|
Summary Patient Care Interviews
Skilled Nursing Facility Interview: Surveyor reviewed State survey PT person assigned to unit? Y Speech & occupational therapist available? Y Glutician studies available to residents? Y Does the speech therapist go to radiology with patient and do their part with studies? Y Does the speech therapist educate staff? Y Does the speech therapist educate staff related to the signs of swallowing disorders? Y Are the PT services provided on the unit or PT department? Both Available 7 days/week? 5 days per week What happens on weekends? if necessary (new admits, requests) PT staff come in on weekends Leisure activity? Y Activity director involved in patient assessment? Y What activities do you offer? One-to-one or group? Both Visiting hours? Open door policy Pet therapy? N Why? Infection control reasons in taking pet through other areas of hospital. SNF doesn’t have direct access to an outside door. Surveyor states that this is not a reason. Can have pets brought in regardless of where you are. You must carefully select your environment and not have anyone who would be susceptible to infection, etc. included in event. Commented that employees with seeing-eye-dogs could go anywhere in hospital. What would be the difference? Said it would be left up to the organization. What is pharmacy’s responsibility? Review meds for appropriateness for dx., renal functions, etc. Any antibiotics that you look at closely here? Vegamycin (? Sp) What brings the patients here? Rehab from hip surgery, metastatic ca, more intense services, etc. Respite beds for Hospice? N Primarily surgery patients admitted? N – very diverse, no 2 patients the same – majority of patients do have a secondary dx of diabetes Do we have a diabetic educator? N – dietician does diet, nursing does teaching – Multidisciplinary – There is a diabetic educator in the community. Who do they work for? SCC? With so much diabetes have we thought about putting a diabetic educator on staff? Does unit have a medical director? Y - Dr. Refvem Is he a gerontologist? N – orthopedist When do you meet with him? 1/mo Who can admit? Any physician on staff with privileges Do the physicians followup their own patients? Y Then the medical director is not responsible? N – only for his Do you have team conferences? Y – at least 2/mo. – interdisciplinary group Avg. LOS? Short-term – 2-3 wks., avg. 2-3 yr., 1 patient has been on unit since ’90 Resident meetings? Y Resident council? Y Advocacy group in area? Y – phone #’s posted and in admission packet Phones? Y – in every room Smoking? N – but can have snuff Briefly discussed snuff usage – which he said was okay Asked if it did not have about the same pharmacological effects as cigarette smoking? Y Surveyor was very complimentary of unit. Said it was very rare to have such a good State survey.
Tour:
On tour, asked who assesses patients who are admitted from outside facilities? Information is faxed to us and we assess Do you get the medical director involved and others if questions? Y – multidisciplinary
Record Review: Looked over record, discussed with charge nurse, did not focus on anything in particular Complimented Dr. XXXX’s history & physical – "good plan".
Additional Comments: Surveyor was very impressed with the unit’s computer software program for care plans. Said it was the best one he had ever seen. Worked with it and discussed each of the options with charge nurse. |
Site Map Table of
Contents Submit
Ideas and Suggestions
Last Edit Of This Site: 04/10/00 07:51 PM The Author is a Member of |
Submit
A Document for Sharing Here
