QUALITY OF CARE ROUNDS - Nursing Home Help

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RR SS PE IC EP F-Tag Observations Standards/CommentsCLEAN UTILITYThe following manuals (current and approved by the ResidentCare Committee) are present at each nursing unit:F509 1. <strong>Nursing</strong> Policy and Procedure Manual 11.F509 2. Infection Control Manual 12.F509 3. Pharmacy Manual 13.F492 4. Exposure Control Plan Manual 14.F492 5. Fire and Disaster Plan/Manual 15.F509 6. Diet Manual 16.The following references are available on each nursing unit:1. Current Drug Reference; i.e., PDR 17.2. Current Care Plan Manual 18.3. Restorative Manual 19.F265 Noise level is acceptable 20.F260F433F333F333F339Clean Utility Room is safe, sanitary, orderly, nothing storedunder sinkNourishment refrigerator is clean, thermometer present at35°-45°, food covered, labeled, datedPortable ice chest is sanitized daily, and stored clean and dry,when not in continuous useResident water pitchers are sanitized at least 2x/week perInfection Control ManualEmergency resuscitator and airway is accessible, covered andready for use21.22.23.24.25.F338 Suction machine is accessible. covered and ready for use 26.4.3
RR SS PE IC EP F-Tag Observations Standards/CommentsF339Emergency Oxygen is accessible, covered and ready for usewith gauge and mask/cannula attached27.F339 Oxygen tanks are secured by stands, carts or chains 28.SOILED UTILITYF260F260F492F447F492F492Soiled Utility Room is safe and orderly with nothing storedunder sink. Only soiled items stored in roomHoppers are clean and orderly; rinsed hoses are hungproperlyGloves/goggles/aprons (PPE) available and accessible to staffon unitsInfectious waste is handled appropriately, and is covered andmarked biohazardous waste receptacleHazardous Products are locked when not in use and underconstant direct visual supervision when being used“Right to Know” information present on nursing units;MSDS accessible to employees29.30.31.32.33.34.MEDICATION/TREATMENTF433Medication keys to med room and med cart are in possessionof authorized personnel at all times35.F433 Medication room is locked at all times 36.F433F433Medication room is clean and orderly; and free ofstaff personal belongingsRefrigerator is clean, thermometer present at 35 0 - 45 0 ,food covered, labeled, dated37.38.F433 Medication carts are locked when out of view or unattended 39.F433 Medication carts are clean and orderly 40.4.4
Page 1 and 2: Quality ofCare RoundsUnlike the Moc
Page 6 and 7: RR SS PE IC EP F-Tag Observations S
Page 12 and 13: Exit lightsRESIDENT ROOMS “U”
Page 14 and 15: OTHER AREAS “U” “S” COMMENT
Page 16 and 17: Thawing foods put in refrigerator c
Page 18 and 19: SS follows upon discharge needs of
Page 20 and 21: - re-feeding/walk and dine- bowel/b
Page 22 and 23: Pumps/poles and equipment cleanWEIG
Page 24 and 25: No expired medications on handSharp
Page 26 and 27: Medical Director review of all repo
Page 28 and 29: MDS/CARE PLAN TRACKING FORMName: Ro
Page 30 and 31: HOT HOLDINGHot holding unit / steam
Page 32 and 33: Step ladders are sturdy and in good
Page 34 and 35: Yes No Buckets, tubs and pans are i
Page 36 and 37: Yes No Cleaning schedules posted an
Page 38 and 39: INFECTION CONTROL AND SAFETY SURVEI
Page 40 and 41: Yes No Electric cords for lights, r
Page 52 and 53: Yes No All wandering bracelets are
Page 54 and 55:
Extended menusavailableDumpster lid
Page 56 and 57:
Housekeeping Carts, Equipment, and
Page 58 and 59:
Facility InspectionFacility _______
Page 60 and 61:
Facility Inspection ReportPossibleA
Page 62 and 63:
Facility Inspection ReportAREAScore
Page 64 and 65:
Figure A.7Survey tag assignment (co
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72:
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