11.06.2014

Five tips to avoid deficiency

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Susan LaGrange
Susan LaGrange

Here are five tips to implement the top five most frequently cited deficiencies in the country. Facilities may choose a daily and weekly, focus on audits the updates, discussion and education system.

1. F-323: Accidents and Supervision

Instant update and communicate! Make sure that performs an immediate investigation and documented analysis of the cause and the information collected will be analyzed to update the care plan goals and interventions relevant population.

2. F-441: Infection

A good monitoring system processes (including controls for handwashing, use of protective equipment, coaching change association, ADL, etc.) you can see where your employees need additional training and support.

3. F-309: Quality of Care

A good tax system is essential for this day. This includes the creation of a process for accurate and comprehensive assessment, the. To an individual plan of care, the proper implementation of the plan of care and evaluation process Think about the importance of keeping residents to answer their highest functioning so that employees are able to:

  • Pain Management
  • Dementia care [1]
  • Unrelated to ulcer / lesions pressure
  • Hospice services (including support for the care plan)
  • Dialysis services

4. F-371: Food Hygiene

This day will be charged! There are several areas of the audit and ensure that systems are in place. Here are some areas to start:

Tagged: all foods in refrigerators, freezers, refrigerators unit!

Mealtime, refrigerator / fridge / freezer, dishwasher and chemicals time period, hygiene, cooking, thawing frozen foods, instead of food in the fridge, a rotation, the process of washing the dishes, go ice water, etc :. Examination

Make sure the ice is a regular cleaning schedule. Do not forget to give you a clean container to scoop the ice store!

Audits of cleaning: hood, flooring, appliances, dishes, blankets, etc.

5. F-329 unnecessary medications

The process of monitoring the use of antipsychotics is crucial, but all medications should be reviewed to ensure resident's medication is to be free from unnecessary drugs. Areas to consider:

Employed and documentation control medications conclusion (ie regular laboratory work, BP, pulse, etc.).

Ensure documentation for psychotropic drugs are safe enough directed for review and continuous use target behaviors and testing.

Monitoring and documentation of evidence of drug efficacy and adverse effects.

Make sure cuts are trying classified according to the F329.

These hot tips are certainly not all inclusive, but take into account certain areas with high concentrate the good quality and conformity can help!

For more information, is research and cert letter to CMS here .


Susan LaGrange, RN, BSN, CNS, is the national coordinator of education at Pathway Health Services.

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