QUALITY OF CARE ROUNDS - Nursing Home Help

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Figure A.7Survey tag assignment (cont.)Tag descriptionDepartmentalresponsibilityTeammember nameCommentsF 353-354 <strong>Nursing</strong> services• RN at least 8 hours, 7 days• Full-time DONF 360-363 Dietary services• Dietician and/or food services director• Sufficient support personnel• Meet the nutritional needs of residents• Preplanned menusF 363-367 Food• Palatability• Attractiveness• Individualized meal plans• Substitutes• Appropriate therapeutic dietsF 368 Frequency of meals• 3x a day• Substantial evening meal• Nourishing snack before bedF 369 Assistive devices• Devices to assist in independent eatingF 370-372 Sanitary conditions• Procure food from approved sources• Storage, preparation, distribution, and serving• DisposalF 385-389 Physician services• Supervision of medical care of residents• Review residents total plan of care• Sign and date progress notes and orders• Frequency of visits• Availability for emergency careF 390 Physician delegation of tasks• Within scope of state law• Delegates to PA, NP, CNS4.67
Figure A.7Survey tag assignment (cont.)Tag descriptionDepartmentalresponsibilityTeammember nameCommentsF 406 Specialized rehab services• Provide required service• Medical necessity/prescribed by a physicianF 411 Dental services• Routine and emergency services• Provide assistance to residents inscheduling/getting to appointmentsF 425-430 Pharmacy services• Timeliness• Pharmacuetical services must meet needsof residents• Consultation by pharmacist• Records and receipts• Drug regime reviewed 1x month by pharmacist• Pharmacist reports irregularities to physicianand DON• Report acted uponF 431-432 Drugs and biologicals• Properly labeled• Locked, temperature controlled storage• Schedule II drugs stored separatelyF 441-444 Infection control• Establish plan to investigate, control, andprevent infection• Maintain records• Observe staff practicing infection control• Isolate to prevent spread of infection• Prohibit employees with communicabledisease from contact with residents• HandwashingF 445 Linens• Handle, store, process, transport toprevent infection4.68
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Quality ofCare RoundsUnlike the Moc
Page 4 and 5:
RR SS PE IC EP F-Tag Observations S
Page 6 and 7:
Page 8 and 9:
Page 10 and 11:
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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 72: Figure A.7Survey tag assignment (co
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QUALITY OF CARE ROUNDS - Nursing Home Help

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