Patient Centred Care

REACH - Patient and Family Escalation

REACH is a patient and family activated rapid response program that was developed by the Clinical Excellence Commission in 2013. It builds on the surf lifeā€saving analogy for recognition and appropriate care of deteriorating patients by encouraging patients and family to ‘put their hands in the air’ to signal they need help. This is consistent with the emergency response systems already in use in NSW health services.

Unlike other models, REACH actively promotes engagement with the treating team prior to further escalation steps taken by the patient and family. It encourages patients, family and carers to initially engage with their nurse or medical team, if they are concerned that 'something is not right'. If they continue to be worried they can then escalate their concerns by requesting a clinical review knowing that this should occur within 30 minutes.

Finally, if they are still concerned and all other avenues have been exhausted, an independent review or rapid/emergency response can be activated by the patient, family or carer by calling a unique number made available by the facility. REACH casts the safety net wider and provides assurance that help is on its way.

The REACH process aligns with the National Safety and Quality Health Service Standards (Standard 9.9).

Implementing REACH

The REACH Toolkit was updated in May 2017 and provides clinicians and health professionals with information and tools to successfully plan, implement and evaluate the REACH program.

REACH Toolkit

The CEC can provide support for facilities interested in implementing REACH. If you'd like to find out more about how we can support your facility, please contact us.

DOWNLOAD PDF ~1.4MB
Please note that REACH is a registered trade mark of the CEC. If you would like to amend any components of the REACH program, please contact us prior to implementation.

Posters

REACH Poster - Adult

This poster can be printed as A3 or A4 size to promote the REACH program in the adult setting.

DOWNLOAD PDF ~2.2MB
Please note that REACH is a registered trade mark of the CEC. If you would like to amend any components of the REACH program, please contact us prior to implementation.

Education

The Day Family's Story
Responding to Family Concerns

YouTube video (high resolution)


Length 5:46

Added May 2017

Supporting Educational Resources


Information for Patients

The CEC has developed a brochure that provides information for patients and families regarding the program. It explains what REACH is, how it works and what the family, carer or patient can do if they are concerned about a change in the patient's condition.

REACH - Patient and Family Escalation
Information for Patients and Families

DOWNLOAD PDF ~1.8MB
Please note that REACH is a registered trade mark of the CEC. If you would like to amend any components of the REACH program, please contact us prior to implementation.