Alderwood Rest Home
-
Upload
mannix-rogers -
Category
Documents
-
view
51 -
download
0
description
Transcript of Alderwood Rest Home
![Page 1: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/1.jpg)
Alderwood Rest Home
Brenda Nicholson, Director of Resident Care
![Page 2: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/2.jpg)
![Page 3: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/3.jpg)
Who We Are:• 70 bed facility• We provide care to residents who require
level 1 and 2 care• 70% of admissions per year(last year)• Population served approx.150,000 primarily
rural residential elderly clients in Cape Breton
![Page 4: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/4.jpg)
AIM Statement
• To decrease the potential for medication discrepancies to zero on admission and during transfer from hospital
![Page 5: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/5.jpg)
Team Members• Administrator, RNs, LPNs, Pharmasist,
Physician, Dietician and Director of Care
• Crucial in making med rec successful at Alderwood was the nurse coordinator, Pharmacist and Director of Care
![Page 6: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/6.jpg)
Change Ideas• Using multiple sources for data collection
– MARs, medical status report, sometimes pharmacy and family. Depending if the person is being admitted from home, hospital or another LTC home.
– Start BPMH before the person arrives
![Page 7: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/7.jpg)
Change Ideas• Use BPMH to get admission orders
• Add forms to admission package
![Page 8: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/8.jpg)
Change Idea: Combined Form
![Page 9: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/9.jpg)
Results• At baseline we exceeded 6
discrepancies per resident admission
• The last 4 admissions had ZERO discrepancies!
![Page 10: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/10.jpg)
Lessons Learned• Physicians & nursing staff to be on board
• Surprised at the number of discrepancies on admission
• Quickly decreased the number of discrepancies but it took 8 months to reach goal
• It is valuable to measure and use results to improve the reconciliation process
![Page 11: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/11.jpg)
Challenges• Data entry was definitely a challenge for
us at Alderwood.• Some Physician/Nurses were and are
frustrated with the process and more so in acute care, as this is where we often see most of our potential errors.
• Prescribing physician often not family physician
![Page 12: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/12.jpg)
Currently• Nursing staff are starting to see the
benefits of the BPMH:– it is time consuming prior to admission– preventing discrepancies/errors and rework
![Page 13: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/13.jpg)
Next Steps• Work with DoCs to standardize routine
med protocols
• Reconcile medication on discharge
• Need to consider appropriateness of medication
![Page 14: Alderwood Rest Home](https://reader033.fdocuments.us/reader033/viewer/2022061601/56813129550346895d979e5b/html5/thumbnails/14.jpg)
Thank you!Contact Information:
Brenda Nicholson
Alderwood Rest Home
Baddeck , Nova Scotia
Email: [email protected]
Phone: 902 295-2644