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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/WorkplaceSafetyForNursingHomes.pdf
January 01, 2023 - Staff clean their hands before and after helping
residents with personal care ..................... … Equipment or assistive devices are available
when needed to help move, transfer, or lift
residents … Staff use equipment or assistive devices
when needed to help move, transfer, or lift
residents ... … • Inappropriate verbal communication toward staff, such as residents yelling, using offensive
language … Staff are trained on how to de-escalate or calm
down situations when residents are agitated or
upset
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - This is the total number of days all residents at your facility were on an antibiotic during a specific … The form asks for the total number of days residents were administered each antibiotic listed on the … It measures the total number of days residents received a particular antibiotic. … For each antibiotic, enter the total number of antibiotic starts for all residents who received that … For example, if three residents were started on ciprofloxacin during the month of January, one for 3
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI (CAUTI): subrapubic pain and fever; residents … blood cells)
· A positive urine culture is defined as ≥100,000 cfu/mL of a urinary pathogen4 (≥1,000 in residents … catheter is in place, remove and replace it before sending UA and culture4
· Do not start antibiotics in residents … Encourage oral hydration.1
· Consider phenoazopyridine (pyridium) to relieve urinary pain.11
· For residents … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
December 01, 2017 - Information and Training for Staff, Primary Care Providers, and Residents and their Families
Chapter … Activity programs for frequent structured supervision of residents?
12. … Staff Training and Information for Primary Care Providers, Families, and Residents (Chapter 5)
Yes … Information for families and residents on falls risk reduction?
6. … Chart Audit Instructions: Select the charts of 5 residents who have fallen within the past 6 months.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Discussing Infection Concerns About Residents With … SAY:
In this presentation, we are going to discuss some scenarios that may occur when talking with residents … Finally, we will discuss approaches to providing supportive and comfort care measures for residents who … Most residents will improve with supportive care alone. … Acknowledging these struggles may help some residents and families find some measure of peace.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion-key.docx
March 01, 2017 - Facilitator Notes
For example, staff will sometimes forget to clean and disinfect equipment between residents … Facilitator Notes
For example, educate staff about the importance of cleaning/disinfecting equipment between residents … Inform the residents that staff will be cleaning and disinfecting equipment between residents to ensure
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Explain catheter care and maintenance strategies that facility staff can use to prevent residents from … Slide 3: Protecting Residents Against Infection
The Chain of Transmission: Six Links
Image: It … associated with increased risk of infection in residents include—
Lower level of cleanliness . … Also think about where the dispenser is stored – can residents access the wipes? … Clean environment and clean equipment keep residents safe.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - Overall Perceptions of Resident Safety Residents are well cared for and safe. … and keep residents
safe, because there is not much staff turnover. … YES, I work directly with residents most of the time 2,003 66%
NO, I do NOT work directly with residents … (Item D1) 86%
This nursing home does a good job keeping residents safe. … (Item A3) 24%
Residents’ needs are met during shift changes.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - An estimated 7 to 10 percent 3 of all LTC residents have urinary catheters, including 12 percent 4 … How will it help you care for residents? … CAUTIs and other HAIs into the policies and procedures related to the care of residents' needs. … Infections in residents of long-term care facilities: an agenda for research. … Nursing Facilities, Staffing, Residents and Facility Deficiencies, 2009 through 2014 .
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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … Antibiotics
Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents … Antibiograms should be shared with all health care providers who may prescribe antibiotics for residents … This includes residents’ physicians, but may also include local hospitals, urgent care facilities, or … other inpatient facilities to which residents may be transferred.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.pdf
October 01, 2016 - and lower respiratory tract infections are the most
commonly treated infections among nursing home residents … Residents with an intermittent catheter or a condom catheter should be evaluated as if
they are not … For residents
with acute dysuria, it may be appropriate to initiate empirical antibiotic therapy; but … For residents that regularly run a lower temperature, use a temperature of 2°F (1°C)
above the baseline … These criteria do not apply to residents with burns.
7.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-bacterial-pneumonia.pdf
June 01, 2021 - infiltrates on chest x
ray usually indicates viral pneumonia5,6
• Fewer than 15% of nursing home residents … cough suppressants, fluids, supplemental oxygen, nebulizer treatments, chest physical
therapy
• Residents … with influenza should receive oseltamivir16
• Residents who are generally in reasonable health and … Development of minimum criteria for the initiation
of antibiotics in residents of long-term-care
facilities … Utility
of pulse oximetry in diagnosing pneumonia in
nursing home residents.
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - When staff, residents, and family members have mastered effective communication, everyone on the team … must care for those residents. … Slide 22: Communication Strategies for Use With Residents and Family Members
Say:
Next we will … Slide 24: What Is Effective Communication Between Staff and Residents and Family? … to speaking up that many staff and residents and family have noted.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs2.html
October 01, 2015 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … -Mexico Border
Part 4: Health Care of Residents of the U.S. … Use of Restraints in Nursing Homes
Long-stay nursing home residents experiencing use of restraints, … Denominator: Long-stay residents, who are defined as having a cumulative stay greater than 100 days … Importance: Residents who are restrained daily can become weak, lose their ability to go to the bathroom
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
March 01, 2017 - When staff, residents, and family members have mastered effective communication, everyone on the team … must care for those residents. … This can include a review of residents with an indwelling urinary catheter, the approved indication for … When staff involve residents and families in the resident’s care planning, the resident is more likely … Encouraging the residents and family to ask questions, and offering positive reinforcement when they
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - Long-term care residents Yes No
B. Short-term care residents Yes No
C. … Do you develop a care plan for residents at risk for hospital transfers? … Standing daily weight orders for residents with CHF? Yes No
ii. … Standing rescue orders for residents with COPD? Yes No
iv. … knowledge of residents’ health and risks.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/index.html
May 01, 2018 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … -Mexico Border
Part 4: Health Care of Residents of the U.S. … Coordination
Effective Treatment
Healthy Living
Care Affordability
Part 4: Health Care of Residents … Complications Among Inpatient Hospital Stays for Mental Health or Substance Abuse
Border County Residents … Part 4: Health Care of Residents of the U.S.-Mexico Border [ PowerPoint , 3.14 MB; HTML ].
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … with recent changes in risks
Profile risks for each resident in report
Prioritize residents for possible … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the … Prioritize residents who may need care plan changes.
Discuss care plan changes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Does information exist to identify residents at risk?
How can this information be used? … What are obstacles to staff obtaining the information needed to identify residents who need changes in … with recent changes in risks
Profile risks for each resident in report
Prioritize residents for possible … aligns with staff’s knowledge and assessment of these residents, or they will lack confidence in the … Prioritize residents who may need changes to care plans.
Engage in discussions about care changes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - • Especially consider in residents who received antibiotics
in previous 60 days and have one or more … How to Isolate Culture-positive Residents:
• Limit time outside of room for C. difficile positive resident … How to Isolate Culture-positive Residents:
• Do not use contact precautions in the absence of a
draining … How To Isolate Culture-positive Residents:
• Do not use contact precautions in the absence of
a draining