1 LOC MHW/AS attendance at all treatment team meetings? 4/15 2 N/A 47% 1 LOC Attendance of on unit groups for patients too sick to go to the mall. 1/15 6 N/A 67% 2 Refused 1 LOC Treatment plan reviewed/modified every 2 weeks. 13/15 100% 2 N/A Suicide risk assessment reviewed/modified every 2 weeks during the 6/15 100% treatment team meeting. 9 N/A Fall risk assessment reviewed/modified every 2 weeks during the 10/15 87% treatment team meeting 3 N/A Medical Treatment updated every 2 weeks during the treatment 13/15 93% team meeting. 1 N/A Upper Saco Findings Compliance Indicators Encounter note written between the hours of 0700-2300. 11/15 73% Encounter note written by mental health worker/acuity specialists 9/15 60% between the hours of 0700-2300. A shift assessment is completed each shift. 3/15 20% Weekly Summary note completed. 15/15 100% Observational note completed on patient who is on a higher level of 5/15 100% observation i.e. ¼ hour checks or 1:1. 10 N/A Annual nursing assessment completed. 9/15 80% 3 N/A Patient’s Rights reviewed and signed. 15/15 100% Informed Consent signed, dated and timed. 15/15 100% Number of Telephone Orders for the 11/11 100% Number of Telephone Orders signed by the prescriber within 24 11/11 100%
1 LOC MHW/AS attendance at all treatment team meetings? 4/15 2 N/A 1 LOC 47% Attendance of on unit groups for patients too sick to go to the mall. 1/15 6 N/A 2 Refused 1 LOC 67% Treatment plan reviewed/modified every 2 weeks. 13/15 2 N/A 100% Suicide risk assessment reviewed/modified every 2 weeks during the treatment team meeting. 6/15 9 N/A 100% Fall risk assessment reviewed/modified every 2 weeks during the treatment team meeting 10/15 3 N/A 87% Medical Treatment updated every 2 weeks during the treatment team meeting. 13/15 1 N/A 93% Upper Saco Indicators Findings Compliance Encounter note written between the hours of 0700-2300. 11/15 73% Encounter note written by mental health worker/acuity specialists between the hours of 0700-2300. 9/15 60% A shift assessment is completed each shift. 3/15 20% Weekly Summary note completed. 15/15 100% Observational note completed on patient who is on a higher level of observation i.e. ¼ hour checks or 1:1. 5/15 10 N/A 100% Annual nursing assessment completed. 9/15 3 N/A 80% Patient’s Rights reviewed and signed. 15/15 100% Informed Consent signed, dated and timed. 15/15 100% Number of Telephone Orders for the 11/11 100% Number of Telephone Orders signed by the prescriber within 24 11/11 100%