F323 Accidents and Supervision Tips
Winter 2007
The intent of this requirement is to ensure the facility provides an environment that is free from hazards over which the facility has control and provides appropriate supervision to each resident to prevent avoidable accidents. This includes systems and processes designed to:
- Identify hazard(s) and risk(s);
- Evaluate and analyze hazard(s) and risk(s);
- Implement interventions to reduce hazard(s) and risk(s);
- Monitor for effectiveness and modify approaches as indicated; and
- Residents receive supervision and assistive devices to prevent avoidable accidents.
Systems Approach: Tips for Compliance
Evaluation for potential resident risk prior to admission
- Gather data from admitting facility, resident and responsible party
Identification of resident risk for accidents on admission:
- Utilize medical history and physical exam
- Interview resident and responsible party/family as able
- Observe resident in environment
Involve interdisciplinary team (IDT) on:
- Individualized assessment for safety
- Identification of hazards
- Need for supervision (i.e., unsafe smoking)
- Development and implementation of interventions to reduce accidents
- Monitoring and evaluation for effectiveness/modification of approaches
Identification of hazards and risk factors
- Environmental rounds
- Quality assurance audits
Education
- Education to staff, residents and families on environmental hazards
- Ensure that staff are properly trained with facility equipment
Fall Management (Determination of risk)
- Review of intrinsic and extrinsic factors
- Review of medications
- Review of physical devices for accident prevention as well as potential hazards
- Review resident environment
- Analysis of causal factors
- Develop and implement interventions
- Ongoing evaluation of effectiveness of interventions
- Education for Interdisciplinary Team of interventions
Abuse/Resident to Resident Altercations/ Behavior Management
- Screen prior to admit for history of abuse or risks for being abused (i.e., behaviors)
- Explore causal factors for resident behaviors
- Review abuse prohibition policies for elopement, wandering and resident altercations
- Upon admit, screen for potential elopement risks- immediately provide interventions
- Ensure the resident is appropriately placed on unit
- Interdisciplinary Team to meet routinely to discuss abuse prevention and behavior management programs
Pathway Health Services offers consultative services to assist you with implementation of F323 as well as a comprehensive F323 Accidents and Supervision manual, complete with policies, procedures and assessment forms. For more information contact Pathway Health Services at
consult@pathwayhealth.com or call
1-877-777-5463.
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