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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - COPD 4 X X X X X X 1 X X 2 2 1
Resident D 80 1 Gastroenteritis 1 GI bleed 3 X X X X X X 2 X 1 1
Resident … A 11/11/2013 Angina X X X X X
Resident B 11/20/2013 UTI X X X X 1
Resident C 11/15/2013 Anemia X X … X X X X 1
Resident D 11/13/2013 COPD X X X X X 1
Resident G 11/2/2013 Gastro-
enteritis
X X X X … X X X
Resident G 11/11/2013 Fracture X X 1
Resident J 11/20/2013 G tube
replacement
X X X 1
Resident … Resident T 11/30/2013 Asthma X X X X X X 1 1
Resident Y 11/30/2013 Laceration X X
Total reasons 21
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - COPD 4 X X X X X X 1 X X 2 2 1
Resident D 80 1 Gastroenteritis 1 GI bleed 3 X X X X X X 2 X 1 1
Resident … A 11/11/2013 Angina X X X X X
Resident B 11/20/2013 UTI X X X X 1
Resident C 11/15/2013 Anemia X X … X X X X 1
Resident D 11/13/2013 COPD X X X X X 1
Resident G 11/2/2013 Gastro-
enteritis
X X X X … X X X
Resident G 11/11/2013 Fracture X X 1
Resident J 11/20/2013 G tube
replacement
X X X 1
Resident … Resident T 11/30/2013 Asthma X X X X X X 1 1
Resident Y 11/30/2013 Laceration X X
Total reasons 21
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_slides_sitmon.pdf
June 27, 2017 - Mod 5 LTC 2.0 Page 7
Situation
Monitoring
• Resident History
• Vital Signs
• Medications
• … • Status of Team’s
Resident(s)
• Goal of Team
• Tasks/Actions That Are or
Need To Be Completed … Mod 5 LTC 2.0 Page 13
Situation
Monitoring
Includes knowing…
• Status of the resident
• Status … team
• Request information from others
• Direct information to specific team members
• Include resident … Shared Mental Model
• Adaptability
• Team Orientation
• Mutual Trust
• Team Performance
• Resident
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_ig_msmt.pdf
October 18, 2017 - In the case of
TeamSTEPPS, results include resident outcomes, such as
the number of pressure ulcers … and resident perceptions of
care, and clinical process outcomes, such as the number of
structured … Observing the nursing staff placing orders to the pharmacy or
reconciling resident medication orders … • Clinical process measures, such as length of resident wait
time, medication administration … the impact of resident safety interventions.
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/handoff.html
May 01, 2023 - Consider the following example of an effective handoff:
A second-year resident is handing off their … patient to the night-team resident and shares that the patient is unstable; presents relevant background … The off-going resident also says the patient needs respiratory treatments every 2 hours, with arterial … The off-going resident then gives the receiving resident an opportunity to repeat the plan back and ask
-
www.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - or presenting this presentation, viewers will be able to—
Discuss the diagnostic approach to a resident … Allergy (PDF, 230 KB)
One-Page Document – Antibiotic Side Effects (PDF, 293 KB)
Approaching the Resident
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - No. 17(21)-0029
June 2021
Does the resident have symptoms that
suggest an infection? … Re-evaluate the resident and
review results of diagnostic tests. Can we
stop antibiotics?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
Does the resident have symptoms that suggest an infection … Re-evaluate the resident
and review results of diagnostic tests. Can we stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - a Urinary Tract Infection
For residents without an indwelling catheter, initiate antibiotics if the resident … Thromboembolic disease should be considered when a resident presents with an erythematous or swollen … Minimum Criteria for Initiating Antibiotics for a Lower Respiratory Tract Infection
If a resident has … If a resident is afebrile with COPD, and classified as high-risk because of age >65, initiate antibiotics … if the following criterion is met:
New or increased cough with purulent sputum production
If a resident
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - The Physician Orders for Life Sustaining Treatment (POLST) form is the best-accepted method to record resident … or without positive urine culture)
Upper respiratory infection (common cold)
Bronchitis or asthma in resident … symptoms
Suspected or proven influenza in absence of secondary infection
Respiratory infections in resident … They include:
- a positive urine culture in an asymptomatic resident
- a positive urine culture ordered … Note that resident/family/staff education is important because some people assume antibiotics are the
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Presentation: Program Overview
Assessment of the Resident With a Suspected Respiratory Tract Infection … large airways; 90% caused by viruses.
‹#›
Assessment of RTI
4
Case 1: Sandy
75-year-old resident … Place the resident on standard and droplet precautions—this means she will need her own room. … Test the resident’s roommate, anyone else with close exposure to the resident, and any of the residents … x ray does not show any acute changes to suggest pneumonia
What do you think is going on with this resident
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiological-cultures.pdf
June 01, 2021 - method
o Always clean urethral meatus prior to collection
o Consider collecting urine after the resident … Ask the resident to rinse his/her mouth out with water before collection and tell the resident you need
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - , a senior
surgical resident, one surgical intern, and two fourth-year medical students
(n = 9). … never
discovered by a senior resident. … Thus, all the discernable resident
responses involved few overt or sustained reactions. … or resident team.” … For example, a junior resident should not be making
intern mistakes.
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Surgery Attending
Anesthesia Attending
Surgery Resident
Anesthesia Resident
Nurse
Anesthesia … Surgery Attending
Surgery Resident
Anesthesia Attending …
Anesthesia Resident
Anesthesia Certified Registered Nurse
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - ☐ Surgery Attending
☐ Anesthesia Attending
☐ Surgery Resident
☐ Anesthesia Resident
☐ Nurse
☐ Anesthesia … Surgery Attending
Surgery Resident
Anesthesia Attending
Anesthesia … Resident
Anesthesia Certified Registered Nurse Anesthetist
Circulator
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - Our ability to intervene earlier to prevent resident decline and the need for resident transfer is going … The resident was more confused than usual, lethargic, and not eating or drinking. … Facilitator: Where do you find the information that you need to send with the resident? … Is it something that you use with every resident? That sounds like a lot of work. … We don’t investigate what led to the resident getting short of breath.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
December 01, 2017 - It includes inspection of:
Resident rooms and bathrooms.
Canes, walkers and wheelchairs. … If the answer to a question is "yes" or "does not apply to this resident or room," the nursing assistant … If the resident has a cane or walker, the nursing assistant should inspect it carefully. … If the resident has a wheelchair, "Inspect wheelchair" should be checked. … This is an important step in assuring resident safety.
5.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
May 10, 2017 - found wandering during the night,
which was a change for this resident … and the plan of care to ensure resident
safety. … wandering during the night, which was a change for this resident … wandering during the night, which was a change for this resident … wandering during the night, which was a change for this resident
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www.ahrq.gov/news/newsroom/case-studies/cdom0801.html
October 01, 2014 - If a resident falls, the staff on duty assess the reason for the fall and implement interventions to … The case of each resident who falls is reviewed by the falls management team at their next meeting. … aids such as hip, elbow, or knee pads; beds that are low to the floor; and soft helmets, depending on resident … patients are admitted, staff conduct a routine, thorough evaluation and assessment, screening each resident … Ouslander's work also addressed several factors that can play an important role in medical errors and resident
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/2.html
December 01, 2017 - Review all physician orders, current to oldest, to resident admission date and display date closest and … Report Column
Data Source
Valid Input & Display
Resident Name
Registration
Display the … resident last name, first name or initial; use EMR vendor name format for reports. … Room Number
Registration
Display the resident room number; use EMR vendor format. … Display the date when the resident was last seen by a physician (MD) or nurse practitioner (NP) or physician