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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Falls often have serious consequences, especially in frail older residents. … Adverse consequences of falls for residents
Reduced quality of life. … The first is through an immediate response to residents who fall. … Discussion about individual residents who fell during the past week. … Therapist will do a seating assessment for two residents.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Those who vaccinate nursing home
residents must also acknowledge special considerations for older adults … with Cognitive and Emotional Challenges1:
• Plan to spend more time with residents either before, … • Consider the time of day for talking about and giving vaccines to residents with dementia. … For residents who take anticoagulation medications, gentle
pressure may need to be applied longer to … For this reason, it is important that
you closely watch residents for 15-30 minutes after they have
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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/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Times of observations and interventions should always be noted in the resident's record, and residents … For debriefing, challenges may include:
Language barriers—Non-English speaking residents and families … in bed
The two residents, Mrs. … Mary, a nursing assistant, asks her partner, Jessica, to help her reposition two residents in bed. … The two residents, Mrs. Cali and Mrs. Peck, are roommates. Following repositioning Mrs.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate … and Engage Residents and Family Members
Tool 3. … Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate & Engage Residents, Family … No. 17-0006-8-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide Engaging Residents,
Educate … & Engage Residents, Family Family Toolkit/Tool 2 3
What Should I Do now That I Know I Have Antibiotic-Resistant
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
March 01, 2017 - Materials: Slides 3–6
Audience: All staff, including administrators and front-line staff; residents … Materials: Slides 7-9
Audience: All staff, including administrators and front-line staff; residents … If presenting to a resident council or if residents and families are present in the meeting, ask them … Ask any residents or families present to share their feelings about the videos. … Ask any residents or families present to share their perceptions of barriers.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - identify the appropriate contacts at local hospitals to which
you transfer a significant number of residents … Although most of these residents will go to the Emergency
Department, it is reasonable to reach out … q No
Express your interest in sharing the antibiogram with the
hospital, as many of your residents … the conference call. q Yes q No
Explain how you plan to transfer the antibiogram with
residents
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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/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
March 01, 2017 - Catheter Types and Being Part of the Insertion Team
Urinary Catheter Types and
Care for Residents With … AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s session on how to care for residents … It is important to know the criteria so we do not have residents with catheters who don’t need them, … You give the daily care to residents with catheters and your proper technique in catheter maintenance … Your residents and families will thank you!
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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/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - session on The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures for the residents … Thus inappropriate urine culturing can put residents at increased chances of developing drug-resistant … We know this from studies in residents in long-term care settings. … (recommendation)
Using SBAR To Communicate With Residents and Families
Sometimes, residents and families … (background)
Many residents with indwelling catheters develop something called bacteriuria.
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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 - Antibiotics can be associated with adverse events and, when administered to residents who do not need … a drug-resistant bacteria to other residents. … A study of 4 million nursing home residents found that 4 percent of residents developed an infection … · Of course, residents themselves and family members also influence antibiotic prescribing. … Second, she could unintentionally spread this resistant bacteria to other residents.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Workplace-Safety-Supplemental-Item-Set-NursingHomes.docx
January 01, 2023 - Staff clean their hands before and after helping residents with personal care
☐ 1
☐ 2
☐ 3
☐ 4
☐ … 5
☐ 9
Section B: Moving, Transferring, or Lifting Residents
How often do the following things … 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
☐ 1 … Staff are trained on how to de-escalate or calm down situations when residents are agitated or upset
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Populations
Children/Adolescents
Elderly
Low-Income
Racial/Ethnic Minorities
Rural/Inner-City Residents … customizable educational materials for in-service training of facility staff, and when appropriate, residents … Catheter Care and Maintenance
Provides best practice strategies that clinicians, frontline staff, residents … use communication strategies to address alternatives to antibiotic use with providers, LTC staff, and residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-collection-tool.xlsx
March 01, 2017 - This includes all residents, whether or not they have a catheter. … collected at the same time each day. 0
Urine Cultures: Number of urine cultures collected, for all residents … first day of the month: (e.g., 10/1/2015)
Date CAUTIs
(# of new events) Resident Catheter Days
(# of residents … w/catheters) Resident Days
(# of residents) Urine Cultures
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
January 01, 2000 - Residents’ needs are met during shift changes
A17. … Staff follow standard procedures to care for residents.
A6. … Residents are well cared for in this nursing home.
D6. … This nursing home does a good job keeping residents safe.
D8. … This nursing home is a safe place for residents.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - year, or include common infection-causing organisms even when they were not isolated
in nursing home residents … The second column shows the number of residents in the
nursing home who had the organism and were included … Yellow highlighting in any row
indicates that fewer than 30 residents were included in the set of cultures … 34 * 30 0 # of Residents 37 33 31 *† 23
Pe
ni
ci
lli
ns
Penicillin 0 100
A
m
in
og
ly
co … Our antibiogram report indicates high rates
of resistance among diagnostic isolates from our residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - plans capture a nursing home’s approach to meeting the health, safety, and
security needs of staff and residents … on the facility’s geographic area
(e.g., flooding, fire, epidemic, pandemic) and include plans for residents … physical limitations,
resident placement (e.g., to reduce the spread of infectious diseases), and residents … • The communication plan records current contact information for residents, family members,
caregivers … prepare for infectious diseases that
have the potential to pose a significant public health threat to residents
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - Talking With Residents and Family Members About Lower Respiratory Tract Infections
—
Talking With … Residents and Family Members
About Lower Respiratory Tract Infections
My mother has a
cough.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - • How might it improve residents’ experience? … • How will it help you care for residents? … 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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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/video-transcript-spanish.docx
April 21, 2014 - Many of our residents are at increased risk for infection from these organisms, due to their weakened … Your knowledge of residents´ mobility is valuable here.
Estoy totalmente de acuerdo. … This applies to everyone: nursing, dietary, CNAs, or anyone who is interacting with our residents. … And Corey, we´ll need you to help us educate residents and families, especially residents on contact … KS:
I think we´d all be happy if our residents were free from infections while under our care.
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www.qualitymeasures.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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www.qualitymeasures.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