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21. PowerPoint Presentation (ppt file)
    www.cahps.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

22. The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
    April 01, 2017 - Slide 3: How Can Ordering Urine Cultures Lead To Resident Harms? … Meanwhile, the real problem that is causing the resident to have fever, or confusion, or malaise, may … as a CAUTI—even if the resident clearly has another source of the fever. … To make this really clear with a simple example, if your resident has obvious gangrene of the leg, and … Bell is an 86-year-old resident of your facility.

23. Major Nursing Home Quality Measurement Sets | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/measurement-sets.html
    November 01, 2018 - Medicaid program, which includes nearly all nursing homes in the United States, must submit periodic resident-level … These include: The health and functioning of the resident. … The services being provided to the resident. Changes in the resident’s status. … Home Surveys assess the experiences of nursing home residents and family members: The Long-Stay Resident … The Short-Stay Resident Instrument assesses the experiences of residents who stayed less than 30 days

24. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - There are a few questions that put the issue of resident safety in real terms. … Would you want a loved one to be a resident there? Would you want to be a resident there? … How do you think the next resident could be harmed in your facility? … Slide 12: Resident and Family Engagement Say: In the Resident and Family Engagement module, we … How can you integrate across projects to improve resident safety?

25. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes.  … shows a positive relationship between staff empowerment and resident quality of life. … This leads to happier staff, which increases resident satisfaction and perception of care. … advocates and can recognize and respond to resident needs in real time. … satisfaction and resident safety.

26. Collection of Microbiological Cultures (pdf file)
    www.cahps.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

27. Leading Teams (Instructor Guide) (pdf file)
    www.cahps.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

28. 5 Tk1 T1-Background Final (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
    October 01, 2016 - These tools utilize microbiologic data from resident specimens from a nursing facility to estimate prevalence … • Selection of empiric therapy in a particular resident should not be based solely on an antibiogram … Antibiograms provide guidance for empiric antibiotic use in residents, but other factors including resident

29. Tool: Handoff | Agency for Healthcare Research and Quality
    www.cahps.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

30. Clean Equipment and Environment Promotes Safe Resident Care | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
    March 01, 2017 - LTC Facilities Toolkit Sections Clean Equipment and Environment Promotes Safe Resident … ICU Decolonization Protocol Clean Equipment and Environment Promotes Safe Resident … Indwelling urinary catheters are important medical devices that can be essential to providing quality resident … After any contact with the resident or his/her environment as you are exiting the room. 4. … Dedicate one device per resident . 6. Rutala WA, Kennedy VA, Loflin HB, et al.

31. Introduction Instructor Guide (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
    June 22, 2017 - • The resident’s nurse is busy helping another resident (TEAM MEMBERS). … When assessing resident status, consider the following: • Resident history; • Vital signs; … – Resident was sweaty and short of breath. … – Resident was not keeping up the same pace as in previous therapy sessions. … • The resident’s nurse is busy helping another resident (TEAM MEMBERS).

32. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
    March 01, 2017 - 3 Would you want a loved one to be a resident at your facility? … Would you want to be a resident in your facility? … Resident and Family Engagement. Sustainability. … Image: A gorup of people with a resident in a wheelchair Slide 12: Resident and Family Engagement … Image: A group of people with a resident in a wheelchair.

33. Provider Contact Information (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
    January 29, 2021 - speak with a hospital inpatient Pediatrician, ask to speak with the “General Pediatrics Admitting Resident … and request to speak with the appropriate Pediatric Specialty doctor or General Pediatrics Admitting Resident … weekends, or holidays remain on the line and request to speak with the General Pediatrics Admitting Resident

34. 5 Tk1 T4-Antibiogram Formats And Instructions Final (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
    October 01, 2016 - director can draft a caution alerting prescribers to avoid these drugs unless culture results from the resident … Selection of empiric therapy in a particular resident should not be based solely on an antibiogram. … Refer to microbiologic lab results for %S information for a specific resident. … Refer to lab results for specific susceptibility of individual resident isolates. … If chosen for empiric therapy, you should prescribe only a 24–72-hour supply and reassess the resident

35. Learn Best Practices for Common Infectious Syndromes | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
    June 01, 2021 - Assessment and Management of the Resident With a Suspected Urinary Tract Infection   Assessment and … Management of the Resident With a Suspected Respiratory Tract Infection Assessment and Management … of the Resident With a Suspected Skin or Soft Tissue Infection Penicillin Allergies and Other Side

36. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - The Resident and Family Member Education toolkit helps the nursing home (1) encourage an open and respectful … provided in both a: Long version ( PDF ) ( Word ) and a Short checklist version. ( PDF ) ( Word ) Resident … risks associated with unnecessary antibiotic use to treat a suspected UTI (tool 5). ( PDF ) Managing Resident … When a resident has tested positive for drug-resistant bacteria, the Resident Information Sheet (tool

37. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - The resident examines the patient and finds her to be dilated 3 cm. … The senior resident tells the intern to order Prostin and insert it. … The nurse asks the resident to insert the catheter. … The resident asks whether she can have “15 minutes to eat lunch.” … Sixty minutes later, the resident begins the workup on the patient.

38. TeamSTEPPS 2.0: Coaching Scenario 1 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
    March 20, 2014 - Scenario 3 The on-call third-year internal medicine resident was sitting in the break room talking … with the chief resident when an Intensive Care Unit (ICU) code was announced over the intercom. … The chief resident arrived first and was receiving information about the patient while examining … the patient, when the on-call resident reached the room and began calling out orders to the nurses … The OR nurse approaches the resident to discuss what happened.

39. Long-Term Care Safety Toolkit Modules | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
    May 01, 2017 - Spanish) describe how to apply the Comprehensive Unit-based Safety Program (CUSP) for long-term care resident … Teamwork and Communication Provides evidence on why teamwork and communication enhances resident safety … Resident and Family Engagement Defines resident-and family-centered care, explains why it is important …         Get To Know Your Health Care Team ( Word , 2.39 MB;  HTML ) (en español: Word , 2.38 MB)         Resident

40. About the Nursing Home Antimicrobial Stewardship Guide | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/nhguide/about/index.html
    March 01, 2023 - antibiotic medications alone, one study showed that antibiotic stewardship saved $28 on antibiotics per resident … consideration the potential costs of treating adverse health events, the cost savings was $1,098 per resident … The result is increased resident mortality, hospitalizations, and costs. … antibiotics prescribed in nursing homes are unnecessary. 3 Because it can be challenging to determine when a resident