The Joint Commission 2016 National Patient Safety Goals (NPSGs): The NPSGs were established in 2002 to help accredited organizations address specific areas of concern in regards to patient safety. The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them.
GOAL 1: Identify patients correctly
Use at least two ways to identify patients. For example, use the patient's name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment.
GOAL 3: Use medicines safely
Record and pass along correct information about a patient's medicines. Find out what medicines a patient is taking. Compare those medicines to new medicines given to the patient. Make sure the patient knows which medicines to take when they are at home. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor.
GOAL 7: Prevent infection
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning.
GOAL 9: Prevent patients from falling
Find out which patients are most likely to fall. For example, is the patient taking any medicines that might make them weak, dizzy or sleepy? Take action to prevent falls for these patients.
GOAL 15: Identify patient safety risks
Find out if there are any risks for patients who are getting oxygen. For example, fires or open flames in the patient's home.
"We'll walk with you along the way..."
Policies and Procedures
We cannot take narcotics or medications directly because they belong to the patient, when the patient passes; disposition of the medictions are left to the family / caregivers. However, our policy is to return medications back to the pharmacy as soon as possible. Our staff will assist in every way.
Our nurses will teach and supervise the use of medication for pain and other ailments related to the terminal illness.
No open fire or smoking is allowed near patients that are using oxygen. Our nurses will teach and supervise the use of oxygen and maintenance of oxygen equipment.
Home Safety can be complicated, but it is important and
"We'll walk with you along the way ..."
Pain control is one of the central goals of hospice care. Most patients and families who use hospice services expect that the hospice will make every effort to relieve the pain which afflicts their loved one. From the legal standpoint, the federal guidelines regulating hospice require the hospice to make every reasonable effort to assure that the patient's pain is controlled.
Comfort Kit: The "comfort pack" contains medications used only when needed to relieve symptoms that commonly arise and are tailored for each patient during the IDT meetings by physician.
Nutrition / Bowel Movement
Our dietician strives to accomplish comfort for the patient and for their family through personal nourishment and symptom management. With proper nutrition counseling, our dietician aim to minimize significant clinical changes and preserve the patient's highest level of function, strength and endurance.
• Maintain supportive nutrition care protocols for palliative care to include diminished dietary intake, wound care and enteral/parenteral support
• Assess nutritional needs and assist patients in meeting these needs.
• Counsel patients and caregivers on nutrition changes related to end-stage disease.
• Guide and educate patients and caregivers on the alternative forms of nutrition, such as tube feedings and IV therapy as necessary; however, other than regular food, we only like to subsidize with Boost®, Ensure®, or Glucerna®
Use of pain medications is usually the major cause of constipation. Untreated, it can lead to a more serious condition (impaction or bowel obstruction). Our daily bowel goal is to have a bowel movement at least every 3 days. We want to keep bowel movements as natural as possible through proper hydration and a balanced diet, but we will use stool softeners and other laxatives as necessary to alleviate discomfort. Bowel movements are monitored on a daily basis and reported during IDT meetings.
Always communicate with us for assistance, if you need a break from taking care of your loved one; that’s okay, we’ll have a volunteer sit with them for a few hours or even put the patient in a Respite for the night (up to 5 days).
Caregiving is almost a 24-hour job because the patient might need assistance at night. It’s okay to need help and we’re here to help in every way.
Take care of yourself, if you are tired and grumpy, you are not in the best condition to care for your loved one.