DAILY TASKS
Something to review daily and document when a resident refuses
Shower Schedule and Assistance with Showers
Narcotic Count should be completed by who
Both of the CRMAs.
Narcotic Count is to be completed by the person coming and going. It should be done by the Index of the Blue Book.
When someone falls and can't get up by themselves. Who do you call? Who do you notify?
Call/Notify Hospice first if they are on Hospice.
Call/Notify the Family. Maybe they can help?
Call EMS for a lift assist.
FAX the provider to notify them.
Something you should do with all staff at the start and end of your shift
PRE/POST SHIFT HUDDLES :)
Something to be filled out by care associates prior to the end of your shift
FLOWSHEETS
To be filled out by the CRMA and Faxed before the end of your shift
Physician Communication Forms
Mr. Jones is agitated and pacing the hallways, he is angry and won't let anyone help him. Ativan can be used for anxiety, agitation and restlessness.
The order for Mr. Jones reads: Ativan, Give 0.25ml SL Q8hrs as needed for anxiety
Can you give Mr. Jones a PRN Ativan?
YES and NO -
No, if the reason he needs the Ativan is because he is only agitated, you cannot give a PRN dose, because it's not listed as a reason to give it.
Call Hospice or FAX the provider to add "agitation" as a reason to give the Ativan.
YES - Explain
Mr. Jones is asking for Tylenol because he just fell and his back has been hurting really bad. You call the doctor and they are working on getting him an order for Tylenol and is sending it over in a minute. Can you give Mr. Jones Tylenol?
NO!! Just because the doctor is working on the order, that does not mean we already have an order for him. We need to wait for the order to be received and be entered into Yardi. YOU NEVER ADMINISTER MEDICATIONS WITHOUT AN ORDER