ENVIRONMENTWe use the PIECES model (Physical, Intellectual, Emotional, Capabilities, Environmental, Social) and standardized assessments (e. , RAI-MDS) to capture a holistic view of the client's health. Documentation is maintained in the client health record/chart.
SAFETYProtection from harm through risk assessment, prevention strategies, environmental modifications, staff training. Incidents reported, investigated, learning shared. Central to quality care.
HAZARDSClient safety is maintained through fall risk assessment, environmental rounds, bed/chair alarms when appropriate, call bell within reach, adequate lighting, clear pathways, proper bed height, non-slip footwear, and supervision based on risk level. We identify safety risks in care plans, i
LIGHTINGInterventions include: environmental checks (lighting, clear paths), mobility aids, non-slip footwear, medication review, hip protectors if indicated, and toileting schedules. Interventions are individualized in the care plan.
FLOORINGFlooring in long-term care involves systematic assessment, planning, implementation, evaluation. Staff trained on standards, procedures documented, outcomes monitored. Quality improvement when gaps identified. Aligns with accreditation requirements.
EQUIPMENTTeam members participate in orientation prior to their first shift and receive continuing education on service delivery standards, client-centered care approaches, and best practices. Training includes mandatory modules, hands-on practice, competency validation, and annual refreshers. Educ
ACCESSIBILITYThe list of translation and interpretation services is available on the Pulse intranet under Patient Services or Accessibility resources. SJHCG maintains a list of multilingual staff who can assist, contracts with interpretation services for multiple languages, has access to telephone inte
WANDERINGExample: Analysis showed increase in falls during evening hours. We implemented: additional staffing during peak risk times, improved lighting, toileting rounds, fall mats for high-risk residents, and activity programming to reduce wandering. Follow-up data showed 30% reduction in evening
SECUREWe obtain consent for info sharing, communicate via secure methods, participate in care coordination meetings, and ensure smooth transitions by documenting all coordination activities. At SJHCG, care coordination uses Caseworks, Oscar Pro, and Care Dove platforms to share information with
INSPECTIONPractices are monitored internally and externally. For example, the medication record is 'maintained as verification. or to identify a missed medication, to trigger the completion of an incident report'.
