Rehab Department team weekly review of Rehab Department staff. X X X Department rehab patients or resident in need of Rehab director typically internal review rehab. Report data help identify leads the meeting. residents with new ADL decline or worsening ulcers and therefore at risk for pressure ulcer development and in potential need of therapy. Root cause Multidisciplinary team review focusing DON or ADON, nurse X X analysis for new on persons with new pressure ulcers. manager, wound nurse, QI pressure ulcers Risk and trended reports provide director insights into why these persons had a DON, QI director, or QI new pressure ulcer. staff leads the meeting. Skin rounds Weekly skin rounds to assess Charge nurse, or wound X X X X resident skin condition. The reports nurse and CNA alert staff about residents who may A charge nurse or wound be likely to have a new pressure ulcer nurse typically leads skin forming. rounds. Weekly nutrition Nurse/Dietitian/CNA weekly huddle to Charge nurse, dietitian, X X risk huddle review nutrition status and confirm and CNA. Other staff may appropriate interventions are in place attend such as wound for pressure ulcer prevention. Reports nurse, social services, and identify resident with nutrition risk and MDS nurse. the meeting elicits feedback from Nurse and a dietitian CNA staff caring for the residents, as colead the meeting. well as perspectives of the nurse and dietitian. Weekly risk Weekly huddle to review residents at Nurse manager and X X huddle for risk for pressure ulcer slow healing Rehab director or Rehab Nursing and and in potential need of therapy therapist. Rehab based on specific risk factors for a resident.
Rehab Department internal review Department team weekly review of rehab patients or resident in need of rehab. Report data help identify residents with new ADL decline or worsening ulcers and therefore at risk for pressure ulcer development and in potential need of therapy. Rehab Department staff. Rehab director typically leads the meeting. X X X Root cause analysis for new pressure ulcers Multidisciplinary team review focusing on persons with new pressure ulcers. Risk and trended reports provide insights into why these persons had a new pressure ulcer. DON or ADON, nurse manager, wound nurse, QI director DON, QI director, or QI staff leads the meeting. X X Skin rounds Weekly skin rounds to assess resident skin condition. The reports alert staff about residents who may be likely to have a new pressure ulcer forming. Charge nurse, or wound nurse and CNA A charge nurse or wound nurse typically leads skin rounds. X X X X Weekly nutrition risk huddle Nurse/Dietitian/CNA weekly huddle to review nutrition status and confirm appropriate interventions are in place for pressure ulcer prevention. Reports identify resident with nutrition risk and the meeting elicits feedback from CNA staff caring for the residents, as well as perspectives of the nurse and dietitian. Charge nurse, dietitian, and CNA. Other staff may attend such as wound nurse, social services, and MDS nurse. Nurse and a dietitian colead the meeting. X X Weekly risk huddle for Nursing and Rehab Weekly huddle to review residents at risk for pressure ulcer slow healing and in potential need of therapy based on specific risk factors for a resident. Nurse manager and Rehab director or Rehab therapist. X X