RESTRAINTLast resort intervention when other approaches unsuccessful. Requires physician order, consent, documentation of alternatives tried, monitoring, regular reassessment. Goal is reduction and elimination. Aligns with least restrictive principles.
ALTERNATIVESThis information is available on The Pulse intranet (The Pulse/PolicyMedical). Informed consent is obtained by explaining the purpose, procedures, risks, benefits, and alternatives of the proposed treatment or procedure in terms the client understands. We assess the client's capacity to ma
CONSENTInformed, voluntary agreement for care, treatment, services. Requires capacity assessment, explanation of risks/benefits, documentation. May be written or verbal. Ongoing process that can be withdrawn. Required before interventions.
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.
ORDERDocumentation is monitored in several ways. For example, Registered Staff complete a second check of orders faxed to the pharmacy. As well, the SJHCG RAI Coordinators conduct ongoing data quality checks to ensure optimal data accuracy.
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.
REDUCTIONThis information is available on The Pulse intranet (The Pulse/PolicyMedical). I would ensure they have capacity to make the decision, explain the risks clearly, explore harm reduction strategies, involve the family if consented, and document their informed choice to live at risk.
SAFETYProtection from harm through risk assessment, prevention strategies, environmental modifications, staff training. Incidents reported, investigated, learning shared. Central to quality care.
DIGNITYTreating clients with courtesy, listening to concerns, protecting privacy, honoring preferences. Includes cultural, spiritual considerations. Staff trained in person-centered approach. Essential to quality care and resident rights.
REMOVALClient and Family Education Provide the client and family with an explanation of the equipment and the procedure, including the reason for catheter removal.
