Raglan Rest Home & Hospital

Intake Discovery

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Raglan Intake Discovery
OverviewThe PackDuplicationThe OpportunityQuestions
Section 01

The admission pack

Nine documents, 20 pages. Photographed, read, and catalogued field by field. Click any page to see it full size — these are your forms, shown back to you so we can point at specific things rather than talk in generalities.

Code Document Pages Issued Origin
E5 Admission Checklist 2 20 Oct 2022 HCSL form
OR 10A Property List on Admission 1 20 Oct 2022 HCSL form
— Advance Treatment Plan 3 — External
E7 Initial Assessment / Care Plan on Admission 3 20 Oct 2022 HCSL form
CS 19C Mobility Support / Transfer Guide 1 20 Oct 2024 HCSL form
CS 13A Continence Assessment 1 20 Oct 2024 HCSL form
CS 22A Health Status and Clinical Risk Assessment 1 20 Oct 2024 HCSL form
— Breakfast Order 1 — Raglan form
— Dietary (kai) Profile and Nutritional Assessment 2 — Raglan form
CS 14B Robinson's Resident Acuity Assessment 5 19 Jun 2025 HCSL form
Total 20
E5 2 pages · HCSL form

Admission Checklist

Not an intake form — a staff task tracker, banded by deadline: day of admission, 24 hours, 2–5 days, 3 weeks.

Admission Checklist page 1
Page 1
 Admission Checklist page 2
Page 2
OR 10A 1 page · HCSL form

Property List on Admission

Itemised furniture, personal effects and jewellery, with resident and staff signatures.

Property List on Admission page 1
Page 1
— 3 pages · External

Advance Treatment Plan

Legal instrument. CPR status, EPOA, desired level of care. Three separate signature blocks.

Advance Treatment Plan page 1
Page 1
 Advance Treatment Plan page 2
Page 2
 Advance Treatment Plan page 3
Page 3
E7 3 pages · HCSL form

Initial Assessment / Care Plan on Admission

The largest single form — roughly 120 fields spanning twelve clinical domains.

Initial Assessment / Care Plan on Admission page 1
Page 1
 Initial Assessment / Care Plan on Admission page 2
Page 2
 Initial Assessment / Care Plan on Admission page 3
Page 3
CS 19C 1 page · HCSL form

Mobility Support / Transfer Guide

Already a Word form with dropdowns — printed, hand-completed, scanned, re-uploaded.

Mobility Support / Transfer Guide page 1
Page 1
CS 13A 1 page · HCSL form

Continence Assessment

Continence Assessment page 1
Page 1
CS 22A 1 page · HCSL form

Health Status and Clinical Risk Assessment

Includes the physical skin check and body map.

Health Status and Clinical Risk Assessment page 1
Page 1
— 1 page · Raglan form

Breakfast Order

Every field on this form already appears on the Dietary Profile.

Breakfast Order page 1
Page 1
— 2 pages · Raglan form

Dietary (kai) Profile and Nutritional Assessment

Page 2 is a twelve-indicator malnutrition screen with BMI and weight-loss maths.

Dietary (kai) Profile and Nutritional Assessment page 1
Page 1
 Dietary (kai) Profile and Nutritional Assessment page 2
Page 2
CS 14B 5 pages · HCSL form

Robinson's Resident Acuity Assessment

Scores 14 domains 1–5, sums to 14–70, bands to A–F, maps to indicative RN hours per week.

Robinson's Resident Acuity Assessment page 1
Page 1
 Robinson's Resident Acuity Assessment page 2
Page 2
 Robinson's Resident Acuity Assessment page 3
Page 3
 Robinson's Resident Acuity Assessment page 4
Page 4
 Robinson's Resident Acuity Assessment page 5
Page 5
Referenced by E5, not yet seen

Eight more documents

The Admission Checklist points at these. Until we see them the field map is incomplete, and the time estimate is conservative rather than complete. E4 matters most — funding and subsidy is likely to be another significant block of chase time that we currently have no visibility of.

E11 Information Prior to Entry brochure
E4 Admission Agreement — funding and subsidy
E2 Medication from Pharmacy
E10 Resident Diagnosis List
CS 36A Weight record
ICP Initial Care Plan (online)
— Health & Disability Code of Rights pamphlet
— Advocacy Services pamphlet
Prepared for Raglan Rest Home & Hospital Discovery phase — findings for discussion Private · not for distribution