Quote from loveleyday
i've never gone through the experience of being surveyed. any tips and advice? what kind of questions do they ask? will they expect everything to be perfect? i have 40 to 45 patients (depending on census) and i do everything from med pass to wound treatments. just thinking about it makes me sick to my stomach.:uhoh21:
State surveyors will pick residents with falls, fractures, weight loss, uti, pressure sores, restraints, catheters, and psyhcotics including hypnotics, hospice ,and diaylisis.
Take your 802 and highlight the above areas vertically all the way down the bottom of the page. Then highlight the names of residents who have any of these items. The residents who have several of these items are more likely to be picked for review.
Make sure preassessments are done. These include restraint, falls, smoking, self administration of meds, and side rails,etc. Any resident who is self medicating should have meds locked up in their room if that is where the meds are stored. Some system should be in effect for the resident to record with an "x" or whatever on a calendar when they take their meds. Then the med nurse must still ask the resident if the meds are taken and then record on the MAR.
Every quarter this process must be assessed (sooner if problems) and addressed. The facility is still responsible for the resident getting their meds and adequate assessment and followup.
Make sure items with "keep out of reach of children "are locked up in the bathing areas and all other areas. If these items are in the residents rooms and used for personal items, they should be out of sight. If you have wanderers then you'll need to reassess keeping them unlocked in the residents rooms.
Frequently check the linen carts for these items. The carers tend to "hide" these items for easy access. These would probably be baby powder, hand wash items, personal cleansers, etc.
Make sure wheelchairs are clean. Dining is a great time to assess this issue.
Make sure all residents have the needed assistance for dining. Make sure residents who need cuuing are given the needed reminding.
Make sure all residents are at the appropriate table height. Also residents should be taken from their wheel chairs (if possible) and seated in chairs. Dietary should always rotate the serving of food so the same residents are not always served last.