HEy, lost first one..here are a few biggies:
, they are focusing more on these.
Falls- are care planned
Glucometer, testing, cleaning and usage documentation, crucial.
Documentation, on everything. Incidents, new procedures, meds, hospital visits, etc
Doctors orders- wander guard, side rails etc..
MDS policy, strict with the new 3.0
Appointments- if missed, please document why and care plan if necessary.
Meds with clear parameters.
ABT with parameters
Anti psychotic treatment sheets
Proper DNR requirements.
Proper diet, time, consistency, and temp.
These off the top of my head, but many more. Appointments are big right now. INR too. Follow up, of any kind.
I will let others talk, good luck, peace!