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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.pdf
October 01, 2016 - • Nursing home prescribing clinicians: If a resident is suspected of having an infection,
the nurse … statement about antibiotic resistance trends (see tool 4) together with any other
information about that resident … • Non-urgent hospital transfers: Provide a copy of the antibiogram with transfer
paperwork when a resident … Nursing home prescribing clinicians: If a resident is suspected of having an infection, the nurse … Non-urgent hospital transfers: Provide a copy of the antibiogram with transfer paperwork when a resident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
January 01, 2000 - Staff are blamed when a resident is harmed. (negatively worded)
A12. … Staff tell someone if they see something that might harm a resident.
B8. … Management often walks around the nursing home to check on resident care. … This nursing home is always doing things to improve resident safety.
D10. … Please give this nursing home an overall rating on resident safety.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/intervention-worksheet.pdf
June 01, 2021 - days
Days of antibiotic therapy per 1,000 resident days
Median length of antibiotic therapy
… Use of guideline-concordant antibiotics
Clostridioides difficile LabID events per 10,000 resident … will need data for both the numerator (e.g., number of antibiotic starts) and
the denominator (e.g., resident … Checklist of signs and symptoms for nurses to use
before calling a health care practitioner about a
resident … • Electronic health record “stops” to notify health
care practitioners if a resident does not meet
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK3_T5_Minimum_Criteria_Nursing_Staff_Training.docx
October 01, 2016 - Check each box that applies from your assessment of the resident. … Is the resident hypotensive? Normal blood pressure is a range from 110–130/60–80. … First, think about a resident who had a UTI recently. … So first, you need to know whether the resident has a fever, and if so, what it is. … If a resident has a high temperature, or a fever of 102 or higher, the resident needs to have symptoms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - Teamwork
Staff Empowerment
Teamwork and Communication
Resident and Family Engagement
2. … Training & Skills
Staff Empowerment
Sustainability
Resident and Family Engagement
5. … Handoffs
Teamwork and Communication
Resident and Family Engagement
7. … Overall Perceptions of Resident Safety
Resident and Family Engagement
Sustainability
11. … Overall Ratings
Resident and Family Engagement
Sustainability
AHRQ Pub.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
February 03, 2006 - Encircling the four skills is the resident care team, which not only represents the resident and direct … Resident: "Airway clear"
Leader: "Breath sounds?" … Resident: "Breath sounds decreased on right"
Leader: "Blood pressure?" … )
Patient/Resident: Identifiers, age, sex, location
Assessment: Present chief complaint, vital signs, … Include resident/family responsibilities
Next: What will happen next? Anticipated changes?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-double.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making in Long-Term Care 4x6 Cards
Does the resident have symptoms … Re-evaluate the resident and
review results of diagnostic tests. Can we
stop antibiotics? … Does the resident have symptoms that
suggest an infection?
What type of infection is it? … Re-evaluate the resident and
review results of diagnostic tests. Can we
stop antibiotics?
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - If a resident is colonized, that resident could still spread the germs to other people. … Both the resident and the resident's care team and family should be involved in resident moves. … A resident with an MDRO should not be moved into a room with a resident who has a urinary catheter, an … Explain to the resident and family why the resident is being put into isolation. … If a resident on droplet precautions has to leave his or her room, the resident must wear a mask.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_teamwork_perceptions_ques.pdf
April 24, 2017 - My supervisor/manager considers staff input when making
decisions about resident care.
9. … My supervisor/manager takes time to meet with staff to
develop a plan for resident care.
11 … Staff share information regarding potential complications (e.g.,
resident changes, bed availability … Staff meets to reevaluate resident care goals when aspects of
the situation have changed.
21 … When staff have a concern about resident safety, they challenge
others until they are sure the concern
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
January 01, 2010 - Staff are blamed when a resident is harmed. … Staff tell someone if they see something that might harm a resident. … Management often walks around the nursing home to check on resident care. … It is easy to make changes to improve resident safety in this nursing home. … Please give this nursing home an overall rating on resident safety.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing … Team members may include resident physicians, attending physicians, nurse leaders, staff nurses, infection … Resident Physicians as Champions
Successful champions are those who believe in safety efforts, have … and fellow experience in patient safety investigations, and monitoring of resident, fellow, and faculty … Supporters of Resident Physicians
Engaging members of the interprofessional team will help sustain
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - Blood glucose level since the resident has a diagnosis of diabetes.
B. … P: Increase staff surveillance of resident-monitor resident every 30 minutes, toilet every 2 hours or … more frequently, ensure resident wears non-skid socks, use position change alarm while resident is up … more frequently, ensure resident wears non-skid socks and use position change alarm while resident is … resident into the Falls Management Program.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_slides_teamstructure.pptx
February 02, 2006 - TEAMSTEPPS 05.2
Mod 2 LTC 2.0 Page ‹#›
Team Structure
5
Partnering With the Resident
Strategies for … Team Responsibilities
Embrace residents and their families as valuable and contributing partners in resident … access to relevant information
Encourage residents and their families to proactively participate in resident … care
TEAMSTEPPS 05.2
Mod 2 LTC 2.0 Page ‹#›
Team Structure
7
Resident and Family Responsibilities … Provide accurate resident information
Comply with the prescribed plan of care (e.g., schedule and attend
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ce.effectivehealthcare.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - Tracking Tool for Use in Nursing Homes (ZIP, 538 KB)
This pre-programmed Excel workbook compiles resident … Resident COVID-19 Vaccine Administration Record (Word, 92 KB)
This one-page record-keeping tool allows … nursing home staff to collect information on every resident who is offered the COVID-19 vaccine, including … Instructions for Resident COVID-19 Vaccine Administration Record (PDF, 307 KB)
These instructions … guide nursing home staff on how to enter the information requested in the Resident Vaccine Administration
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - If
a resident is colonized,
that resident could still
spread the germs to
other people. … resident … Both the resident and the resident’s care team and
family should be involved in resident moves. … ▪ A resident with an MDRO should not be moved to a room with a resident who is
dependent on staff … ▪ Explain to the resident and family why the resident is being put into isolation.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - The downside to this approach is that it is invasive and can be uncomfortable for the resident. … If available, these tests should be considered for a resident with pneumonia. … Slide 14
Case 3
SAY:
In the afternoon you ask the resident to cough and spit in a cup. … Ask the resident to rinse her mouth out with water before collection. … Explain to the resident that you need phlegm from her lungs, not just spit from her mouth.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_ig_teamstructure.pdf
June 27, 2017 - • Partnering With Residents
and Families
• Multi-Team System for
Resident Care
TIME: 50 minutes … Resident and
family responsibilities include:
• Providing accurate resident information. … The Core Team is based where the
resident receives care. … care team,
market perception, operational efficiency, and resident safety. … PARTNERING WITH THE RESIDENT
CARE TEAM RESPONSIBLITIES
RESIDENT AND FAMILY RESPONSIBLITIES
MULTI-TEAM
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - Remove gloves after caring for the resident.
Barrier Precautions
1. … How should a resident with an indwelling urinary catheter be bathed? … What personal protective equipment (PPE) should be worn when bathing a resident? … Due to resident choice, this can become a gray area. … · PT generally assesses the ability of the resident to "transfer" him/herself.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - Resident bowel documentation
1. … Resident bladder documentation
1. … Report Sort
Sort report by resident last name or room number for a single nursing unit and keep resident … 3
IHA
IM
2
Resident D
113
49
12/30/13
HEEL R
43
4
4
IHA
WO
3
X
Resident D
113 … Report Column
Data Source
Valid Input/Display
Resident Name (last, first)
Wound Assessment
Resident
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - The resident remains on ciprofloxacin. … Does the resident have symptoms that suggest an infection? … The resident had pain with urination and suprapubic tenderness. … And so, the resident did not improve and instead developed pyelonephritis. … While these steps are important, they will likely help only this resident.