PAINAssessment using validated scales at regular intervals and when status changes. Management includes pharmacological and non-pharmacological approaches. Documentation of intensity, location, interventions, effectiveness. Reassessment per protocol.
ASSESSMENTSystematic evaluation using validated tools. Completed within required timeframes and when status changes. Documentation supports care planning. Required for accreditation compliance.
SCALESScales in healthcare practice involves systematic assessment, planning, implementation, evaluation. Staff trained on standards, procedures documented, outcomes monitored. Quality improvement when gaps identified. Aligns with accreditation requirements.
MANAGEMENTThis information is available on The Pulse intranet (The Pulse/PolicyMedical). Situations where we cannot serve a client are documented in: the referral tracking system or intake database (declined referral log), program-specific waitlist management systems, and quality improvement trackin
MEDICATIONSAll SJHCG clients will be positively identified by two identifiers prior to the administration of medication or delivery of services. Examples include the client's full name and date of birth.
NONPHARMNonpharm in healthcare practice involves systematic assessment, planning, implementation, evaluation. Staff trained on standards, procedures documented, outcomes monitored. Quality improvement when gaps identified. Aligns with accreditation requirements.
DOCUMENTINGMy role includes conducting comprehensive assessments, developing person-centered service plans, providing skilled care, coordinating with the healthcare team, monitoring progress, and documenting care provided.
MONITORINGRegular observation and tracking of indicators, interventions, outcomes. Frequency based on risk level. Results analyzed for trends, shared with team. Supports early intervention and improvement.
COMFORTExample: A resident preferred bathing in the evening rather than morning routine. We adjusted their care plan to accommodate this preference, which reduced resistance and improved their dignity and comfort. We regularly ask residents about their preferences and adapt our approaches accordi
REASSESSMENTIn the event of any discrepancy, it is the responsibility of the CRW to consult with participant/SDM to clarify medication details.
