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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - PowerPoint Presentation
Assessment of the Resident With a Suspected Urinary Tract Infection
Long-Term … Examine the resident. … If the resident is asymptomatic, a positive urine culture indicates asymptomatic bacteriuria rather than … Treating a resident for asymptomatic bacteriuria can lead to harmful side effects. … Urinalysis and urine culture should only be sent if the resident is symptomatic, NOT if urine appears
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Always follow the “Rights of Medication Administration,” which include the:
• Right resident
• Right … Introduce yourself and confirm the identity of the
resident using two forms of identification. … Confirm the medical order and resident consent. … Consider rubbing the skin prior to
the vaccination to reduce pain and calm the resident. … Resident Weight Needle Length
Men and women less than 130 lbs 1 inch
Men and women up to 152 lbs
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - the resident
was observed engaged in prior to the fall. … Position the resident was found in. … If any of the following
rules are true for a given resident, an X will be displayed for that
resident … Resident Care Plan
c. Postfall Assessment
d. … This field reflects what the resident was
doing at the time of the fall.
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/engage.html
March 01, 2017 - Universal ICU Decolonization Protocol
Engage Residents and Families
Resident … and Family Engagement brochure for residents ( PDF , 132 KB)
Describes what resident and family engagement … Resident and Family Engagement: What Is My Role as a Leader? … Resident and Family Engagement Module, Long-Term Care Safety Toolkit
Defines resident-and family-centered
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www.qualitymeasures.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
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
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? … · Do you feel comfortable talking about resident safety in your facility? Why or why not? … How can you integrate across projects to improve resident safety?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
March 01, 2017 - Therefore, the diagnosis of UTI should always be a diagnosis of exclusion if the resident has a positive … a reflex or habit, you might bring up the concept that overuse of antibiotics can cause harm to the resident … consider pointing out that you will help assess for any deterioration, and treating the urine in a resident … How can I explain to a resident why we decided to not conduct a urinalysis or urine culture? … How do you start to change resident safety culture when the family asks for the patient to be sent to
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
March 01, 2017 - is designed specifically for long-term care staff and asks for their opinions about the culture of resident … The survey can help facilities assess staff perceptions of resident safety culture and track changes … survey results are useful for measuring organizational conditions that can lead to adverse events and resident … These surveys can be used to:
· Raise staff awareness about resident safety and why it is so important … Results from the AHRQ database track changes in staff perceptions of resident safety culture over time
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.docx
March 01, 2017 - Due to the lack of evidence-based literature[endnoteRef:1], an optimal bathing method for resident hygiene … [1: The literature primarily addresses resident bathing in acute care, with very few studies focused … While some studies found gram-positive and gram-negative organisms on bath basins after resident use, … 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.
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/best-practices/cellulitis.html
May 01, 2022 - Effects
Pocket Cards & Posters
Assessment and Management of the Resident … Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection – Video (24 … Page originally created June 2021
Internet Citation: Assessment and Management of the Resident
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - You recall a recent resident who was transferred to the hospital for an INR of >7. … Let’s review the events that may have led to a poor outcome for this resident. … The nurse does not assess the resident. … A reduction in adverse events means improved resident safety and sometimes cost savings. … · Number of antibiotic starts per 1,000 resident-days
· Days of antibiotic therapy per 1,000 resident-days
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - 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. … Assess what is currently working by reviewing cases of resident safety issues (e.g., CAUTI) each month
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
March 01, 2017 - Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes. … Image: Staff with a resident in a wheelchair
5. Harris-Kojetin L, Brannon D, Barry T, et al. … Resident advocates.
Image: Staff walking
4. Cready C, Yeatts D, Gosdin M, et al. … Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes. … Nurse aide empowerment strategies and staff stability: Effects on nursing home resident outcomes.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/maintenance-checklist.html
March 01, 2017 - For All Indwelling Urinary Catheter Procedures:
Resident Name. … Identify the resident by completing the fields for resident full name, medical record number, unit/room … Identify the resident per facility policy. Explain the procedure to the resident.
2. … Assess the resident for any pain or discomfort.
7. … Use a dedicated urine collection device with a resident identifier and date.