Section M - turning and repositioning program

[miccay]

Under section M, what type of documentation is required in the chart for a turning and repositioning program? I am confused because I thought it had to be specifically for the resident with interventions such as positioning device or pillows - documented, monitored, and reassessed to make sure this program is working for the resident. I am told the turn q 2 hrs meets the requirements if the CNAs sign off on the CNA ADL care plan that states turn q 2 hr.

[Talino]

ALL of the criteria must be evident. Example:

Assessment:

*Start w/ a triggered CAA #16, a Braden scale, Norton, etc.

Organized/Planned:

In your formal care plan and/or CNA's assignment -

*Change position every two hours.

*Apply pillows in between legs when side lying.

*Report to nurse for presence of redness from prior position.

Documented/Monitored:

*CNA signs off a worksheet daily (attesting to have carried out the T&P plan of care as instructed).

*Night nurse checks proper application of device/s during rounds and correct position accdg. to clock

*Resident gets a full body check at bath day; or every 2 weeks; monthly, etc.

Evaluated:

*Nurse revised the plan of care promptly when a need arose. OT consulted for appropriate positioning device.

*Nurse periodically updates the care plan and identifies the effectiveness of intervention/s - No skin breakdown!