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F) How Surveyors evaluate severity If a resident(s) is (are) extremely lethargic or sleepy Some Surveyors describe the information india provided as insufficient to make a determination of harm: more investigation required cannot make a severity determination based on this information could be other reasons for. Perhaps more examples australia of correct citing for various scenarios. Period Yes, having worked in facilities for 15 years, I think facilities will not always do the right thing if "rules" do not have some consequences. If there are issues with the use of anti-psychotic medicaitons such as no diagnoses, no GDR"s, usage without non-pharmacological interventions, an overabundance winstrol of residents on these medications, use as a chemical restraint. Some do benefit australia from the use of the meds, and if the facilities stop using them in order to avoid being cited, that could do harm legit to some residents who really need them. .
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I think we provide a third party type approach and help clarify the regulations to facility staff, in turn doing what is best for the resident. They do not assess the residents for other reasons that could be causing the behaviors such as UTIs, abnormal sodium or electrolyte levels, fear and depression. Many of those situation might be scoped at a harm level depending on other issues derived from investigation. Some of these triggered areas, such as 1/4 siderails as potential restraints for cognitively-impaired residents usually turn out not to be restraints, and you have to keep picking another resident that triggered for restraints until you find a true restraint device. . Residents who did not have a psychiatric diagnosis in their past are suddenly assigned diagnosis when their congnition declines. GDRs should be attempted, if possible, and if not, the faciltiy should be able to substantiate why not. .
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CAA summaries are not in depth. If pharmacy did not identify irregulaties with psych meds I would cite F428. It seems that the faciliies keeps these separate. The rigidity of the whole sample selection protocol makes surveys less effective. . Can look at weights and see if losing or not if not no need to document If they are losing weights then document l) General interviews, m) Resident funds, n) Surety bond, o) Meal and activity observations I feel the group interview takes alot. The process is much more involved with picking a Phase one sample that includes the anti-psychotics and a WHP, and to include interviews. .