Criterion 1.3.1.4 PA Low Residents and family/whānau The amendments made in 2015 to clause Ensure that the confirmed on interview that they had D13.3 of the ARRC contract, regarding current admission criteria, assessment, and entry received all relevant information on refund timeframes are not included in the agreement aligns screening processes are documented admission. The information pack admission agreement currently in use by fully to the ARRC and clearly communicated to contains information on the service, the service. contract. consumers, their family/whānau of resident’s rights and advocacy choice where appropriate, local brochure. Exclusions from the service communities, and referral agencies. are included in the admission 90 days agreement. The admission agreement in use does not comply with the requirements of the ARRC. Criterion 1.3.12.1 PA The registered nurses in the hospital i) were observed administering i) Ensure that all and senior healthcare assistants in the medications without prior reference to the staff who A medicines management system is rest home are responsible for the safe medication chart. administer implemented to manage the safe and administration of medication. On the medication follow appropriate prescribing, dispensing, ii) Four of 14 medication charts (rest two medication rounds observed in acceptable administration, review, storage, home) did not have photo identification on the hospital the registered nurses did medication disposal, and medicine reconciliation in the medication profile. not follow the correct medication administration order to comply with legislation, administration process. Ten of practices, protocols, and guidelines. fourteen resident medication records guidelines and had photo identification. All legislative medication charts reviewed had guidelines. allergies or nil known allergies ii) Ensure that all documented. medication charts evidence resident photo identification. 60 days Criterion 1.3.12.5 PA Low Residents who self-administer Two rest home resident’s Ensure that all medication are required to complete a inhalers had not had the residents The facilitation of safe competency assessment every three required competency assessment of medicines by months. The two residents completed in the past 12 months. medication consumers where appropriate. complete the
Criterion 1.3.1.4 criteria, assessment, and entry screening processes are documented and clearly communicated to consumers, their family/whānau of choice where appropriate, local communities, and referral agencies. PA Low Residents and family/whānau confirmed on interview that they had received all relevant information on admission. The information pack contains information on the service, resident’s rights and advocacy brochure. Exclusions from the service are included in the admission agreement. The admission agreement in use does not comply with the requirements of the ARRC. The amendments made in 2015 to clause D13.3 of the ARRC contract, regarding refund timeframes are not included in the admission agreement currently in use by the service. Ensure that the current admission agreement aligns fully to the ARRC contract. 90 days Criterion 1.3.12.1 A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines. PA The registered nurses in the hospital and senior healthcare assistants in the rest home are responsible for the safe administration of medication. On the two medication rounds observed in the hospital the registered nurses did not follow the correct medication administration process. Ten of fourteen resident medication records had photo identification. All medication charts reviewed had allergies or nil known allergies documented. i) were observed administering medications without prior reference to the medication chart. ii) Four of 14 medication charts (rest home) did not have photo identification on the medication profile. i) Ensure that all staff who administer medication follow acceptable medication administration practices, guidelines and legislative guidelines. ii) Ensure that all medication charts evidence resident photo identification. 60 days Criterion 1.3.12.5 The facilitation of safe of medicines by consumers where appropriate. PA Low Residents who self-administer medication are required to complete a competency assessment every three months. The two residents Two rest home resident’s inhalers had not had the required competency assessment completed in the past 12 months. Ensure that all residents medication complete the
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