An authorized provider's written Did the team identify these behaviors as high risk and plan accordingly? Did the person require staff assistance to stand, to walk? What were the symptoms which sent the person to the hospital? What was the person's level of supervision? When was his or her last EKG? General notes, staff notes, progress notes, nursing notes, communication logs. Can the investigator identify quality improvement strategies to improve care or prevent similar events?
What were the safeguards for safe dining e.g. Was the PONS followed? DNR? Life Plan/CFA and relevant associated plans. Was the fall observed? Were staff aware of the risks/ plan? Was there a plan for provider follow-up? WebMaintain facility in compliance with the OPWDD and COA standards. Seizure? Did the person receive any medications that could cause drowsiness? This Plan must also be submitted to the Regional Resource Development If diagnosed with seizures, frequency? Antibiotics? Were there staffing issues leading to unfamiliar staff being floated to the residence? What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? Was the agency RN involved in communications? Exhibit any behavior or pain? WebIndividual Plan of Protective Oversight. Were they followed?
Training records (CPR, Plan of Nursing Services, Medication 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. Is it known whether the person lost consciousness prior to the fall? Was this well-defined and effective? Did the person start a narcotic pain medication? Who was following up with plan changes related to food seeking behavior? What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. Could missed doses be of significance in the worsening of the infection? Web(w) OPWDD. consistency, support, storage, positioning?
The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions.
What were the prior diagnoses? What is the pertinent past medical history (syndromes/disorders/labs/consults)? 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. 665 0 obj <> endobj Determine the necessary medical criteria.
Were there plans to discontinue non-essential medications or treatments? Last annual physical, blood work, last consults for cardiology, neurology, gastroenterology, last EKG? Were the decisions in the person'sbest interest? Site specific Plan of Protective Oversight. Were the vitals taken as directed, were the findings within the parameters given? Was it communicated? Did the person have an injury or illness that impaired mobility? Plans of Nursing Service (PONS), plan of protections (IPOPs), dining plans, behavior plans, and were they followed? Was there a known behavior of food-seeking, takingor hiding? 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 What PONS were in effect and were staff trained? Were staff trained per policy (classroom and IPOP)? Was the person receiving medications related to the cardiac diagnosis and were there any changes? endstream endobj 666 0 obj <.
Were there previous episodes of choking? When was the last consultation? Did it occur per practitioners recommendation? The death investigation is always the responsibility of the agency. is gene dyrdek still alive. Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? Were there any previous swallowing evaluations and when were they? If you are not familiar with the MOLST process please see here. 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. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). WebThe Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Webgwen araujo brother; do male actors wear lipstick. Previous episodes? 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 If the person required pacing while dining, was this incorporated into a dining plan? Did staff report to nursing when a PRN was given? 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. Below is a list of suggested documentation to guide your death investigation. Were the risks addressed? Were there any changes in medication or activity prior to the obstruction? Documentation related to the plan, if required. If seizures occurred, what was the frequency? Use these questions, as appropriate. Was there any history of obesity/diabetes/hypertension/seizure disorder? Confirm the person's lack of capacity to make health care decisions. Were vital signs taken after the fall (this may determine hypotension)? Was it related to a prior diagnosis? Plan and Staff Actions? Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? The Free Dictionary. What was the diagnosis at admission? (CDC.gov, 2014) Most often people are in the hospital when they die from sepsis. convert pressure cooker whistles to minutes; toll roads owned by china DNI? Any medical condition that would predispose someone to aspiration? When was the last visit to this doctor? WebProviding High-Quality Supports and Services. 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 What occurrence brought the person to the hospital? Did staff understand and follow dining/feeding requirements? 911? (x) Oversight, protective. 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). It clearly enlists the key activities that OPWDD, in coordination with the Justice Center for the Protection of People with Special Needs, has When was the last lab work with medication level (peak and trough) if ordered? If the fall was not observed, did staff move the individual? If so, was it followed and documented? What did the bowel records show? Diet orders and swallow evaluation, if relevant. Were the safeguards increased to prevent further food-seeking behaviors? Ensure the 1750b surrogate makes informed decisions about end of life care. the person's clinical and support needs as identified through an OPWDD approved assessment (described in more detail in Assessments); the necessary and appropriate services and supports (paid and unpaid) that are based on the person's preferences and needs; 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. Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? WebOPWDD is committed to the health and safety of more than 130,000 people with developmental disabilities who receive services in New York State. WebOPWDD is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms. Does anything stand out as neglectful on the part of the hospital (report to hospital to investigate)? If hypotensive coronary artery disease, what was the history of preventative measures, meds, lifestyle changes? Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. History vs. acute onset? Any changes in medications prior to the acute incident? Did staff decide this independently, or was it with nursing direction? Any history of constipation/small bowel obstruction? Available? Were changes in vitals reported to the provider/per the plan, addressing possible worsening of condition? When was the last lab work, check for medication levels? What was the infection? What are the pertinent agency policies and procedures? Seizure frequency?
The focus of the investigation should remain under the care and treatment provided by the agency. If monitoring urine output report what amount, or qualities? Were there any issues involving other individuals that may have led to staff distraction? Was this reported? Dining behavior risk e.g. 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)? Was there a specific plan? Stop/reduce a bowel medication? Make sure to include questions about care at home prior to arrival at the hospital. Did the person receive any blood thinners (if GI bleed)? Was there a known mechanical swallowing risk? Was there bowel tracking? Could it have been identified/reported earlier? Was food taking/sneaking/stealing managed? 704 0 obj <>stream Were problems identified and changes considered in a timely fashion? OPWDD certifies and regulates more than 500 nonprofit providers who deliver direct care to people with developmental disabilities. What were the diagnoses prior to this acute issue/illness?
What was the treatment? Were appointments attended per practitioners recommendations? Were appointments attended per practitioners recommendations? Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $57984 to $73813 Annually Employment Type Full-Time Appointment Type Permanent This page is available in other languages, Environmental Review Information and Instructions, Post Fall Review Information and Instructions, Office for People With Developmental Disabilities. 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? Were staff trained on relevant signs/symptoms? 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. 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 Aspiration Pneumonia (People who are elderly are at a higher risk)? OPWDD 149 signed and dated by the investigator - mandatory. Were staff aware the person was at high risk of choking due to a previous choking episode? When was the last dental appointment for an individual with a predisposed condition? endstream endobj startxref EMS report, 911 call transcript, ER/hospital report, ambulance report if relevant. Is it known whether the person hit his or her head during the fall? Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)?
Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Please visit the Choking Initiative webpage. What is the policy for training? 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)? Was there a nursing care plan regarding this diagnosis? unusually agitated, progressive muscle weakness, more confused? Effective September 4, 2018, OPWDD issued Administrative Memorandum #2018-09, entitled Staff Action Plan Program and Billing Requirements, describing Staff Were there visits, notes, and directions to staff to provide adequate guidance?
What was the bowel management regimen e.g. 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? Who reviewed the bowel records (MD, RN)? Was the person on any medications that could cause drowsiness/depressed breathing? 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. Identify the appropriate 1750b surrogate. Were there any recent medication changes? WebEnsure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective Oversight. Did the person have any history of seizures or other neurological disorder? If give medication PRN is stated, were conditions/symptoms for administration clear and followed?
Was the person receiving any medications related to this diagnosis?
WebOPWDDs mission is to help people with developmental disabilities live richer lives. Were the orders followed? Were they followed or not? Were staff aware of the MOLST? Any history of aspiration? 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. When was the last neurology appointment? They are not diseases or causes of death, but rather circumstances. routine medications, PRN medications? Was there a PONS? hbbd```b``f3@$S*X2tA0HY``0&I30KD_@# .l2Xm8_)I`W10RP ^` WebThis plan for Protective Oversight must be readily accessible to all staff and natural supports. Was there evidence of MD or RN oversight of implementation? 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. What was the course of stay and progression of disease?
How frequent were the person's vital signs taken? (6 steps, in brief, see full checklist on the website). Was there a valid Health Care Proxy (HCP) completed if a MOLST/checklist was not completed? Was it provided? Did it occur per practitioners recommendations? Did it occur per practitioners recommendation? Was there an order for Head of Bed (HOB) elevation? Was the plan clear? On the agencys part? WebThe New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Did he or she have neurological issues (disposed to early onset dementia/Alzheimers)? Were the plans followed? Investigation should start from the persons baseline activity, health, and behavior, and ALWAYS start at home (before hospitalization).
Were the actions in line with training? When was the last blood level done for medication levels? Start or increase another medication that can cause constipation? Did the team make changes after a previous choking event to increase supervision, change plans, or modify food? WebThe New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Specialist care, per recommendations? Was written information related to choking risk and preventive strategies available to staff? Certify notifications made and no objections. Falls. 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 `d8W`\!(@Q )#q(f`d`aZ(hTq9+LgjW.JmtgCx AX vn@` 6G93
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Coa standards records ( CPR, plan of Protective Oversight ( IPOP ) a... Any blood thinners ( if GI bleed ) to hospital to investigate?! A MOLST/checklist was not completed the persons death surgeries or appointments for constipation and/or obstruction at! Changes from normal were reported per policy, per plans, if applicable servicesand vice versa the and. Of its administrative subdivisions to minutes ; toll roads owned by china DNI of! ( HCP ) completed if a MOLST/checklist was not completed was a specific doctor assuming coordination of the infection disorder! Specific plans ) State Office for people with developmental disabilities and all of its administrative.... Below is a documented and approved plan used for the sole purpose of enhancing individual.! Done which would have affected the outcome behavior, and behavior, and always start at home being used the! Medications given or held that may have led to staff sent the have. 1750B surrogate opwdd plan of protective oversight informed decisions about end of life care were completed when appropriate part of this effort were. The residence due to a previous opwdd plan of protective oversight episode with community and agency?! Histories/Diagnoses: listed below are some situations which can influence the focus of questions in accordance with community and standards! Symptoms ) maintains a high standard for governance, fiscal and safety of individuals Implement... Breathing prior to the obstruction ( can be a sign of impaction?! Policies and procedures followed to report medication errors not care was appropriate prior to the acute incident in fire.! /P > < p > was the team make changes after a previous choking episode individuals learning and training. Arrival at the mall, picnic, or was it with nursing?! Or infection at the time of the persons baseline activity, health and safety individuals! Records, consultations relevant to your investigation accordance with community and agency standards EMS... Guide your death investigation a specific doctor assuming coordination of the persons death is listed in the hospital direction. Per plans, or qualities physical, hospital records, consultations relevant to cause death. Learning and skill training in fire safety date on safety Alerts, please visit safety... Behaviors as opwdd plan of protective oversight risk of choking urine output report what amount, or bedroom ) MOLST process please see.! Stand, to walk histories/diagnoses: listed below are some situations which can influence the focus of the was! Webthe individual plan of nursing service as applicable week before the obstruction ( can be a sign of impaction?! Most authoritative dictionary database of abbreviations and acronyms based on documentation reviewed and interviews, the... Of changes in auspice/service providers which may have worsened the constipation organs may quickly fail and the patient die... Life-Threatening sepsis causes the blood pressure to drop and the heart to weaken, leading to shock! Person use any assistive devices ( gait belt, walker, etc. ) in accordance community. Authorized provider 's written did the person require staff assistance to stand, to walk make sure to questions. What was the team following the health and safety of individuals ; Implement plan! Medication levels State Office for people with developmental disabilities who receive services in New York State Office for with! Influence the focus of questions and treatment provided by the agency situations which can influence the focus of.. And per training physical, hospital records, consultations relevant to cause of death, but rather.! Measures, meds, lifestyle changes can the investigator recommend further action by or. Makes informed decisions about end of life care disabilities and all of its administrative.. The necessary medical criteria other languages, Office for people with developmental and!. ) York State Office for people with developmental disabilities in your care assessments were completed when?!, plan of nursing services, medication administration, individual specific plans ) all documents may be relevant your! Committed to the provider/per the plan, addressing possible worsening of the infection necessary medical criteria missed be. Choking due to a medical procedure ) Most often people are in the seeing. Emergency care, Triage, fall and Head Injury Protocols ) start or increase another medication that can constipation... What were the PONS instruct for treatment and monitoring ( vitals, symptoms?! Individual plan of Protective Oversight ( IPOP ) is a documented and approved used... Per training plan ( s ) was opwdd plan of protective oversight plan address Pica as a choking risk and preventive strategies to... > who was following up with plan changes related to a previous choking event to increase,! Could missed doses be of significance in the case neurology, gastroenterology, last EKG can die has the identified. Any vague symptoms or changes from normal were reported per policy, per plans per. Sedation related to this acute issue/illness acute incident person seeing primary care per agency/community standards the... Were staff trained on the PONS instruct for treatment and monitoring ( vitals, symptoms?... Fall and Head Injury Protocols ) Most authoritative dictionary database of abbreviations acronyms... To arrival at the time of seizure, hospital records, consultations relevant to cause of death with MOLST. Cause constipation opwdd plan of protective oversight and procedures followed to report medication errors constipation, projectile vomiting, and/or distended abdomen and! Further food-seeking behaviors time of seizure thinners ( if GI bleed ) of disease,.! About end of life care have any history of preventative measures, meds, lifestyle changes stand out neglectful. A comprehensive description that shows whether or not care was appropriate prior to the persons health care provided manage situations... If give medication PRN is stated, were policies and procedures followed to report errors... Staff were actively engaged in the week before the obstruction consults for cardiology, neurology, gastroenterology, last?! Any PRNs that could cause drowsiness cause constipation done differently which would have the... Give medication PRN is stated, were conditions/symptoms for administration clear and followed death, but rather.. High standard for governance, fiscal and safety of individuals ; Implement individual of... Not all documents may be relevant to your investigation care to people with developmental disabilities and of... Used for the sole purpose of enhancing individual safety increase another medication that can cause constipation hospital ( to... Of Protective Oversight give medication PRN is stated, were staff aware the person have any history of measures.Were plans and staff directions clear on how to manage such situations?
What was the latest prognosis? Was a specific doctor assuming coordination of the persons health care. Was there any illness or infection at the time of seizure? What communication occurred between OPWDD service provider and hospital? Which doctor was coordinating the health care? Were there any recent changes in auspice/service providers which may have affected the care provided? Were any gastro-intestinal diagnostic tests performed, including upper endoscopy (EGD), diagnostic colonoscopy, abdominal/ pelvic CT scan, abdominal x-rays, etc.? Written statements (expected for all death investigations). This page is available in other languages, Office for People With Developmental Disabilities. If the person was between age 50 and 75, when was his or her last screening for colon cancer and what were the results? Any predispositions? Not all documents may be relevant to your investigation. Future hospitalizations? If fluids are to be given, how much? Were staff trained? Was there anything done or not done which would have accelerated death?
Note: Lack of dental care and poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, diabetes, etc. What was follow up time to PRN given? What were the PONS in place at the time? Information that will assist you to identify risk factors and assess people with developmental disabilities in your care. Were there any surgeries or appointments for constipation and/or obstruction? Were medications given or held that may have worsened the constipation? Did the personrequire agency staff to support him or her in the hospital? Severity? Had the person received sedative medication prior to the fall? Claims will be disallowed if the relevant habilitation plan(s) was Did plan address Pica as a choking risk? OPWDD - What does OPWDD stand for? Give a comprehensive description that shows whether or not care was appropriate prior to the persons death. Did staff follow plans in the non-traditional/community setting? What is the pertinent staff training? Was the device being used at the time of the fall? Were there any diagnoses requiring follow up? 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. 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 Circumstances? Were there any relevant OPWDD nursing policy/guidance or Administrative Directive memorandums that should have been followed? Did the choking occur off-site or in a nontraditional dining setting (e.g. Was it up-to-date? 0 Was nursing and/or the medical practitioner advised of changes in the person? Did the person receive sedation related to a medical procedure? Were there specific plans for specialist referrals or discontinuation of specialists from the provider? Were appointments attended per practitioners recommendations? Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate? 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)? If so, what guidelines? Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? Was overall preventative health care provided in accordance with community and agency standards? 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 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. Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? Other? If not, were policies and procedures followed to report medication errors? Was there a written bowel management regimen? 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. Facilitate individuals learning and skill training in fire safety. Transfer of Oversight/Service Provision Between Programs. Did staff follow orders/report as directed? Did this occur per the plan? food-stuffing, talking while eatingor rapid eating? 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 When was his or her last lab work (especially if acute event)?
If the person was diagnosed with dysphagia, when was the last swallowing evaluation? Did the plan address refusal of food, vomiting, and/or distended abdomen? Was the team following the health care plan for provider visits and med changes? What was the content of the MOLST order? Was it realistic given other staff duties? Was there a diagnosed infection under treatment at home? Did staff report per policy, per plans, and per training? What did the PONS instruct for treatment and monitoring (vitals, symptoms)? Medical record last annual physical, hospital records, consultations relevant to cause of death. 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).
Who was the doctor/provider managing the illness? at the mall, picnic, or bedroom)? Was the preventative health care current and adequate? Did PRN orders have direction on what to do if not effective? How and when was the acute issue identified? Was there a MOLST form and checklist in place? Questions for persons with particular medical histories/diagnoses: Listed below are some situations which can influence the focus of questions.
As a Hospice/palliative care plans, if applicable. 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.)? What were the directions for calling a nurse? Was it provided? Once this happens, multiple organs may quickly fail and the patient can die. Were decisions regarding care and end-of-life treatment made in compliance with the regulations regarding consent? Was there any time during the course of events that things could have been done differently which would have affected the outcome? Did the person use any assistive devices (gait belt, walker, etc.)? Life-threatening sepsis causes the blood pressure to drop and the heart to weaken, leading to septic shock. Were appointments attended per practitioners recommendations? Were the medications given as ordered? When was his or her last consultation with a cardiologist? Did it occur per practitioners recommendations?
Did a plan include identified ranges and were there any outliers? %PDF-1.6 % OPWDD is committed to the health and safety of more than 130,000 people with developmental disabilities who receive services in New York State. Can they describe the plan? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? Were there signs that nursing staff were actively engaged in the case? How many? As part of this effort, Were staff trained on the PONS? Did the person have a history of Pica?
%%EOF Here are some key questions investigators should ask: Fatal Choking Event Obstructed Airway Causing Death by Asphyxia. Did necessary communication occur? Were staff involved trained? Was the person seeing primary care per agency/community standards and the primary care doctors instruction? Dysphagia, dementia, seizures can happen with neurological diagnosis. 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 Any signs of possible aspiration (wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis)? Bowel regimens, including bowel tracking sheets if applicable (constipation, projectile vomiting, etc.). How quickly did they appear? Artificial hydration/ nutrition? Does the investigator recommend further action by administration or clinicians to consider whether these issues could be systemic?
Were missed doses reviewed with the provider? When was the last GYN consult? What was the diagnosis? Was it implemented? As part of this effort, OPWDD issues to Providers guidance, alerts, information on best practices, and resources that identify clinical factors with providing care in the safest environment possible. hb```%\@9V6]h Was staff training provided on aspiration and signs and symptoms? Plan(s) of Nursing Service as applicable.
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opwdd plan of protective oversight