60 Essential Forms for Long-Term Care Documentation

Ensure proper documentation and improve the efficiency of your entire facility.

60 Essential Forms for Long-Term Care Documentation is a compilation of more than 60 invaluable forms designed to help you improve your facility's documentation methods and help you prepare for state and other government surveys. The book also includes a CD-ROM that allows you to redesign and customize forms to adapt to your facility.

Look at the essential forms and reports you get:

• AUDIT FORMS
  Quality Audit ♦ MDS Audit for Documentation/Reimbursement ♦ Nursing Audit for Survey ♦ New Admission Audit ♦ Dysphagia Audit ♦ Psychotropic Audit ♦ Urinary Catheter Audit ♦ Medical Staff Documentation Audit ♦ Safety Rounds Audit ♦ Kitchen/Dietary Audit
• DOCUMENTATION FORMS
  Guidelines for Admission Database ♦ Admission Database ♦ Guidelines for Sub-Acute Flow Sheet ♦ Sub-Acute Flow Sheet ♦ Guidelines for Psychotropic Summary ♦ Psychotropic Summary ♦ Guidelines for Restraint Reduction Form ♦ Restraint Reduction/Elimination ♦ Restraint Assessment Form ♦ Interdisciplinary Teaching Form ♦ Fall Assessment ♦ Fall Prevention and Assessment Policy ♦ 48-Hour Fall Monitoring Form ♦ Guidelines for Incident and Accident Report ♦ Incident Report Sample ♦ Pain Assessment: Communication with Impaired Residents ♦ Guidelines for Pain ♦ Management Flow Sheet ♦ Pain Management Tracking ♦ Pain Management Flow Sheet ♦ ADL/Restorative Nursing Flow Sheet ♦ ADL Data Collection Form ♦ Cognitive/Mood/Behavioral Form ♦ Restorative Sheet ♦ Wandering Assessment ♦ Product Evaluation/Request Form ♦ Transfer Checklist: Sub-Acute to LTC ♦ Daily Staffing Form
• REGULATORY
  GANTT Chart for Regulatory Readiness ♦ Standing Meetings and Committees Guidelines ♦ Root Cause Analysis Worksheet ♦ SDOH Focus/Arrive in Facility
• PERFORMANCE IMPROVEMENT
  Guidelines for CQI/PI Meetings ♦ Sample PI: How to Write ♦ Blank PI/CQI Form ♦ Sample Pain Meeting CQI ♦ Pain Management Data Collection Form ♦ Sample: Resident Safety (Fall Prevention) CQI ♦ Sample: Transfers to Hospital CQI ♦ Sample: Psychoactive Reduction CQI ♦ Sample: Restraint Reduction CQI ♦ Sample Infection Control and Surveillance ♦ Interdisciplinary Action
• MISCELLANEOUS
  Procedure for Medical Staff Appointment: Credentialing ♦ Credentialing

ABOUT THE AUTHOR:

Kathleen Martin, RN, MSN, MPA, LNHA, APN, is one of the long-term care industry's experts in Nursing Management, Facility Administration, Standards of Care, Documentation, Risk and Quality Management. For more than 27 years, she has been a nurse in a variety of areas including executive positions in acute care, critical care, trauma, burns, and LTC/Sub-Acute care.

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