DISCHARGEClient feedback mechanisms include: patient/resident experience surveys, satisfaction surveys, Patient and Family Advisory Committee (PFAC), Residents and Family Council, complaint and compliment processes through RL Solutions, comment boxes in clinical areas, direct feedback to staff duri
PLANNINGService delivery information is in CSS-100-1 Community Services Program Policy on The Pulse. Resources include service planning templates, assessment tools, safety protocols for home visits, emergency contact procedures, documentation guides, and community resource directories. Managers an
COORDINATIONService delivery is client-centered: comprehensive needs assessment, individualized service plans, flexible scheduling, regular progress monitoring, and coordination with healthcare providers and community resources.
MEDICATIONAll 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.
EDUCATIONOngoing training for staff, residents, families. Methods include orientation, annual updates, competency verification. Documentation includes attendance, content, evaluation. Required for accreditation.
FOLLOWUPFollowup 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.
TRANSFERSTransfers to hospital in an emergency situation will continue regardless of outbreak status; staff will communicate with the EMS/receiving site that the resident is transferring to.
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.
COMMUNICATIONClear, timely exchange of information between team, residents, families. Includes handoffs, conferences, documentation. Barriers addressed, effectiveness evaluated. Essential for coordination and safety.
SUPPORTWe received a referral for a client with complex needs requiring daily visits and specialized equipment. We reviewed our caseload and identified we had geographic capacity but lacked specialized training. We arranged consultation support and accepted with a training plan.
