-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - If you suspect that a resident has a CAUTI, ask yourself two easy questions:
Does the resident have … Reason 1
IT'S BAD FOR THE RESIDENT! … Then escilates to "This makes me uncomfortable..." and finally "This is a resident safety issue!" … Slide 10: Avoid Knee-Jerk Antibiotics
Remember, unnecessary antibiotic use can lead to—
Resident … harms
An increase in antibiotic resistant organisms
Be aware of overuse if the resident has
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
September 29, 2017 - Sample Falls High-Risk Report
Unit:
Date: ___/___/___
Resident
Within 90 Days
Within 7 Days … A
122
X
X
X
X
X
X
25*
X
Resident B
114 … A resident must meet at least one of these rules to be displayed on the High-Risk Falls Report. … Each resident who experienced a fall likely had one or more risk factors. … location,
Position the resident was found in,
If the fall was witnessed, the activity the resident was
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_slides_comm.pptx
December 01, 2005 - Mod 3 LTC 2.0 Page ‹#›
Communication
2
Communication
Effective communication skills are vital for resident … Communication
16
“I PASS THE BATON”
Introduction: Introduce yourself and your role/job (include resident … )
Patient/Resident: Identifiers, age, sex, location
Assessment: Present chief complaint, vital signs, … Include resident/family responsibilities
Next: What will happen next? Anticipated changes? … 3 LTC 2.0 Page ‹#›
Communication
17
Other Example Handoff Tools
I PASS
Illness severity; Patient/Resident
-
www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Resident work hours. … Measuring Resident and Staff Experience. … Screenshot of HWHHS toolkit for reducing resident work hours. … Systematic
review: effects of resident work hours on patient safety. … Resident Duty Hours: Enhancing Sleep,
Supervision, and Safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
October 01, 2016 - Check each box that applies from your assessment of the resident. … Is the resident shivering or experiencing “rigors?”
Is there a new onset of delirium? … 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. … If a resident has a high temperature, or a fever of 102 or higher, the resident needs to have symptoms
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - by Unit or Facility)
Contextual Factors Report (by Unit or Facility)
Postfall Assessment Report (by Resident … The name of the person who witnessed the fall, OR the name of the person who found the resident (if the … The location where the resident fell.
The position the resident was found in. … A 122 X X X X X X 25* X
Resident B 114 X X … X X
Resident E 112 X X
Resident F
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-nh_webcast-famolaro.pdf
September 21, 2022 - Overall Perceptions of Resident Safety
85%
86%
50% 100%
2. … Supervisor Expectations & Actions Promoting Resident Safety
81%
88%
52% 100%
34 … Overall Perceptions of Resident Safety
1. … Organizational Learning,
Overall Perceptions of Resident Safety,
Training and Skills,
Willingness … to Recommend, and
Overall Rating on Resident Safety
Yount N, Zebrak KA, Famolaro T, Sorra J, Birch
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_overview.pdf
April 24, 2017 - However, resident safety means so much more
than just physical plant or environmental safety precautions … TeamSTEPPS is about
the processes and systems that can support resident safety during care delivery … care,” “resident-directed care,” and
“person-centered care”. … To avoid confusion, within the Long-Term
Care version, we have taken the position that safe resident … The most
notable is the change from “patient” to “resident.”
-
www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
January 01, 2024 - Resident care is complex. … The first section, Resident Management, evaluated which technologies were used to support resident
care … The instrument’s Resident
Care Management and Resident Care Activity sections included four questions … care IT capabilities, resident care extent of IT use, resident care IT
integration, and total IT sophistication … in extent of IT use in resident care was +1.91; and the
difference in degree of IT integration in resident
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.html
March 01, 2017 - Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident … culture in a long-term care facility, and provides tools and strategies to improve communication and resident … Safety Culture
A survey available for nursing homes that helps facilities assess staff perceptions of resident … It is designed to assist you in developing skills and strategies to improve all aspects of resident safety
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module3/ts2-0ltc_module3_ig_comm.pdf
October 18, 2017 - Example 1:
A resident is experiencing a new problem with her eye. … I Introduction—Introduce yourself and your role/job (include
resident). … P Patient/Resident—Name, identifiers, age, sex, location. … – Nurse shift change report focused on an unstable resident. … • How would you communicate the treatment protocol to the resident?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - The resident completed the antibiotic course. … The holes are the errors or missed opportunities to stop harm of a resident. … A number of problems affected the care of this resident. … The prescriber should have either seen the resident herself or asked a nurse to reassess the resident … That is what happened for this resident.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.html
March 01, 2017 - Due to the lack of evidence-based literature 1 , an optimal bathing method for resident hygiene and comfort … first want to conduct a risk assessment to determine ideal placement of the germicidal wipes within the resident … A resident identifier (i.e., name, room number and basin date) should be clearly displayed. … for other items (e.g., shoes, hair brushes, combs, soap).
1 The literature primarily addresses resident … While some studies found gram-positive and gram-negative organisms on bath basins after resident use,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - ............................................................................................... 5
Resident … Leadership and staff perceptions of
resident harms such as CAUTIs or falls, and staff harm such as a … Engaging Partners in Care
Improving resident safety by reducing CAUTIs and other HAIs and improving … Resident and Family Engagement
Improving resident safety and reducing HAIs requires a team effort and … should include the resident and
family as part of the safety improvement team.
-
www.ahrq.gov/teamstepps/longtermcare/module6/igltccommunication.html
November 01, 2012 - people have an important role in affecting the care of the resident. … The resident is successfully resuscitated but now lies in a vegetative state. … I Introduction —Introduce yourself and your role/job (include resident) P Patient/Resident —Name … Nurse shift change report focused on an unstable resident. … As a result, improved communication provides for a safer resident care environment.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - The report is designed to help nursing staff see the changes in resident clinical status earlier and … Description
This weekly report displays resident identifier, resident age, and advance directive status … A resident is considered high risk for hospital or ED visit based on one of three rules:
Rule 1: … Rule 3: High risk based on high-risk change in condition within last 7 days
Criteria: Resident has … Any resident with an ED visit date within 30 days of the report date displays on the report.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - Identifying Targets
6
Case #1
7
Resident develops pain with urination. … She starts resident on a 7-day course of ciprofloxacin. … The resident remains on ciprofloxacin. … Identifying Targets
8
Case #1, continued
9
5 days later, the resident develops back pain and a fever … has a positive urine culture—even if the resident does not have symptoms.
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-chap1.html
November 01, 2014 - Charts
Appendixes Executive Summary
Appendix A
Appendix B
Resident … Achieving a culture of resident safety requires an understanding of the values, beliefs, and norms about … what is important in a nursing home and which attitudes and behaviors related to resident safety are … Developers reviewed literature pertaining to resident safety in nursing homes, health care quality, medical … home for their family (also called "willingness to recommend") and to provide an overall rating on resident
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
November 02, 2017 - Falls Risk
• Section 2: Falls Prevention Plan
• Section 3: Investigations/Root Cause Analysis of Resident … vendor and have decided to use these reports to create electronic risk
information to help prevent resident … Falls Risk
• Section 2: Falls Prevention Plan
• Section 3: Investigations/Root Cause Analysis of Resident … Is a standardized assessment tool used to assess resident risk for falls? … was found on (e.g., wet
floor, uneven terrain)
Description of resident gait
Resident footwear
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
February 03, 2006 - Assisting each other
Providing and receiving feedback
Exerting assertive and advocacy behaviors when resident … Page ‹#›
Mutual Support
5
Task Assistance Example
Two members of the GI Laboratory are assessing a resident … Exercise
A staff development nurse watches a nursing assistant use a mechanical lift to transfer a resident … Ahead of her, she sees a nursing assistant escort a resident into his room and close the door. … Worried about the comfort of her resident, who has difficulty breathing in warm weather, she raises her