Most departmental pathways are designed to be clinician decision aids - meaning that they are dependant on the clinician for initiation.
At Waitemata DHB we use a set of comprehensive patient care pathways, specifically designed to be nurse initiated at the very first contact - leading to more timely relief of discomfort.
This short video in an introductions to best Care Bundles, what they are, how they work, and how they have made a difference at our institution.