Section 4: Communication Practices Review the following list of meetings. For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting, and who attends. Also indicate if the meeting includes any discussion of pressure ulcer healing. Meeting Frequency of Meeting Chair/Leader (Weekly, Biweekly, Is Pressure Ulcer Name and Staff Invited and In Attendance (A = Monthly, Quarterly, Change Healing Discussed? Meeting Discipline Always, V = Varies, As Needed) in Condition, As Needed) (Y = yes, N = No) Care plan review Nurse Manager On admission, quarterly, and Y when relevant Nursing A – – on each unit with significant change in Nursing Assistants A – condition Social Services A – Activities A – Rehab V – Dietitian A – Shift report or with Charge Nurse Every change of shift Y when relevant Nursing Assistants A “brief” – – CNAs Dietitian once/week – Rehab once/week – Social Services once/week – Activities once/week – Report or brief with DON Department heads A Daily at 9 a.m. (weekdays, Pressure ulcer healing – Department Heads nonholidays) rarely discussed Nurse Managers A – Medical Director V – Medical Staff/Medical Director NA NA NA NA QAPI or quality improvement QA Coordinator Administrator A Monthly N - Pressure ulcer – review healing is not a QAPI Nurse Managers A – initiative Nursing Supervisor A – Wound Nurse- A Dietitian A – DON A – Rehab Director A – Nursing Assistants (one from each unit) – A Infection Control Nurse A – Social Services Director A – Activities Director A – Medical Director –V
Section 4: Communication Practices Review the following list of meetings. For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting, and who attends. Also indicate if the meeting includes any discussion of pressure ulcer healing. Meeting Meeting Chair/Leader Name and Discipline Staff Invited and In Attendance (A = Always, V = Varies, As Needed) Frequency of Meeting (Weekly, Biweekly, Monthly, Quarterly, Change in Condition, As Needed) Is Pressure Ulcer Healing Discussed? (Y = yes, N = No) Care plan review Nurse Manager on each unit Nursing – A Nursing Assistants – A Social Services – A Activities – A Rehab – V Dietitian – A On admission, quarterly, and with significant change in condition Y – when relevant Shift report or “brief” with CNAs Charge Nurse Nursing Assistants – A Dietitian – once/week Rehab – once/week Social Services – once/week Activities – once/week Every change of shift Y – when relevant Report or brief with Department Heads DON Department heads – A Nurse Managers – A Medical Director – V Daily at 9 a.m. (weekdays, nonholidays) Pressure ulcer healing rarely discussed Medical Staff/Medical Director NA NA NA NA QAPI or quality improvement review QA Coordinator Administrator – A Nurse Managers – A Nursing Supervisor – A Wound Nurse- A Dietitian – A DON – A Rehab Director – A Nursing Assistants (one from each unit) – A Infection Control Nurse – A Social Services Director – A Activities Director – A Medical Director –V Monthly N - Pressure ulcer healing is not a QAPI initiative