Here's some items that should be inserviced before your upcoming survey. These are alot of the areas the surveyors will be reviewing. All staff to wear name tagsGreet and smile at surveyors as appropriate. They are guests in the facility and should be treated as guests. Offer water and coffee after breakfast is done.Call residents by their names onlyNembulizers-include cleaning procedureInhalers-include cleaning procedure. Remind staff to shake the inhaler in-between puffs and offer water for resident to rinse mouth out.Accucheck machine-clean after every use!!Eye Drops-if giving multiple eye drops, know how long to go in-between giving themInjectionsPeri-care--try to have two staff go together. They can coach each other. Keep residents appropriately covered during intimate procedures.Emptying of Foley bagsTube medications-Do each med separately and flush between each medMed pass- remind staff to use hand gel every time after giving a resident's meds. Wash hands with soap and water after every 5th resident. Policy and Procedure for Cleaning RazorsPositioning of residentsAll residents to receive appropriate cueing and assistance during meals.Keep all hazardous items locked upAll residents to be appropriate dressedMan shaved by 10amIf wheeling a resident in a w/c their leg extensions must be on and feet appropriately placed.All O2 tubing should be in a plastic bag and not laying on the floor.Keep clean and dirty items separated by three feet minimum.All staff to know where the care plans are located.
mercy1975 58 Posts Specializes in Long term care, pediatrics, orthopedics,. Dec 15, 2007 following is a listing of what should be included in a survey entrance manual. this is the information the surveyors will request upon entering into your facility.this will make the entrance go very well. this also will give the don more time to be with the nursing staff instead of rushing to get the nursing information. this will save the surveyors time also which keeps them happy.surveyors have been very impressed when this information is readily available.1. resident roster with room numbers2. blank 24 hour report sheet with residents names (one for each surveyor)3. list of key personnel, including the pharmacy consultant and qa person4. copy of facility layout-(one for each surveyor) 5. resident's advocate committee names6. hcfa form 6727. work schedule for rn/lpn (day of entrance)8. hcfa 802-up to dateunder "wt." indicate with an arrow if weight is up or downunder "uti/ inf control/antibiotic"-note utis under "interview able: indiv/fam" ,note with an "i" if the resident is interview able. a list would be also be acceptable.under "psychoactive meds" note :"p" for psychoactive, "a" for anti-anxiety, and "h" for hypnotic.9. policy /procedure for monitoring accidents/incidents and system to prevent/minimize10. immunization practices (flu and pneumococcal)11. list of employees since last survey (list position and hire date)12. admissions (past 30 days)13. list of discharges (during last three months)14. medicare residents requesting demand billing (during past 6 months)15. resident age 55 and younger16. meal times (of all dining rooms)17. dining room seating chart- (one for each surveyor)18. copy of menus (including therapeutic menus for duration of the survey)19. list of residents on therapeutic and mechanically altered diets20. work schedule for lpn/rn (day of entrance)21. medication pass times for inhalers, eye drops, injections, g-tube medications, and nembulizers. 22. emergency water supply policy and procedure (5 gallons per resident per day)23. clia wavier certificate24. copy of surety bond25. resident rights26. admission agreement27. policies /procedures to prohibit /investigate abuse28. activity calendar (last three months)29. resident advocate members30. resident council meeting minutes-(last three months)
Long Term Care Columnist / Guide VivaLasViejas, ASN, RN 142 Articles; 9,982 Posts Specializes in LTC, assisted living, med-surg, psych. Has 26 years experience. Dec 15, 2007 This is an excellent reference!! I'm a veteran of many surveys, but there was some new information in here even for me. Thank you!
Skeetersmom119 35 Posts Apr 12, 2008 Here's some items that should be inserviced before your upcoming survey. These are alot of the areas the surveyors will be reviewing. All staff to wear name tagsGreet and smile at surveyors as appropriate. They are guests in the facility and should be treated as guests. Offer water and coffee after breakfast is done.Call residents by their names onlyNembulizers-include cleaning procedureInhalers-include cleaning procedure. Remind staff to shake the inhaler in-between puffs and offer water for resident to rinse mouth out.Accucheck machine-clean after every use!!Eye Drops-if giving multiple eye drops, know how long to go in-between giving themInjectionsPeri-care--try to have two staff go together. They can coach each other. Keep residents appropriately covered during intimate procedures.Emptying of Foley bagsTube medications-Do each med separately and flush between each medMed pass- remind staff to use hand gel every time after giving a resident's meds. Wash hands with soap and water after every 5th resident. Policy and Procedure for Cleaning RazorsPositioning of residentsAll residents to receive appropriate cueing and assistance during meals.Keep all hazardous items locked upAll residents to be appropriate dressedMan shaved by 10amIf wheeling a resident in a w/c their leg extensions must be on and feet appropriately placed.All O2 tubing should be in a plastic bag and not laying on the floor.Keep clean and dirty items separated by three feet minimum.All staff to know where the care plans are located.We just finished with our survey. They came in at 7pm Monday evening. It was our annual + 6 complaints which were all unsubstatiated. This was my second survey as a LPN, I went through 6 surveys as a dietary manager prior. I noticed that they were focusing a lot on environmental and ensuring that the patient's privacy was maintained. This is great info to keep fo reference.
Long Term Care Columnist / Guide VivaLasViejas, ASN, RN 142 Articles; 9,982 Posts Specializes in LTC, assisted living, med-surg, psych. Has 26 years experience. Apr 12, 2008 We had ours in January, and although my department came out deficiency-free, we did get dinged on training and orientation (or in our case, lack thereof). Lots of changes had to be made in our programs to get us in compliance...........so, the take-home lesson here is to make sure there is plenty of evidence that staff have had pre-service orientation, received adequate on-the-job training, and been checked off on skills BEFORE working alone with residents. Not easy to do in LTC, but that's the standard they're holding us to now.
noc4senuf 683 Posts Specializes in Geriatrics, WCC. Apr 12, 2008 These lists would work for those in states that are being surveyed by the older format but, there is changes with the QIS. We do not give TF meds individually but, combine them if applicable since the TF usually have a precise amount of free water they are administered in a 24 hour period.
CapeCodMermaid, RN 6,090 Posts Specializes in Gerontology, Med surg, Home Health. Has 30 years experience. Apr 15, 2008 These lists would work for those in states that are being surveyed by the older format but, there is changes with the QIS. We do not give TF meds individually but, combine them if applicable since the TF usually have a precise amount of free water they are administered in a 24 hour period.We would get cited for giving G tube meds all at once...stupid because they take them po all at once. The amount of water used for preflush,between med flush, and post flush should all be taken into account when calculating the amount of free water given.
noc4senuf 683 Posts Specializes in Geriatrics, WCC. Apr 15, 2008 Our policy on TF was scrutinized last fall when the state was in.... it passed with flying colors. Even the water used to mix the meds is taken into account for the amount of free water given.
CapeCodMermaid, RN 6,090 Posts Specializes in Gerontology, Med surg, Home Health. Has 30 years experience. Apr 15, 2008 We all need to go by our own STATE guidelines.
Ginger45 157 Posts Specializes in Geriatrics, med/surg, LTC surveyor. Has 26 years experience. Apr 25, 2008 We have to follow the Federal Guidelines, those are universal. My preparation for survey besides the excellent list above. Provide excellent patient care.
