Infection Prevention
This infection prevention task is performed very often to limit the spread of germs, such as before and after assisting a resident with toileting or handling dirty objects.
Hand Hygiene
This should be addressed within 3-5 minutes of initiation. Failure to do so often results in frustration, decreased feelings of trust and increased workload. Being proactive often reduces the frequency this is used.
This SELF PERFORMANCE code involves talking only, no touching
Supervision
Resident requires no assistance at all (staff don't have to be in the room at all)
Independent
Best practice is to bag items at the source, keep clean items at least 10 ft away from soiled items, don't allow clean items to come in to contact with clothing, don't place soiled items on floors, chairs or tables, and bag soiled items for transport to the soiled holding area.
Linen Handling
This should be completed at the end of every shift...not the beginning, not the middle, not the next day.
Charting/Documentation
Updated ADL coding made this SELF PERFORMANCE code use it's muscles and be more specific about the amount of effort required to assist the resident.
Extensive Assist
Resident needs assistance from a helper before or after an activity, but not during. (ie-cut up meat, open milk carton, lock wheelchair wheels, hand them a cane/walker)
Setup or Clean-Up
This must always be done before entering and upon leaving a resident's room, prior to and after wearing gloves, whenever hands are visibly soiled, before eating and after using the restroom.
Hand Hygiene
This should be documented as soon and as accurately as possible. Accurate documentation helps with early identification and prevention of problems including weight loss, dehydration, infection and wounds.
Meal Intake
This is the ADL being coded when a resident is able to turn themself onto their side while lying in bed during a brief change.
Resident requires only cues (verbal or nonverbal) or a light, steadying touch.
Supervision or Touching
This infection requires use of PPE including gown and gloves, requires hand washing with soap and water, and bleach-based cleansers for disinfection.
C. Difficile
This should never be worn in hallways, as the halls are considered "clean" areas. It should be removed while still in resident's room and placed into a bag for transport to the soiled utility area.
PPE
Toilet Use
This is the magic number to determine if the helper provided Partial (moderate) or Substantial (maximal) assistance.
50%
This infection requires use of PPE including gloves, gown, N95 mask and face shield or goggles.
Covid 19
Residents are expected to receive this 3x/week. It is their right, and it's required! The alternative requires a doctors' order and must be performed DAILY.
Shower
This SELF PERFORMANCE code was often confusing, because the resident might need a little guidance, but no heavy lifting.
Limited Assist
Resident requires 2 helpers to complete an activity, even if they are able to do part of the work themself.
Dependent