guide designed to identify each residents psychosocial response to noncompliance as the
basis for determining psychosocial severity of a deficiency
The completed I.P data is shared and the TC confirms that the data is complete.
1. intervieable
2.Noninterviewable
3.Refused
4. Unavailable
5. Out of facility.
,Term 2 of 150
What is reviewed for compliance with the Antibiotic Stewardship program?
Residents with the most concerns
Residents with concerns R/T QOL and RR
Residents selected for unnecessary med review
prior survey and complaint results
underrepresented areas of facility.
1. AB use protocol on prescribing
2. Protocols to determine if AB is indicated
3. A process for review of AB use by prescribers
4. Protocols to ensure resident are prescribed the appropriate AB
5. A system for feedback reports
These are measured when someone may be taking iron. Many people on dialysis have low
iron and need replacement
Anticholinergic symptoms dry people out. So dry eyes, consitpation, dry brain so
confusion, less urine so infections or retention, dry mouth so swallowing difficulties, dry
skin
Term 3 of 150
What is BUN?
blood urea nitrogen. This can measure function of kidneys.
The entire population, not a subset, not a hall, but ALL
165 degrees for 15 seconds within 2 hours
Certification and Survey Provider Enhanced Reporting
,Term 4 of 150
akathisia
above 41degress or below 135 degrees
Environment, Personal Funds, Resident Assessment
Syndrome of symptoms like Parkinson's
medication-induced Parkinsonism, and dystonia.
Term 5 of 150
What is the purpose of medication administration observation?
To briefly screen all residents and observe, interview and complete initial record review.
Verify that the facility meets the requirements of error rate of 5% or less, and residents are
free from significant medication errors.
25 opportunities
variety of residents, staff on different shifts and units
Variety of routes (PO, SC, ophthalmic etc.)
a neurological side effect that may occur within a few day or years of treatment with
antipsychotics. Includes various syndromes such as
Term 6 of 150
What must you do prior to observing resident care?
25 opportunities
variety of residents, staff on different shifts and units
Variety of routes (PO, SC, ophthalmic etc.)
A providers noncompliance has caused, or is likely to cause, serious injury, harm,
impairment or death.
Verify that the facility meets the requirements of error rate of 5% or less, and residents are
free from significant medication errors.
Have consent from the resident or resident rep., and facility nurse staff must be available
during the observation.
, Definition 7 of 150
1. specific action or lack of action relative to requirement
2. Practice the facility implemented or failed to implement
3. what the facility did or di not do to cause the noncompliance
4. The actual or potential outcome that resulted from the noncompliance.
What are the factors in determining Noncompliance
What is Critical Control Point (CCP)
What is the purpose of the initial pool process?
What does an Extended Survey further evaluate?
Term 8 of 150
What do you do if an interviewee says you cannot use the information they reveal?
-GI upset, anorexia, ectopic heart beats, A. fib, heart blocks, VISUAL DISTURBANCES and
disorientation.
You cannot use the revelation but you can investigate the issue with other residents
Residents with the most concerns
Residents with concerns R/T QOL and RR
Residents selected for unnecessary med review
prior survey and complaint results
underrepresented areas of facility.
If the number of residents is unreasonable after exporting the survey shell
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