Plan of Correction 2011


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Plan of Correction 2011

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Plan of Correction 2011

  1. 1. Plan of Correction 2011<br />
  2. 2. Environmental<br />F465: The facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. <br />F465: Cracked or uneven surfaces may harbor bacteria. <br />Toilet assist bars in the bathroom in resident room E7 were observed to be loose. The bars could be rocked. <br />
  3. 3. Environmental<br />All staff is to monitor items altering the toilet prior to use (commode, assist rails, toilet risers, etc.)<br />Housekeeping please help by checking the items when cleaning the restrooms. <br />West Wing shower room tiles were cracked and flooring had gouges in the linoleum. (Report these items on the maintenance log immediately) <br />
  4. 4. Environmental <br />
  5. 5. Environmental <br />
  6. 6. Environmental<br />
  7. 7. Call Lights<br />7 out of 10 residents stated that staff shut off their call lights and told them they would return in a few minutes, but did not return for a while. <br />W113 call light illuminated in the hallway, but no audible alarm sounded on at the nurses station to indicate the light was on. <br />
  8. 8. Call Light<br />All staff to answer call lights <br />Do not turn off call light until you meet the residents needs. <br />Call light systems volume to remain on high at all times. <br />If a call light is not functioning it must be repaired immediately or the resident is to be placed on 15min checks. <br />
  9. 9. CODE RED<br />Fire Drill/Actual Fire “CODE RED”<br />Remove those in danger<br />Alarm pull station and send someone to report to report to the charge nurse<br />Conceal close the door<br />Extinguish get the4 nearest extinguisher, feel the door for hear, if cool enter and extinguish fire. <br />
  10. 10. CODE RED<br />Nothing is to be placed in front of a fire extinguisher or pull station at any time!<br />
  11. 11. Fluid Restriction <br />F327 The facility must provide each resident with sufficient fluid intake to maintain proper hydration and health. <br />
  12. 12. Fluid Restrictions <br />No one is to give a resident fluids unless approved by the charge nurse. <br />Resident will have a blue colored wrist band on to indicate restriction. <br />Door Name Tag Identifier with cup will be on name tag.<br />Fluid restricted residents will have blue color records for ADL, Food Acceptance, and Fluid Intake Records. <br />No <br />Fluids<br />
  13. 13. Nurses Only<br />Always use nursing interventions and allow the resident time to adjust to the facility befor treating with anti-psychotics.<br />Antipsychotic Medications may never be ordered PRN and must always have a diagnosis. <br />
  14. 14. Nurses Only<br />Dialysis facilities and Long Term Care Facilities must coordinate lab draws. <br />All residents on dialysis are tracked closely in the lab tracker book. <br />Clarify with physician and Dialysis to eliminate duplicate labs being drawn. <br />Detroit Bio will not draw labs for dialysis residents unless order states, “To be drawn by Detroit Bio.” <br />
  15. 15. Nurses Only<br />Quinolone Antibiotics must be administered 2hours before or 6 hours after iron, aluminum, magnesium, calcium<br />Pharmacy will call with all alerts<br />Stickers are placed on ATB med card to warn staff of possible interaction<br /> All MAR’s are equipped with a pink sheet to warn nurses to check interactions <br />
  16. 16. Nurses Only<br />Calcium<br />Magnesium<br />Mylanta<br />Milk of Mag<br />Iron<br />Cipro<br />Levaquin<br />Tequin<br />Noroxin<br />Trovan<br />Zagam<br />Avelox<br />
  17. 17. Nurses Only<br />Review Transcription of orders Policy<br />All medication orders must state: The medication name, dosage, route, time, frequency, diagnosis. <br />On admission if there is a medication change it must be charted in the Nurses Notes. <br />Review physician order sheets and medication sheets from the hospital closely. <br />