Communication
Performance Improvement
Health & Safety
Person Served
Orientation/Competencies
100

These are ways that you collaborate with other team members.

CIRU & DRP: What are Team Goal, Team Meetings, multi-disciplinary assessments, Schedule coordination?

100

Current functional outcomes being collected for this program.

What are: WeeFIM, Medtel, Quality board in conference room.

100

Ways in which patient behavioral issues are managed

What are: pediatric psych consult, behavioral plan, CPI, restraints, Agitated Behavior Scale?

100

Ways that a person served gives input into plan of care.

What are Team goals, Goal setting, participation in family conference, participate in rounding with medical team, participation in therapy sessions, equipment recommendations?

100

Ways in which a new staff members learns job duties

What are: NEO, PCPO, Initial Competency, Self-competency assessment, Orientation checklist, Equipment checklist, Preceptor Checkoff, Competency Assessments?

200

These are ways that a patient's change in status is communicated to other team members.

CIRU: What is SPI time, 8:30 meeting, Therapy Rounding Report, Team meeting, Kardex/Sticky Notes; DRP: AM meeting, Team meeting, Patient notebook?

200

Ways we receive feedback from persons served?

Caregiver Satisfaction Survey, Patient Satisfaction Survey (done at d/c by Jada), Medtel 3 months post discharge

200

What are ways to manage aggressive family member.

What are: family behavioral plan, consult SW, code purple, Patient Family Experience involvement?

200

The process for providing education to persons served

Determine who is being educated, complete LNA, provide education using method from LNA, document education in EPIC, discuss any barriers with appropriate team members

200

Opportunities for ongoing learning?

What are: competencies, specialty skills, continuing education, in-services, Round Tables?

300

Steps that are part of the discharge process.

What are Education throughout LOS, Home evaluation, Tour of DRP as appropriate, Complete multidisciplinary assessment with recommendations, Training?

300

Quality information and outcome information is summarized on this document.

What is the monthly scorecard?

300

Response to a fire

What is CIRU: RACE. PASS. Evacuation: horizontal first (know your fire doors), then vertical using stairwell by Activity Room. DRP Evacuation?

300

Persons Served refers to these.

Who are patients and caregivers?

300

Ways that you provide input into educational opportunities?

What are: CE interest survey, request CE courses (internal and external), complete survey after course

400

Ways you provide input into decision making.

What is: Shared Leadership, Continuing Education survey, Equipment requests, Staff Meetings, Staff Engagement Survey, Various department committees/projects, Open door policy?

400

Current PI initiatives being done for this program.

Where are: CIRU: Falls initiative, Resource nurse, caregiver checklist, disorders of consciousness workgroup, Admission and discharge navigator changes; DRP: Family Experience?

400

Tool for reporting a critical incident.

What is ONS?

400

Ways in which cultural diversity is addressed

What are Interpreter services (in person, video Ipad, phone); part of Chaplain and SW assessment, respecting prayer times and dietary needs, identify opportunities for improved cultural diversity awareness through a CIRU/DRP Cultural Diversity Plan?

400

A tool used to guide treatment planning and education for patients with SCI.

What is the SCI pathway?

500

The complaint procedures available to persons served.

What is: share concerns with charge nurse, physicians, management, Patient Rep, file a formal complaint, contact Joint Commission or CMS?

500

HAC is defined as…Examples are…

What is a Hospital Acquired Condition? What are VAP, PIVI, CLABSI, CAUTI, Adverse Drug Event (ADE)

500

The name of the binder in which families should record health information.

What is the personal health profile?

500

The ways that the person served is made aware of their rights.

What is the Patient Bill of Rights in each patient's room.

500

Ways that you are made aware of opportunities for career advancement:

What are Levels program, CAN (for nursing), Staff Meeting Vacancies?

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