Restraint reduction, wound care, fall reduction and pain management are some of the areas where the home is shining
Providing high-quality care is everyone’s responsibility at Country Terrace, and it’s this shared responsibility that clinical care co-ordinator (CCC) Kimberley Noftle attributes to the Komoka, Ont. long-term care home’s successes with some of its 2018 third-quarter quality indicators.
Restraint reduction, wound care, fall reduction and pain management are some of the quality indicators where Country Terrace is shining:
– Prevalence of worsened Stage 2 to 4 pressure ulcers is 0.99 per cent at Country Terrace. The provincial average is 3.37 per cent and the provincial benchmark is 1 per cent
– For daily physical restraints, Country Terrace is at 2 per cent, the provincial average is 4.6 per cent and the benchmark is 3 per cent
– The rate of Country Terrace residents who had falls in the third quarter was 8.73 per cent, the provincial average is 15.93, the benchmark is 9 per cent
– The rate of Country Terrace residents having pain is 0.0 per cent. The provincial average is 4.97 per cent
“We were really, really pleased because we have hit four of the Ontario benchmarks; I have been doing this job for eight years and I don’t think we have ever hit the benchmark for wounds, so I know those benchmarks are difficult to get,” Kimberley tells The OMNIway.
Dividing responsibilities for quality indicators among team members ensures that it’s never just one person who is responsible for managing all indicators, Kimberley says, adding this focus allows team members to specialize in areas of quality care.
“I think because we are at liberty to divide (the quality indicators) up, we can focus more attention on a certain quality indicator,” she says. “We then become champions in the areas that we oversee.”
For instance, Kimberley notes that restraint reduction has been a strong area of focus in recent years at Country Terrace. Registered practical nurse Brenda Kumagai has been a “champion” at keeping restraint usage low at the home, Kimberley notes. To keep Country Terrace restraint usage low, Brenda educates residents’ family members on the risks that come with using restraints. She also consults with the kinesiologist and physiotherapy assistants working with residents.
“That’s a daily thing around here where we talk about personal assistive devices and what is working and what is not working, and (Brenda) is constantly looking at these things. Brenda strongly advocates for (OMNI’s) restraint-free policy,” Kimberley says.
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