Quality
What does QAPI mean?
Standards for Quality assurance performance and it is our quality program
What is the purpose of the activities that we provide?
to support the physical, mental and psychosocial well being of each resident.
when should the lifts be cleaned
after every time it is used on a resident.
sun dowers
give an example of appropriate meal conversation
anything that would be appreciate for resident conversation.
Is there a mechanism for staff to report quality concerns to the QAPI or QAA committee?
Yes, your stop and watch forms.
where do you find the activity calendar?
on the bulletin boards and in the residents rooms
Do you know what interventions are on the resident's care plan for pain/discomfort management? do you implement any of the interventions?
You can find interventions on the front page of the care plan under the "pain/comfort section. Even if you can't remember every residents individual pain interventions, you know where to look and find out. And any non-medication intervention is welcome and in your scope of practice! Offer a rice bag, a cold pack, a warm blanket, a message, reposition, etc.
a little lady with dementia, keeps saying she wants to go home, what shouldn't your response be?
YOUR NEVER GOING HOME;
YOU LIVE HERE NOW;
how many call ins are you aloud?
6 in a rolling calendar year and then disciplinary action starts.
where do you find the residents activity preferences?
the activity section of the care plan.
what are some of the things that contribute to a fall??
environment, increased confusion and poor judgment, medications, pain, toileting needs and weakness.
If a resident becomes combative during cares, what should you do?
when you are doing bed strips, what should you do with the used linens?
Put them in a large bag and put them in the laundry bin in the soiled room
What do the QM's measure?
Catheter left in bladder without correct diagnosis, excess weight loss, high risk pressure ulcers, amount of residents on antipsychotic medications, depression with our residents, falls with major injury, increased ADL help, low risk of bowel and bladder, mod/severe pain, physical restraints, uti's
our numbers are compared to state and national average.
if the resident refuses to go to activity how do you encourage them to attend?
let them know how much fun the activity is going to be and tell them that they don't have to stay for the whole activity.
what are a few things that you should do after answering a residents bell?
make sure they have their remote, ice water, call bell and are left in a safe position.
when a resident is behaving in an inappropriate way what are they trying to do?
when should you take the trash out of each room?
after you have changed a resident and have a dirty attend.
Performance Improvement project
what are the 3 plagues of nursing homes?
Loneliness
helplessness
boredom
when you get laundry out of the laundry closet what else should you do?
make sure the laundry that you are transporting is covered, and close the closet door.
What are some of the levels and dementia?
Early loss- running on a routine, repeating stories
Moderate loss- just get it done, wanting a purpose and a mission. (gets tasks done, but quality is poor)
Middle loss- See it, touch it, take it, taste it. Hunting and gathering. ( doesn't recognize others ownership, language is poor and comprehension is very limited.)
Severe Loss- Gross automatic action- constant go or down and out (paces, walks, rocks, swings, hums, claps, pats, rubs... not interested in food- loss in weight
what happens if you call in on your weekend or holiday to work?
you work an extra weekend and holiday :)