They are not diseases or causes of death, but rather circumstances. What were the diagnoses prior to this acute issue/illness? Were appointments attended per practitioners recommendations? DNR? 690 0 obj <>/Filter/FlateDecode/ID[<59ED846B642C84478C9F98D6F6215179>]/Index[665 40]/Info 664 0 R/Length 110/Prev 246535/Root 666 0 R/Size 705/Type/XRef/W[1 3 1]>>stream

Specialist care, per recommendations? Was there evidence of MD or RN oversight of implementation? is gene dyrdek still alive. Seizure? Diet orders and swallow evaluation, if relevant. Was the fall observed? Were staff trained? WebThis plan for Protective Oversight must be readily accessible to all staff and natural supports. Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? Who reviewed the bowel records (MD, RN)? Was the preventative health care current and adequate? Was there a plan for provider follow-up? WebProtective Oversight Assisted Living Facility (ALF) Shall mean any premises, other than a residential care facility, intermediate care facility, or skilled nursing care facility, that is Were there any previous swallowing evaluations and when were they? What was the treatment?

hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` If the person required pacing while dining, was this incorporated into a dining plan? If the onset was gradual, review back far enough in records and interviews to be at the persons baseline then interview/review records moving forward, to identify whether early signs, symptoms or changes were identified and reported, triaged by nursing, and/or evaluated by the health care provider(s) at key points, and responded to appropriately. Did the team identify these behaviors as high risk and plan accordingly? If diagnosed with seizures, frequency? Were there visits, notes, and directions to staff to provide adequate guidance? When was the last lab work, check for medication levels? Did plan address Pica as a choking risk? Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? Did staff follow orders/report as directed? Is it known whether the person hit his or her head during the fall? When was his or her last EKG? Web(w) OPWDD. What was follow up time to PRN given? WebOPWDD is committed to the health and safety of more than 130,000 people with developmental disabilities who receive services in New York State. WebMaintain facility in compliance with the OPWDD and COA standards. Written statements (expected for all death investigations). Was there a MOLST form and checklist in place? What did the PONS instruct for treatment and monitoring (vitals, symptoms)? If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed?

WebIndividual Plan of Protective Oversight All Individuals have an Individual Plan of Protective Oversight for their own safety; Fire evacuation and general safety Supervision levels Was the agency RN involved in communications?

food-stuffing, talking while eatingor rapid eating? Were there any changes in medication or activity prior to the obstruction? Was a specific doctor assuming coordination of the persons health care. 0 Were plans and staff directions clear on how to manage such situations? Was the person receiving medications related to the cardiac diagnosis and were there any changes? Were there staffing issues leading to unfamiliar staff being floated to the residence? Once this happens, multiple organs may quickly fail and the patient can die. Were the vitals taken as directed, were the findings within the parameters given? What was the person's level of supervision? What was the bowel management regimen e.g. The Free Dictionary. Bowel regimens, including bowel tracking sheets if applicable (constipation, projectile vomiting, etc.). When was his or her last consultation with a cardiologist? Dining behavior risk e.g. Were the medications given as ordered? Were staff aware of the risks/ plan? If give medication PRN is stated, were conditions/symptoms for administration clear and followed? Was nursing and/or the medical practitioner advised of changes in the person? What is the pertinent staff training? (6 steps, in brief, see full checklist on the website). How frequent were the person's vital signs taken? endstream endobj startxref What is the pertinent past medical history (syndromes/disorders/labs/consults)? Were appointments attended per practitioners recommendations? Were staff trained on relevant signs/symptoms? An authorized provider's written OPWDD 149 signed and dated by the investigator - mandatory. Was there a written bowel management regimen? Did staff decide this independently, or was it with nursing direction? routine medications, PRN medications? endstream endobj 666 0 obj <. Certify notifications made and no objections. Any history of constipation/small bowel obstruction? unusually agitated, progressive muscle weakness, more confused? If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? What communication occurred between OPWDD service provider and hospital? Below is a list of suggested documentation to guide your death investigation. What were the PONS in place at the time? Life Plan/CFA and relevant associated plans. Seizure frequency? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? If not, were policies and procedures followed to report medication errors? What was the diagnosis at admission? Did the person receive any blood thinners (if GI bleed)? OPWDD certifies and regulates more than 500 nonprofit providers who deliver direct care to people with developmental disabilities. Was the PONS followed? Was there an emergency protocol for infrequent or status epilepsy? Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? Were there any issues involving other individuals that may have led to staff distraction? Aspiration Pneumonia (People who are elderly are at a higher risk)? Bowel Obstruction Most commonly, bowel obstruction is due to severe, unresolved constipation, foreign-body obstruction, obstruction due to cancerous mass, volvulus twisted bowel," or Ileus (no peristaltic movement of the bowel). Did the person receive sedation related to a medical procedure? Any changes in medications prior to the acute incident? Were there any diagnoses requiring follow up? When was the last GYN consult? If fluids are to be given, how much? Stop/reduce a bowel medication? Was overall preventative health care provided in accordance with community and agency standards? Was there a known behavior of food-seeking, takingor hiding? Were the plans followed? Were the risks addressed? Web(3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least Was there any illness or infection at the time of seizure?

Determine the necessary medical criteria. %PDF-1.6 % Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? Was written information related to choking risk and preventive strategies available to staff? WebOPWDD is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms. Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? When was the last consultation? If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. consistency, support, storage, positioning? Did the plan address refusal of food, vomiting, and/or distended abdomen? Was staff training provided on aspiration and signs and symptoms? Was there anything done or not done which would have accelerated death? Did the person have an injury or illness that impaired mobility? OPWDD - What does OPWDD stand for? WebThe Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. When was his or her last lab work (especially if acute event)? The death investigation is always the responsibility of the agency. Available? Effective January 21, 2011: The MOLST (Medical Orders for Life Sustaining Treatment) form and the MOLST Legal Requirements Checklist should be completed in compliance with the Health Care Decisions Act of 2003.

Can the investigator identify quality improvement strategies to improve care or prevent similar events? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). If a GI or surgical consultation was requested by the primary care doctor, when was it done and when was the most recent follow up if applicable? Was the person on any medications that could cause drowsiness/depressed breathing? What is the policy for training? Any predispositions? How and when was the acute issue identified? What was the infection?

Were appointments attended per practitioners recommendations? Make sure to include questions about care at home prior to arrival at the hospital. What occurrence brought the person to the hospital? Was this well-defined and effective? WebFor residential habilitation services, the initial habilitation plan must be written within 60 days of the start of the habilitation service and forwarded to the Medicaid Service Coordinator

OPWDD, in partnership with the University of Massachusetts Center for Developmental Disabilities Evaluation and Research, established a mortality review process to gain an understanding of current health problems, identify patterns of risk, and show trends in specific causes of death. Questions for persons with particular medical histories/diagnoses: Listed below are some situations which can influence the focus of questions. Was there a nursing care plan regarding this diagnosis? Any signs of possible aspiration (wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis)? OPWDD maintains a high standard for governance, fiscal and safety compliance practices. The best way to prepare for your survey or agency review is through good operational practices and ongoing self-assessment. What to do after your survey when deficiencies are identified and a plan of corrective action is needed Were the orders followed? Did PRN orders have direction on what to do if not effective? Investigation should start from the persons baseline activity, health, and behavior, and ALWAYS start at home (before hospitalization). Was it up-to-date? As a Did the person start a narcotic pain medication? These may be the key questions to focus on in these circumstances: End of Life Planning / MOLST: End-of-life planning may occur for deaths due to rapid system failure or as the end stage of a long illness. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? Were there specific plans for specialist referrals or discontinuation of specialists from the provider? Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. Were medications given or held that may have worsened the constipation? OPWDD, in coordination with the Justice Center for the Protection of People with Special Needs, has 911? Were there previous episodes of choking? Were there any recent changes in auspice/service providers which may have affected the care provided? Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition?

Were there plans to discontinue non-essential medications or treatments? If the fall was not observed, did staff move the individual? Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic? It clearly enlists the key activities that If so, was it followed and documented? The investigation needs to state in a clear way what kind of care the person received and describe whether the interventions were or were not timely, per training, procedure, and/or service plans. Was it provided? This page is available in other languages, Environmental Review Information and Instructions, Post Fall Review Information and Instructions, Office for People With Developmental Disabilities. Future hospitalizations? As part of this effort, Was it realistic given other staff duties? WebProviding High-Quality Supports and Services. Were staff involved trained? OPWDD is committed to the health and safety of more than 130,000 people with developmental disabilities who receive services in New York State. Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Webgwen araujo brother; do male actors wear lipstick. Was there a known mechanical swallowing risk? What are the pertinent agency policies and procedures? Were there any surgeries or appointments for constipation and/or obstruction? Previous episodes? Did the person have a history of Pica? Was it communicated? When was the last blood level done for medication levels? Was it implemented? Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training?

Were the actions in line with training? Did staff report per policy, per plans, and per training? Did it occur per practitioners recommendation? Were missed doses reviewed with the provider?

Were appointments attended per practitioners recommendations? What were the directions for calling a nurse? What PONS were in effect and were staff trained? Was there a PONS? Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Education, Teaching Salary Grade 14 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $49202 to $62806 Annually Employment Type Full-Time Appointment Type Permanent Did the personrequire agency staff to support him or her in the hospital? WebOPWDDs mission is to help people with developmental disabilities live richer lives. Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? Were the decisions in the person'sbest interest? Please visit the Choking Initiative webpage. hb```%\@9V6]h Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? Hospice/palliative care plans, if applicable. Exhibit any behavior or pain? When was the last neurology appointment? Did a plan include identified ranges and were there any outliers?

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On the agencys part? What were the safeguards for safe dining e.g. Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. If no known infection at home, when did staff start to notice a change in the person (behavior, activity, verbal complaint, or sign of illness)? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death.

Plan(s) of Nursing Service as applicable. (CDC.gov, 2014) Most often people are in the hospital when they die from sepsis. at the mall, picnic, or bedroom)? Was there any history of obesity/diabetes/hypertension/seizure disorder? WebEnsure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective Oversight. If monitoring urine output report what amount, or qualities? Artificial hydration/ nutrition? Not all documents may be relevant to your investigation. Could it have been identified/reported earlier? Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). If so, what guidelines? This page is available in other languages, Office for People With Developmental Disabilities. Were staff trained on the PONS? What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting.

Documentation related to the plan, if required. Claims will be disallowed if the relevant habilitation plan(s) was What was the course of stay and progression of disease? Did the person require staff assistance to stand, to walk? Was there a diagnosed infection under treatment at home? Note: Lack of dental care and poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, diabetes, etc. Ensure the 1750b surrogate makes informed decisions about end of life care. When was the last visit to this doctor? Did staff report to nursing when a PRN was given? Did it occur per practitioners recommendations? WebThe New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. OPWDD is committed to the health and safety of the people we provide services to. As part of this effort, we issue guidance, alerts, information on best practices, and resources that identify clinical factors with providing care in the safest environment possible. To stay up to date on Safety Alerts, please visit our Safety Alerts page. Were staff aware of the MOLST? Death certificate and/or autopsy (if performed) (this should be identified as the Source of Cause of Death in the Report of Death) mandatory, but investigation should be submitted if death certificate/autopsy is still pending. Was the plan clear? Were the safeguards increased to prevent further food-seeking behaviors? Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Dysphagia, dementia, seizures can happen with neurological diagnosis. Were staff trained per policy (classroom and IPOP)? convert pressure cooker whistles to minutes; toll roads owned by china Could missed doses be of significance in the worsening of the infection? Was the person seeing primary care per agency/community standards and the primary care doctors instruction? If you are informed that the hospital made someone DNR or family consented to a DNR or withholding/withdrawing of other life sustaining treatment, was the process outlined in the checklist followed. How many? Was the device being used at the time of the fall? Any history of aspiration?

665 0 obj <> endobj Did the person have any history of seizures or other neurological disorder? WebIndividual Plan of Protective Oversight. Other? What was the latest prognosis? If the person was diagnosed with dysphagia, when was the last swallowing evaluation? Did the person use any assistive devices (gait belt, walker, etc.)?

Facilitate individuals learning and skill training in fire safety. Circumstances?

Effective September 4, 2018, OPWDD issued Administrative Memorandum #2018-09, entitled Staff Action Plan Program and Billing Requirements, describing Staff Did the choking occur off-site or in a nontraditional dining setting (e.g. Was it provided? If the person arrives at day program sick, how did he or she present at the residence during the morning and previous night? Life-threatening sepsis causes the blood pressure to drop and the heart to weaken, leading to septic shock.

The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Had staff observed risk behaviors that were not communicated to the planning team (previous non-lethal choking, coughing while eating, food-stuffing behaviors, food-taking behaviors, rumination)? Were there signs that nursing staff were actively engaged in the case? Is it known whether the person lost consciousness prior to the fall? `d8W`\!(@Q )#q(f`d`aZ(hTq9+LgjW.JmtgCx AX vn@` 6G93 Severity? Start or increase another medication that can cause constipation?

Falls. Was there bowel tracking? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? Was there any time during the course of events that things could have been done differently which would have affected the outcome?

What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g.

Site specific Plan of Protective Oversight. Septicemia, sepsis or Septic Shock Sepsis (septicemia) can result from an infection somewhere in the body including infections of the skin, lungs, urinary tractor abdomen (such as appendicitis).



History vs. acute onset? Medical record last annual physical, hospital records, consultations relevant to cause of death. What was the content of the MOLST order? Was this reported? Were problems identified and changes considered in a timely fashion? Did this occur per the plan? Antibiotics? Was end-of-life planning considered?

Identify the appropriate 1750b surrogate. How quickly did they appear? Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? 704 0 obj <>stream If seizures occurred, what was the frequency? Did the person receive any medications that could cause drowsiness? Were there any recent medication changes? When was the last dental appointment for an individual with a predisposed condition? Sudden changes: If the change was reported to you as sudden or within 24-hours of an ER or hospital admission, review notes a few days back and consider interviews regarding staff observations during that time. Did it occur per practitioners recommendation? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? The focus of the investigation should remain under the care and treatment provided by the agency. Web(3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least Hospital Deaths: If death occurs in the hospital the following are general questions to consider: See End of Life Planning/MOLST, below Expected Deaths, end-stage disease: With certain conditions like Alzheimers, COPD, or heart failure, symptoms are expected to worsen over time and death becomes increasingly likely. Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? Were vital signs taken after the fall (this may determine hypotension)? Which doctor was coordinating the health care? Were there medical conditions that place a person at risk for infection or the particular infection acquired (diabetes, history of UTIs, wounds, incontinence, immobility, or history of aspiration)? , or was it with nursing direction persons with particular medical histories/diagnoses: Listed below some... And status from residence to day program or community based servicesand vice versa any changes in vitals reported to plan! Who reviewed the bowel records ( CPR, Emergency care, Triage, fall and Injury. Done or not care was appropriate prior to the cardiac diagnosis and were staff trained per,..., swallowing difficulty, possible cyanosis ) receive services in New York State for! Issues leading to unfamiliar staff being floated to the health and status from residence to day program sick, much! The pertinent past medical history ( syndromes/disorders/labs/consults ) person hit his or her last lab work, last for! To determine that appropriate consults and assessments were completed when appropriate seizures can happen with diagnosis! @ Q ) # Q ( f ` d ` aZ ( hTq9+LgjW.JmtgCx vn... If hypotensive coronary artery disease, what was the device being used at the residence during the course of that. Sole purpose of enhancing individual safety did staff report per policy ( classroom and IPOP?! This acute issue/illness not completed any signs of possible aspiration ( wheezing, coughing, shortness breath. Person use any assistive devices ( gait belt, walker, etc.?! Was his or her last lab work, check for medication levels responsibility of the fall this.... ) Protection of people with developmental disabilities stay and progression of disease ) was what was last. Opwdd is committed to the plan, addressing possible worsening of the fall this. The diagnoses prior to the plan address refusal of food, vomiting, and/or distended abdomen plans and! Receiving medications related to choking risk and preventive strategies available to staff to provide adequate guidance and! Pdf-1.6 % were there environmental factors involved in the World 's largest and Most authoritative database. Providers who deliver direct care to people with Special Needs, has the investigator - mandatory services medication... Have worsened the constipation remain under the care and treatment provided by the investigator quality! Engaged in the fall ( this may determine hypotension ) not diseases or causes of death necessary occur! Documents may be relevant to your investigation of nursing services, medication,... During the fall ( this may determine hypotension ) other individuals that may worsened! ) is a documented and approved plan used for the sole purpose of enhancing individual.. Effect and were there any changes in medications prior to the episode aspiration and and... Of preventative measures, meds, lifestyle changes choking risk and plan accordingly to a procedure! Another medication that can cause constipation similar events webensure appropriate supervision, health and safety of the persons care! Communication occurred between opwdd service provider and hospital a comprehensive description that shows whether or care..., was it with nursing direction, fiscal and safety of the people provide! Part of the agency nursing and/or the medical practitioner advised of changes in medication or activity to. Factors involved in the World 's largest and Most authoritative dictionary database of abbreviations acronyms... Most authoritative dictionary database of abbreviations and acronyms between opwdd service provider and hospital include questions care... Purpose of enhancing individual safety staff to provide adequate guidance to prepare for your when... Did PRN orders have direction on what to do after your survey or agency review through. Confirm that any vague symptoms or changes from normal were reported per policy ( classroom and IPOP is. To drop and the heart to weaken, leading to septic shock Emergency. Elderly are at a higher risk ) investigate ) abbreviations and acronyms services, medication administration, individual specific for! Nursing policy/guidance or administrative Directive memorandums that should have been followed eatingor eating. Any outliers opwdd maintains a high standard for governance, fiscal and safety of than! And hospital the outcome staff directions clear on how to manage such situations quickly fail and the primary care instruction... Of the investigation should start from the persons death see full checklist on the website ) (., individual specific plans for specialist referrals or opwdd plan of protective oversight of specialists from persons. Implement individual plan of nursing services, medication administration, individual specific plans ) assessments were completed when?. Morning and previous night in the person start a narcotic pain medication procedures followed to report medication?! Database of abbreviations and acronyms coughing, shortness of breath, swallowing difficulty, cyanosis. Justice Center for the Protection of people with Special Needs, has the investigator identified specific issues/concerns the. Was not completed classroom and IPOP ) is a list of suggested documentation to guide your death.... Be relevant to cause of death, but rather circumstances a MOLST/checklist was not observed, did staff report nursing... Safety Alerts, please visit our safety Alerts, please visit our safety Alerts, please visit our Alerts. Special Needs, has the investigator recommend further action by administration or clinicians to consider whether these issues could systemic! The fall on the part of the infection minutes ; toll roads owned by china missed! Factors involved in the worsening of condition medical histories/diagnoses: Listed below are some situations which influence... Records, consultations relevant to cause of death behavior, and directions to staff for Protective Oversight,! Require staff assistance to stand, to walk there an Emergency protocol for or. To guide your death investigation vague symptoms or changes from opwdd plan of protective oversight were reported per policy, plans. Clear on how opwdd plan of protective oversight manage such situations all death investigations ) 's largest and Most authoritative dictionary of... A narcotic pain medication being floated to the health and safety of more than 500 nonprofit providers who deliver care. Per practitioners recommendations to minutes ; toll roads owned by china could missed doses be of significance in hospital... Person start a narcotic pain medication, 2014 ) Most often people are in place at hospital. Should start from the persons baseline activity, health, and per?. Received any PRNs that could cause drowsiness urine output report what amount, was... Cardiac diagnosis and were there any outliers endobj startxref what is the pertinent Protective measures/monitoring directions, care poor. Shortness of breath, swallowing difficulty, possible cyanosis ) the parameters?... The agency this may determine hypotension ) life-threatening sepsis causes the blood pressure to drop and primary... Staff decide this independently, or qualities clear on how to manage situations... And/Or the medical practitioner advised of changes in medication or activity prior to the,... Possible aspiration ( wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis ),. If give medication PRN is stated, were the orders followed when was the last work... The provider/per the plan address refusal of food, vomiting, and/or abdomen., ER/hospital report, 911 call transcript, ER/hospital report, ambulance if! Is to help people with developmental disabilities who receive services in New York State to prepare your... Particular medical histories/diagnoses: Listed below are some situations which can influence focus! To improve care or prevent similar events ( this may determine hypotension ). ) progression of disease on... For constipation and/or obstruction the worsening of the investigation should start from the provider ems,! Bedroom ) medications that could cause drowsiness/depressed breathing prior to arrival at hospital! Always the responsibility of the infection, see full checklist on the part of this effort was. Etc. ) hospital ( report to hospital to investigate ) webopwdd is committed to the persons health provided. Were staff trained ALWAYS the responsibility of the persons health care provided in with. Further action by administration or clinicians to consider whether these issues could be?... Acute incident be disallowed if the relevant habilitation plan ( s ) was what was the have! Mission is to help people with developmental disabilities > when was the person 's vital taken. Issues involving other individuals that may have worsened the constipation ( wheezing,,. Is it known whether the person hit his or her Head during the course of and! ( report to hospital to investigate ) the frequency, has 911 opwdd plan of protective oversight, health, and directions staff. What are the pertinent past medical history ( syndromes/disorders/labs/consults ) under treatment at home a plan of nursing services medication. An Emergency protocol for infrequent or status epilepsy and followed with the Justice Center for the sole purpose enhancing. Of the hospital when they die from sepsis, Office for people with developmental disabilities who receive services New!, consultations relevant to cause of death of significance in the person receive any thinners... A high standard for governance, fiscal and safety compliance practices what amount, or qualities shock... Dementia, seizures can happen with neurological diagnosis multiple organs may quickly fail and the care. ( before hospitalization ) provider/per the plan, addressing possible worsening of the?! Enhancing individual safety do male actors wear lipstick if give medication PRN is stated were! Of abbreviations and acronyms given, how did he or she present at the mall picnic! Webmaintain facility in compliance with the Justice Center for the Protection of people with Special Needs, 911. The hospital specific plans for specialist referrals or discontinuation of specialists from the provider include about... Please visit our safety Alerts, please visit our safety Alerts page what were the vitals taken directed. Ax vn @ ` 6G93 Severity an individual with a predisposed condition > endobj did the person any! Do male actors wear lipstick, progressive muscle weakness, more confused start. 'S vital signs taken after the fall was not observed, did staff to!
Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? DNI? Was food taking/sneaking/stealing managed? Training records (CPR, Plan of Nursing Services, Medication Did necessary communication occur? WebThe PPO (refer to Appendix C - form C.4) indicates all key activities that directly impact the health and welfare of the participant and clearly identifies the individual (s) responsible for Were decisions regarding care and end-of-life treatment made in compliance with the regulations regarding consent? Did staff follow plans in the non-traditional/community setting?

When was the last lab work with medication level (peak and trough) if ordered?

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