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Customer Service

• Availability of Consumer Guidelines
• Communication with Families
• Complaint and Compliment
• Complaint and Compliment Form
• Complaint and Grievance Decision Tree
• Description of Services
• Filing Grievances or Complaints
• Grievance Follow up letter
• Grievance Form
• Grievance Procedure
• Grievances or Complaints
• Handling a Complaint
• My World Now
• Non Verbal Communication
• Referral Source Satisfaction Survey
• Respect Confidentiality
• Satisfied Customers Seldom Sue

Disclosures

• Admission Assisted Living Disclosure Statement
• ALS Disclosure
• Alzheimer's Disclosure
• Aspiration Disclosure
• Comfort Care Disclosure
• Congestive Heart Failure Disclosure
• COPD Disclosure
• Dementia Disclosure
• Diabetes Disclosure
• Dialysis Disclosure
• Disclosure Weight Loss
• Disclosure Huntington
• Disclosure MS
• Fall Risk Disclosure
• Gastrointestinal Feeding Disclosure
• Hydration Disclosure
• Osteoporosis Disclosure
• Oxygen Disclosure
• Parkinson Disclosure
• Pressure Sore Disclosure
• Tracheostomy Disclosure
• Weight Loss Risk Disclosure

Risk Management Tool Box

• Analysis of risk by category
• Analysis of Risk Category Sample
• Arbitration Agreements in Long Term Care Facilities
• Complaint Form
• Complaint or Concern Form
• Conducting Root Cause Analysis
• Grievance Follow up letter
• Grievance Form
• Grievance Forms and Follow-Up
• Management of Litigation Risk Overview
• Mobilized Risk Management
• Quality Improvement Data Collection Form
• Red Flags to Potential Claims
• Release of Liability
• Risk Alert
• Risk Alert Log
• Risk Investigation
• Risk Management Definitions
• Risk Management Policy
• Risk Management Policy Development
• Safety Committee
• SAMPLE Arbitration Agreement
• SAMPLE California Arbitration Agreement
• Sample Risk Committee Reports
• Sentinel Event

Assisted Living Resources

• ALF Admission Assessment
• ALF ala-carte
• Authorization to Release Medical Records
• Consent and Release for Salt in Foods
• Description of Services
• Filing Grievances or Complaints
• Health Assessment and Individual Service Plan
• Release of Responsibility for Leave of Absence
• Resident Satisfaction Survey
• Smoking Privilege Informed Consent and Compliance Agreement
• Social Assessment
• Statement of Charges

Abuse

• Abuse and Misappropriation of Property Policy
• Abuse Prevention Education Policy
• Abuse Prohibition Guidelines
• Exam for Abuse Inservice
• Failure to Treat Pain as Elder Abuse
• Filing Grievances or Complaints
• Investigative Protocol Abuse Prohibition
• Resident Abuse Allegation Questionnaire
• SAMPLE Incident Investigation and Follow-Up

Admissions

• Admission Assessment
• Admission Decision Tree
• Advance Directives Policy
• Authorization to Release Medical Records
• Description of Services
• DNR
• Emergency Care Agreement
• Pain Assessment
• Permit for Using Personal Electrical Appliances
• Pre-Admit Assessment
• Quality Improvement Data Collection Form
• Release of Liability
• Release of Responsibility for Leave of Absence
• Social Assessment
• Statement of Charges

Bowel and Bladder

• Bowel and Bladder Training Assessment
• External Catheter
• Urinary Drainage Bag Protocol

Care Planning

• Care Plan and Service Plan Article
• Care Plan for Falls Occurrence
• Care Plan for Smoking
• Care Plan Form
• Monthly Summary
• Team Meetings

Dehydration

• Dehydration Article
• Intake and Output Worksheet
• Nutrition Intervention Checklist

Dining

• Weight Loss Protocol

Documentation

• 2 Hour Release Tracking Log
• Abbreviations and Dose [new!]
• Antibiotic Charting Procedure
• Anticoagulant Tracking
• Behavior Tracking Form
• Bowel and Bladder Training Assessment
• Change in Condition
• Clinical Management of Coumadin Therapy
• Complaint and Compliment
• Complaint Response Form Letter
• Consent and Release for Salt in Foods
• Consent and Release for Self Medication
• Consent and Release for Smoking
• Daily Security Checklist
• DNR
• Documentation Guidelines
• Emergency Care Agreement
• Emergency Physician Policy
• Incident Reports
• Informed Consent for Motorized Wheel Chair Use
• Informed Consent for the Use of Chemical Restraint
• Interdisciplinary Note
• Interdisciplinary note 2
• Medication Discrepancy Report
• Medication Error Reporting Form
• Monthly Summary
• Neuro Assessment Flow Sheet
• Neurological Checklist
• Neurological Checks
• Notification of Condition Change
• Nursing Monthly Lab Monitoring
• Pain Assessment
• Pain Management Log
• Physician and Resident Fax
• Physician Fax
• Post Fall Assessment
• Preventative Protocols for Skin Care
• Receipts and Request for Medical Records
• Record Audit by Timeline
• Records Management Medical Records Overview
• Release of Liability
• Release of Liability for Drivers
• Release of Liability for Wander Alert
• Resident Profile and Social History
• Resident Sign Out Leave Form
• Retention of Records Requirement by State
• Risk Alert
• Risk Investigation
• Self Administration of Medications Evaluation
• Shared Risk Agreement
• Shared Risk Agreement for Smoking
• Skin Risk Analysis Interventions
• Skin Screening
• Social Assessment
• Weight Loss Protocol

Elopement

• 2 Hour Release Tracking Log
• Assessment for Elopement and Wandering Risk
• Elopement Risk Assessment
• Evidence Based Protocol
• Initial Wandering Assessment
• Leave of Absence Self Responsibility
• Release of Liability for Wander Alert
• Resident Sign Out Leave Form
• Shared Risk Agreement for Elopement

Employee Safety

• Nurse Orientation Checklist
• Personal Protective Equipment Program
• Transfer and Gait Belt In Service
• Transfer and Gait Belt Receipt
• SAMPLE Safe Resident Handling Policy

Environment

• Cleaning Procedures for Oxygen Concentrators
• Heat and Humidity Emergency Procedure
• Introduction to Molds
• Investigating
• Lockout and Tag Out Procedures
• Moisture Control
• Mold Clean Up
• Mold Descriptions and Definitions
• Mold Glossary
• Mold Prevention Tips
• Organic Compounds
• Permit for Using Personal Electrical Appliances
• Resources List
• Table Mold Remediation
• Water Damage for Mold and Mildew Repair

HR Forms

• 90 Day Skills Checklist
• Annual CNA Competency Evaluation
• Background Check Policy
• Background Check Verification
• Charge Nurse Job Description
• Clinical Competency
• CNA Job Description
• CNA Skills Checklist
• Consent for Background Check
• Creating a Compliance Exit Interview Policy
• Dress Code [new!]
• Education Record
• Employee Experience Self Assessment
• Employee Surveys
• Employment Practice Decision Tree
• Employment Verification
• Exit Interview
• Facility Level Risk Manager Job Description
• Gait Belt Receipt
• Human Resources Employee Satisfaction Questionnaire
• Informed Consent for Private Duty Sitter to Provide Nourishment
• New Employee Competency Evaluation CNA
• New Employee Competency Evaluation LVN
• Non Discrimination Hiring
• Nurse Aide Skill Inventory
• Nurse Orientation Checklist
• Nursing Staffing Best Practices for Managing Risk
• Peri Skills Competencies
• Policy and Procedure for Skills Competency
• Private Sitter Agreement
• QA Nurse Job Description
• Regional Risk Manager Job Description
• Restorative Nurse Aide Competency Evaluation
• Risk Manager Job Description
• Skill Inventory for Certified Medication Aide or Certified Nurse Aid
• Staff Turnover Calculator
• Substance Abuse Policy Statement
• Supervisor's Checklist
• Supplemental CNA Staff
• The Value of the Exit Interview
• Use of Personal Vehicles for Facility Business
• Why You Should Treat Co-Workers Like Customers
• Written Warning Checklist

Incident Forms

• Incident Accident Sample Form
• Incident Accident Report
• Medication Administration Incident Report
• SAMPLE Incident Investigation and Follow-Up

Incident Reporting

• Analysis of Incidents Policy
• Conducting Root Cause Analysis
• Incident Investigation
• Incident Report Analysis
• Incident Reporting Policy
• Incident Reporting Procedures
• Incident Reports
• Incident Summary Report by Month
• Incident Trending Summary Report by Month
• Incident Accident Report
• Medication Administration Incident Report
• Occurrence or Incident Reporting and Analysis
• Risk Alert
• Risk Alert Log
• Risk Investigation
• SAMPLE Incident Investigation and Follow-Up
• Visitor Incident Report

Infection Control

• Antiseptic Technology
• Artificial nails
• Bloodborne Pathogens Exposure Control Plan
• CDC Guidelines
• Handwashing Guidelines
• Infection Control Article
• Infection Control Takes Aim At Artificial Fingernails
• MRSA [MP3 Audio File] [new!]
• Monthly Infection Control Log
• Personal Protective Equipment Program
• The Basics of Universal Precautions

MDS and RAI

• LTC RAI Manual

Medical Director

• Emergency Care Agreement
• Physician and Nurse Practitioner Credentialing
• Telephone Orders and Verbal Orders

Medical Management

• Anticoagulant Tracking
• Diagnosis and Drug Combinations
• Incident Report for Medication Errors
• Medication and Treatment Administration Audit
• Medication and Treatment Administration Data Retrieval Works
• Medication Discrepancy Report
• Medication Error Reporting Form
• Medicine Pass
• Nursing Monthly Lab Monitoring
• Review of Medication Pass

Medical Competencies

• Competency Examination of Medications
• Competency Examination of Medications Answer Sheet
• Review of Medication Pass

Medical Forms

• Chemical Restraint Follow Up
• Clinical Management of Coumadin Therapy
• Consent and Release for Self Medication
• Informed Consent for the Use of Chemical Restraint
• Medication and Treatment Administration Audit
• Medication and Treatment Administration Data Retrieval Works
• Medication Treatment Audit

Medical Inservice

• Failure to Treat Pain as Elder Abuse
• Medication Abbreviations to avoid
• Medication Error Prevention
• Medication Errors
• Medicine Pass Competency Quiz
• Medicine Pass Competency Quiz Answer Key
• Tips to Prevent Medication Errors

Medical Policies

• Needlestick Policy
• Neurological Assessment Policy

Medical Reports

• Incident Report for Medication Errors
• Medication Administration Incident Report
• Medication Discrepancy Report
• Medication Error Reporting Form

Medical Tracking Logs

• Anticoagulant Tracking

Motorized Scooter

• Informed Consent for Motorized Wheel Chair Use
• Motorized Scooter Policy
• Physician Attestation for Motorized Scooter
• Powered Mobility Device Screening Form
• Powered Mobility Device Screening Policy and Procedure
• Powered Personal Mobility Device

Nutrition and Hydration

• Informed Consent for Private Duty Sitter to Provide Nourishment
• Intake and Output Worksheet
• Nutrition and Hydration Care
• Pressure Ulcer Protocol
• Risk Factors for Developing Pressure Sores
• Weight Loss Protocol

Pain Management

• Assessment and Management of Pain
• Pain Assessment
• Pain Assessment and Recognition in Geriatric Residents
• Pain Management Log

Pressure Ulcers

• Intake and Output Worksheet
• Pressure Ulcer Protocol
• Pressure Ulcer Treatment
• Prevention of Pressure Ulcers
• Risk Factors for Developing Pressure Sores
• Skin Risk Analysis Interventions

Quality Assurance

• A Continuous Quality Improvement
• Analysis of Risk By Category
• Analysis of Risk Category Sample
• Change Management Strategies
• Checklist for Pharmacist Consultant
• Conducting Root Cause Analysis
• Continuous Quality Improvement Checklist
• Continuous Quality Improvement Tracking
• Continuous Quality Improvement Worksheet
• Incident Summary Report by Month
• Incident Trending Summary Report by Month
• Narcotic CQI Tool
• QA Agenda Items
• QA Flow Chart
• Quality Assurance Committee Policy Review
• Quality Improvement Data Collection Form
• Quality Improvement Data Collection Form Blank
• Quality Improvement Work Product
• Record Audit by Timeline
• Report to Quality Improvement Committee
• Risk Alert Log
• Risk Investigation
• Safety Committee
• Sample QA Agenda

Restraints

• 2 Hour Release Tracking Log
• Chemical Restraint Follow-Up
• Informed Consent for the Use of Chemical Restraint
• Physical Restraint Assessment

Skin

• Pressure Ulcer Protocol
• Preventative Protocols for Skin Care
• Prevention of Pressure Ulcers
• Risk Factors for Developing Pressure Sores
• Skin Risk Analysis Interventions
• Skin Screening
• Standard Skin Care Instructions

Smoking

• Clothing Fires in the Long-Term Care Setting
• Consent and Release for Smoking
• Shared Risk Agreement for Smoking
• Smoking Assessment 1
• Smoking Disclosure
• Smoking Privilege Informed Consent and Compliance Agreement

SNF Staffing

• Daily Review
• Daily Staff Goals
• Nurse Orientation Checklist
• Nursing Staffing Best Practices for Managing Risk
• Supervisor's Checklist

Falls

• 2 Hour Release Tracking Log
• Care Plan for Falls Occurrence
• Chemical Restraint Follow-Up
• Fall Causes
• Falls Investigation
• Neurological Checklist
• Neurological Checks
• Nursing Post Fall Assessment
• Post Fall Assessment
• Transfer and Gait Belt Receipt

Fire and Disaster

• Clothing Fires in the Long-Term Care Setting
• Emergency Evacuation Plan Assignments
• Permit for Using Personal Electrical Appliances

HIPAA

• Physician Fax
• Physician and Resident Fax

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Copyright © OmniSure Consulting Group, Inc., 2008