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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - CUSP draws on the wisdom of frontline providers
who have practical knowledge regarding resident safety … Resident and Family Engagement defines resident- and family-centered care, explains why
engaging these … He/she should promote
HAI/CAUTI reduction and resident safety culture goals, assemble the core team, … include the resident and
family as part of the safety improvement team. … The brochure, “Resident and Family Engagement: What is my role
as a leader?”
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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
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www.talkingquality.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?
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www.talkingquality.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.
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www.talkingquality.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.
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www.talkingquality.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.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - Addressing Inappropriate Resident Behavior Toward Staff (3 items)
4. … The one we [have sometimes
tilts] over when we try to get
a resident up.” … Staff [are] treated
differently depending on who
they are.”
49
Addressing Inappropriate Resident … behavior
63
Composite Measure Average 66
Addressing Inappropriate Resident Behavior
Toward Staff … “Staff are burned out
and tired, so this
means resident care is
not what it should be.”
57
Overall
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.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.
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www.talkingquality.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
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www.talkingquality.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
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www.talkingquality.ahrq.gov/nursing-home/learning-modules/health-learning.html
November 01, 2022 - Residents’ Emotional Health Learning Module
This learning module will help you recognize when a resident … This brief video will help you recognize when a resident may need support to resume normal activities
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www.talkingquality.ahrq.gov/nursing-home/materials/staffing.html
June 01, 2021 - Assess Resident Population and Staffing Model
Identify staffing needs with a review of your current … workforce and resident population during the COVID-19 pandemic. … Conduct a brief review of census, occupancy, and resident location.
… Align current staffing model with occupancy and resident needs to determine efficiency of staff assignments … Review care schedules, nursing processes, and resident acuity to determine essential and non-essential
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www.talkingquality.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