Samples - For Existing Businesses
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~The ProvidersWeb Service Team
Post Fall Management Plan
Rates - Keeping Your Residents
Article regarding the retention of resident's, with information on how you can
keep your resident's longer.
Ideas on Lowering Your Worker's Compensation Rates
Article with 16 ideas for lowering your worker's compensation
Article about the causes of allergies and precautions you
can take to avoid them.
and Flu - What Do You Do?
Tis the season to be cautious. The Center of Disease Control
reports over 36,000 people die of the flu each year. Colds
and flu can take lives. Persons with weak immune systems are
more susceptible. Antibiotics are not effective in treating
virus type illnesses. If a person with a cold or flu gets
a secondary bacterial infection, antibiotics can be used to
Areas for the Facility Manager of a care facility to review
and audit for Quality Assurance and Risk Management (QA-RM).
Review - Quick List
This quick list is to assist the owner or director do a quick
review on critical liability areas.
Homes Going Green
Article about helping the environment.
Learn to lead others by a loving example.
Cold and Flu
Care Check Off List
Free Check Off List to make sure your care facility is doing
everything possible to take good care of your resident's during
a cold and flu illness, and to prevent the spread of illness.
Care Program Check Off A check off list to
insure that your facility is completing and/or using the
Dementia Care Program correctly.
The risks of retaining a bedridden resident.
Tips and Safety
Safety tips for the use of a generator in a care facility.
A list of medication terminology and the description used
in a Care Facility, such as: discontinued medications, medication
errors, PRN medications, etc.
Sometimes it is important for the resident's family, staff,
and friends to hold a Memorial Service at the Care Facility.
Form used to audit the dietary department of a care facility.
House Least Restrictive
An executive order signed by President George W. Bush from
the White House regarding community-based alternatives for
individuals with disabilities.
Basic Standards of Protective Supervision
There is not a good definition on the internet for the current health care industry’s use of the term “protective supervision.” However, every licensed “care” facility provides some degree of “protective supervision”.
“Protective Supervision” in the “care” industry means observing people with various levels of care and supervision needs and intervening where necessary so they don’t hurt themselves.
Vulnerable children, mentally or physically impaired adults and seniors can all have a need for some degree of protective supervision. In the care industry, protective supervision means preventing a resident injuring his or her self or things like reducing the risk or preventing:
- a resident from falling;
- from wandering away;
- from ingesting something harmful;
- from walking into traffic, or turning on a stove etc..
If a care facility fails to protect a resident, under both state and federal health care & social service laws the licensing agency can issue a citation for “failure to protect from harm” or ‘failure to provide a safe environment.” Under the Civil Rights of Institutionalized Persons Act (CRIPA), the DOJ has the authority to seek a remedy for a pattern or practice of conduct that violates the constitutional or federal rights of residents who live in institutions.
Basic Levels of “Protective Supervision”
I have created the following levels of “protective supervision” to help better define the standard of care usually provided. Due to changing health conditions at anytime a resident’s condition can change and a higher level of care may be warranted. A resident may be able to stay “in place”, and not move to a higher level of care, for under the Americans With Disabilities Act “ADA” a resident has the right to live in the least restrictive environment, if they can prove their care needs can be safely met.
In all levels listed below, the “licensee” must provide “protective supervision”. In addition, if the resident is, or becomes, physically and/or mentally incapacitated and the responsible party cannot be reached, the “licensee” usually has the “Consent for Medical Treatment” so that they may act on the resident’s behalf, and protect the resident from harm.
Also, in each of the following levels the environment is already set up with safety in mind. See ProvidersWeb’s Household Maintenance Manual for more information on safe care facility and safe home environments. A licensed care provider is not allowed to have a situation which could lead to placing the resident(s), staff, or the public in Immediate Jeopardy. “Immediate Jeopardy” means a situation in which the provider's noncompliance has caused or is likely to cause serious injury, harm, impairment, or death to a resident.
BASIC LEVELS OF “PROTECTIVE SUPERVISION”
Level One Minimal: Provided at Home or in Licensed Residential Care or Assisted Living Type Facility.
The resident is on “general observation” in a care facility that is not a locked facility. Caregiver(s) are aware of the resident’s general whereabouts. Residents are able to go out independently and they are able to call to get help if needed. Residents can typically be left unattended for several hours at a time to engage in independent activities, (typically 2-4 hours during the day & evening, with night check(s)), but they need access to a support person for guidance or assistance.
Caregivers ensure the resident is taking their medications right (if any), eating, bathing & personal hygiene supervision as well as watching out for the resident’s overall health and well-being, including assisting with access to medical and dental care. Medications are typically self-administered with supervised assistance. Care Plans are tried to reduce risks, if unsuccessful the resident is usually placed in a higher level of care.
Level Two Moderate: Provided at Home or in Licensed Residential Care, Assisted Living Facility, Intermediate Care Facility, Skilled Nursing & Medical Facilities
Secure perimeter(s) or protective type environment, but not “locked”. This is a place where safety measures are taken to prevent confused persons from leaving the facility unnoticed. i.e. residents wear alarm bands, alarms on the doors, delayed egress exits. Residents are usually consistently monitored with videos, and/or other electrical devices. Residents may be left unattended for short periods of time provided that a support person can respond quickly in an emergency situation. Read More