Section M - turning and repositioning program

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!