when available on the hospital menu.
• Menus should be completed and handed in to staff following the breakfast support group.
• Once menus have been handed in then they may not be changed without prior discussion with
nursing staff or the dietician.
NB: No “diet” foods are to be included in your order – only regular yoghurt and milk will be
served.
Your menu is checked in accordance with the following
guidelines:
• No food preferences are to be written on the menu, the only exceptions being vegetarian
choices and fruit.
• Patients cannot cross out the salad option and write their own choice. If they choose not to eat
salad the only other choice is the hot meal or wraps/sandwich.
8Rules of the Program Table
Referral to the Eating Disorder Program (EDP) table means that you have your meals at a
reserved table with a member of staff and usually some other patients on the program. The
table is intended to provide support and structure to help you increase your oral intake and
normalize eating behaviours.
Five minutes prior to the appointed meal time you are required to report to the nurses’ station
and wait for the therapist who will take all patients on the intensive nutritional support phase
to the dining room together. In consideration of other patients and staff, it is important that
you are on time. Breakfast is at 7.30 am, Lunch at 12.00 pm and Dinner at 5:30 pm. You are
encouraged to have a toilet break before the meal.
Please bring anything you will need for the supported meal therapy after the meal to the nurse’s
station as you will not be allowed to return to your room between the meal and the after meal
support group.
Once at the table:-
1. There is a 30 minute allocation for your meal.
2. Finish time will be announced when you sit down with the group. If necessary patients will
be reminded when there is 10 and 5 minutes to go.
3. The meal ordered on the menu will be served – patients cannot ask kitchen staff for any
change to the serving.
4. Meals may not be swapped.
5. All patients are to be seated at the program table before beginning to eat their meal.
6. It is unacceptable to start to chop up or move food around the plate before the 30 minutes
of allocated time has commenced.
7. One drink is allowed with meals. Juices may be ordered on the menu and will be provided
with your meal. If you wish to have a glass of water or a hot drink i.e. coffee, tea or herbal
tea with your meal, please bring this with you when you take your seat. Hospital cups and
glasses are to be used only. No bottled drinks are permitted. Hot water is not acceptable.
8. Patients cannot bring an extra plate to the table.
9. No Serviettes are allowed on the table.
10. All cereals will be served with full cream or soy milk. One glass of milk constitutes a standard
glass provided by the hospital filled to the top of the vertical lines. You may use hot water
on weetbix; however milk is also to be used. Water or juice are not acceptable substitutes
for milk. Dry cereal is not an option.
11. No condiments other than salt and pepper (maximum 1 of each) are to be added to the
meals.
12. No sauces, spreads or other food stuffs not provided by the clinic are to be brought to the
table.
13. It is not acceptable to tear or break up sandwiches and wraps.
14. Wraps may only be unrolled 5 centimetres to put salt and/or pepper on the meal.
915. During the serving and eating of the meal, socially acceptable eating behaviours are
expected. This includes:
- appropriate use of cutlery,
- no scraping food,
- no hiding food in napkins or clothing,
- no wiping of food,
16. Whilst at the table, comments and discussion about food and the meal are to be kept to a
polite minimum.
17. It is expected that everyone remains at the table during a meal – once a person has reached
the table, they must stay at the table;
18. The staff may, on occasion have to address the above behaviour at the program table to
assist in containing such behaviours and the impact this has on participants.
19. On leaving the table, pockets may be checked for secreted food in a non-intrusive manner
by a member of staff.
20. Following all meals you are to proceed directly to the Unit 3 Quiet Lounge. No hot drinks are
to be taken to after meal support. You will be supervised by staff for the next 30 minutes.
During this time you are encouraged to spend the time talking or doing activities to help
you cope with the difficult thoughts or emotions you may experience.
Supervised Snacks
Morning tea, afternoon tea and supper are a normal part of a daily diet and all patients on the
program (both on the intensive nutritional support phase and the advanced phase) are required
to participate in supervised snack times. Snack times are 10 am, 3 pm and 7.30 pm. Fifteen (15)
minutes is the allocated snack time. No foods are to be taken from the snack tray back to your
room or unit. These snacks are part of your daily meal plan to assist you to regain a normal
weight and normal eating patterns. If you don’t eat the entire recommended snack you may be
required to consume a fortisip in accordance with your dietary plan.
Self Monitoring Food Sheets
These sheets keep a record of your daily intake in order for you and for the nursing staff and
dietician to have a visible and measurable evidence of your progress. They are to be filled out
following each meal. The sheets are kept at the nursing office and will be verified by staff
following each meal. You will need to record accurately what you have eaten and what you have
left. Each Monday and Thursday the dietician will discuss your progress based on the food sheets.
After Meals Support Group
Following meals, patients often experience psychological and physical discomfort. You may be
preoccupied with feelings of guilt and thoughts of purging. This time is intended to provide
formal support and containment following the daily main meals in order to help delay these
thoughts and urges.
• You must proceed directly to the group room. There is the opportunity for a toilet break at the
end of the group.
• The group will last for 30 minutes.
10• Session content is as follows :
- Goal setting for the week related to Eating Disorder issues
- Relaxation activities
- Setting weekend goals
- Reviewing program guidelines
- Distraction activities including movies, board games, puzzles, art.
• All patients on the EDP are to attend this session
• If you are having meals in the general dining room, it is your responsibility to attend your meal
in a time frame which will allow you to attend the after meal group at the scheduled time.
• During this group you are required to complete the self-monitoring food sheets for the meal.
• Those who have not completed their meal may be required to drink a Fortisip.
Monitoring Weight
One of the cornerstones of the program is to re-establish normal eating patterns and stabilise a
healthy weight. We provide you with the structure and support you need to reach your target weight.
You are required to gain 0.5 kg each weigh day (ie. 1 kg per week) if you’re body mass index
(BMI) is below 20. Your height and weight will be taken and recorded when you are admitted to
establish your target BMI. Thereafter you will be weighed on Monday and Thursday mornings
before breakfast. The first weight that is taken on a Monday or Thursday morning following
admission is your official weight to start treatment.
On Monday and Thursday mornings you are to go to the toilet and then to the Unit 3 treatment
room between 0630 and 0700. Do not have a drink before you are weighed.
You can wear your dressing gown and slippers to the treatment room. However, for the
weighing process you will be weighed in your underwear.
Your weight is recorded and you will be informed of any weight changes that have occurred
since your last weigh. However, at the beginning of your treatment it is an option for you not to
be informed of your weight. Consequently you will be weighed backwards on the scales. As your
treatment progresses you will be encouraged to know your weight and be provided with support
to think about and adjust to changes in recovery.
Failure to achieve appropriate weight gain will be discussed at the team meeting and may result
in a change of treatment and a review of your leave restrictions.
Patients may be spot weighed at any time. Refusal of spot weigh will be taken as an admission
that you have somehow been falsifying your weight and your care plan will be adjusted accordingly.
Weekly Feedback Sheets
Weekly feedback sheets have been designed to promote communication between you and
the treatment team. They are intended to clearly outline your treatment plan and your
responsibilities as well as giving you the opportunity to write down your thoughts or requests.
• Feedback sheets are provided each week following team review (Thursdays)
• You will receive your treatment protocol for the following week on this sheet. Therefore any
changes to your program are likely to occur on Thursday morning.
• You are asked to hand in weekly feedback (questions, comments, leave requests) to the Unit 3
nursing station each Wednesday evening
• Non current feedback sheets become part of your medical record.
11Oral Supplements
We appreciate how difficult it is to gain weight. Therefore the dietician, in liaison with your
psychiatrist will prescribe oral supplements to assist you to achieve your goal of gaining a healthy
weight in a reasonable time frame.
If you are not gaining weight after the first week of the program you will be reviewed by the
dietician and commenced on either oral supplements or naso-gastric feeding. Oral supplements
are provided as Fortisip drinks.
The amount or number of supplement drinks required will be decided and monitored by the
dietician based on your blood results and your weekly weight. You will be notified of the amount
/ number on your weekly feedback sheet.
You will be supervised when taking your supplement drinks. Fortisips must be consumed at the
nursing station. Please hand empty container to the staff for checking. Staff will then record the
amount taken.
Fortisip times are scheduled to ensure supplements do not take the place of a normal diet. Your
menu plan is designed to teach you normal eating patterns that will help you maintain a normal
weight. Supplements such as Fortisips or naso-gastric feeds are designed to help you to increase
your weight to your target weight while you are in hospital. Therefore they are to be taken ½
hour before or after meals or snacks. These supplements are to be consumed within 10 minutes.
It is your responsibility to present to the nursing station at your chosen time to receive your
supplement drinks.
A maximum of two supplement drinks are provided if you are on day leave from the clinic. Oral
supplements are not provided if you are on overnight leave from the clinic.
NB: Supplement drinks are prescribed as part of your treatment. They are not an optional part
of your daily intake. If you do not comply with prescribed supplements:
• they may be ordered on your medication chart and will be served for you in a cup and taken
without a straw under supervision of the nursing staff, or
• You may be prescribed overnight nasogastric feeding.
You may be ordered extra fortisips to be consumed if you do not complete all your meal or snack.
Naso-gastric Refeeding
Naso-gastric refeeding may be prescribed as a part of your treatment while on the EDP. This will
be determined by your physical status, your ability to maintain the 1 kg weekly weight gain and/
or your ability to consume your meals and prescribed nutritional supplements. While having
naso-gastric refeeding you are still required to consume your normal meals as prescribed on your
daily food plan.
We recognize that this process is often very confronting and difficult for people. Please discuss
any difficulties that you may have with the staff.
This option will be discussed with you prior to commencing naso-gastric refeeding.
You will have your blood test results reviewed and ongoing blood tests may be ordered to
monitor your physical status.
12Refeeding starts slowly and depends on your physical status. The rate of refeeding will be
determined by your doctor and dietician.
When you commence naso-gastric refeeding you will be provided with a supplementary feed
pack, a naso-gastric tube and a portable pack.
The nursing staff will familiarize you with this equipment and teach you how to insert the tube.
They will advise you regarding hygiene, hand washing and correct storage of the naso-gastric
tube. Once comfortable with this procedure you may insert the tube independently.
Rate of flow will be set on the equipment by the nursing staff. This is not to be altered or
switched off at any time without consultation with nursing staff on duty.
If you are on overnight feeds they will commence in the evening and finish in the morning.
Occasionally it is necessary to continue refeeding over a 24 hour period during which time it is
important to discuss any difficulties with nursing staff on duty.
Bolus feeds may be instituted if persistent non-compliance / tampering with pump feeds occurs.
This involves the insertion of the naso-gastric tube and the supplement is to be inserted via a
syringe by the nursing staff at 2 hourly intervals. The tube is then removed and stored in the
nursing office.
The amount of feed provided and the amount of feed taken will be monitored and recorded by
nursing staff.
Please note that when you first commence refeeding you may in fact be quite dehydrated and
this may result in a 1 – 2 kg weight increase following the first week or two of refeeding. This
reflects an increase in fluid intake and is a consequence of your body being rehydrated.
Sometimes ceasing naso-gastric refeeding will result in a short period of weight loss. We are
aware of this and we consider this in determining your treatment for that week.
If you notice any physical changes after commencing naso-gastric refeeding, please discuss these
with the nursing staff.
You must be in the clinic to receive all naso-gastric feeds and this may impact on the possibility of
weekend leave.
Naso-gastric refeeding is prescribed as a compulsory part of your treatment. Refusal at any point
to comply with the refeeding protocol will result in a review of your continuation on the Eating
Disorders Program.
Group Therapy
Attendance at three group therapy sessions per day (plus after meal support) is a compulsory
part of the program. The groups give you the opportunity to build on current strengths and
skills, develop new ways to manage stress and to share your ideas with others. At 0900 and 1400
you may attend any program offered throughout the hospital. The 1100 groups are specifically
designed to assist patients with eating disorders and to recognise and overcome the control this
has over you.
Each Monday you will be provided with a group therapy timetable for the week. At the 0900
group you will work with the therapist to identify the groups that you will attend for the
remainder of the week. Alternately you can discuss which group therapy programs would be of
most benefit to you with your nurse.
13If, at any stage, you are finding the groups a struggle, please let the therapy staff know and they
may be able to assist you.
See Group Therapy Rules in the Patient Information Booklet
Gentle Exercise Program
The aim of this session is to provide a structured opportunity to practice more moderate forms of
exercise, particularly core strengthening exercises.
This session is conducted under the supervision of a qualified physiotherapist.
The session is held on Monday morning at 1100 in the Unit 3 Quiet Lounge.
Referral to the gentle exercise component of the EDP occurs following team review.
Phase 3: The Advanced Phase –
Discharge Planning
Once you have established a more normal eating pattern and are nearing target weight, you will
be allocated to the advanced phase to help you prepare for discharge.
The aim of the Advanced Phase is to maintain your progress and provide you with the
opportunity to challenge your beliefs and avoidance of feared foods with the support of the
staff and clinic environment.
The following aspects of the program will continue as before:
• You will still need to meet the program requirement of 0.5 kg gain per weigh day until you
have reached your established target weight
• Weigh days Monday & Thursday
• Supplements (if required)
• Menu plans & daily food sheets
• Supervised snacks
• Regular meetings with your psychiatrist
• Attendance at group therapy
• Weekly feedback to the Eating Disorders Program Team.
You will no longer be required to eat at the Eating Disorders Table. You will continue to
complete a menu but you will be able to eat in the dining room on your own or with other
patients. Attendance at the after meal support group will depend on your continued progress
and any difficulty you have with maintaining your control over your diet and exercise.
During this phase you will probably be putting some of your plans for discharge into action. You
will need to consider goals for returning home, to school or university or to work if appropriate.
Alternately you may be advised to attend Outpatient Programs for 1 – 3 days per week until such
time as you no longer need support for controlling your eating disorder.
Advanced challenge
You may be referred to attend the practical challenge component of the program. If this is
indicated on your weekly feedback from the team review (received each Thursday), you may
14choose to go out with the therapist on Friday to practice facing your “fear foods” in a normal
social setting. Prior to each outing, the group together decide on a reasonable food challenge.
Examples of challenges include purchasing and eating ice cream, chocolate, pizza, lunch in a
restaurant, coffee and cake at a café, sweets from a bakery.
Risk Categories & Leave Restrictions
New Farm Clinic utilizes a visual observation system to provide support and safety. During your
treatment you may be placed on visual sightings if you are unable to meet the program requirements
or if more structure and support is needed to keep you safe. For the first three weeks of your
admission you will not be permitted to leave the clinic except for urgent medical appointments.
Category 1.
• You will be sighted every 2 hours.
• You are required to report to the Unit 3 Nurses Station and be assessed by the nursing staff
each time you wish to have leave and return to the Clinic. The nursing staff will complete the
leave register.
• All leave is to be negotiated with your treating doctor.
• All patients must return to the clinic by 8.00pm except for special occasions that have the prior
approval of your treating psychiatrist
Category 2.
• You will be sighted hourly
• All leave is to be negotiated with your treating doctor.
• Leave must be taken with an approved carer (this can not be another patient or a former patient)
• The person taking you out of the clinic is required to report to the Unit 3 Nurses Station with
you each time you leave and return to the Clinic. The nursing staff will assess that you are safe
to go out, ensure the person taking you out is aware of their responsibilities and complete the
leave register. On your return to the clinic, your carer should report to the nurse’s station and
advise the nursing staff of any concerns during your leave.
Category 3.
• You will be sighted every 30 minutes.
• You are restricted to the ward, group room and courtyard area
• Leave can only be taken from the hospital for urgent medical appointments and you must be
accompanied by a staff member.
Category 4.
• You will be checked every 15 minutes or more often.
• You will be restricted to the ward.
• You may be required to wear your night attire at all times.
• You will have no leave at this time.
• Category 4 is designed to provide you with the closest observation and support available at
New farm Clinic.
15Fortisip Times
Fortisip times are schedules to ensure Fortisips do not take the place of a normal diet. Your
menu plan is designed to teach you normal eating patterns that will help you maintain a normal
weight. Supplements such as Fortisips or naso-gastric feeds are designed to help you to increase
your weight to your target weight while you are in hospital. The Fortisip supplements are to be
consumed within 10 minutes.
06:30 am
08:30 am
10:45 am
1:45 pm
3:45 pm
6:30 pm
8:30 pm
Please ensure that you choose your Fortisip times evenly throughout the day.
16Notes
17Notes 18
19
Developed 1 January 2012
New Farm Clinic
22 Sargent St, New Farm, BRISBANE 4005
Ph: 07 3254 9100 | Fax: 07 33584781
Email: enquiries.nfc@ramsayhealth.com.au
www.newfarmclinic.com.auYou can also read
