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Related article: Evaluation: Scoring Phase Level Skill Readiness 6-9* I Responsive, ready to initiate partnership in process 10-20 II Ready to form active and reciprocal partnership 21-32 III Able to establish and build upon partnership 33-40 IV Able to take initiative, the first steps 41-43 V Able to assume responsibility for rule in process 45-54 VI Shows capacity for independence and ownership of process * SNF consumers placement phase is primarily subject to team recommendation rather than dictated by placement scoring. Team, to determine appropriate skill development phase in ECRH Self Administration Program, will use assessed score. . Nurse Signature: _______________________________________ Date: ____________ SKILL DEVELOPMENT FOR SELF-ADMINISTRATION Phase I Initiating Partnership a. Consumer will be told, or signaled that its medication time. b. He will be encouraged and reinforced to attend to and track nurses actions. c. He will be prompted to open his mouth, to receive medications. d. Nurse will reinforce compliance. Phase II: Forming Partnership a. HST will instruct client to wash his Buy Lorazepam Overnight hands using interaction pattern. b. HST or nurse will invite client to come for medications. c. Nurse will pour drink in cup for client. d. Nurse will hand client his/her medication. e. Nurse will use the interaction pattern to teach client to take medications and to ingest medications. f. Nurse will watch to ensure ingestions, will thank and praise client for efforts. There should be 100% compliance by the consumer for a minimum of three months before progressing to next Phase. RN will counsel client and in-service nursing staff relative to next phase. Phase III Establishing partnership a. HST will prompt client as needed to wash hands b. HST or nurse will invite client to come for medications. c. Nurse will instruct client using the interaction pattern to pour juice/water into Buy Lorazepam Overnight cup. d. Nurse will hand client his medications and prompt to ingest e. Nurse will praise, thank client for his assistance. There should be 100% compliance by the client for a minimum of three months before progressing to next Phase. LCA RN will counsel client and in-service nursing staff relative Buy Lorazepam Overnight to next phase. Phase IV Taking initiative a. The client continues to report to the medication nurse at proper time. b. Nurse requests client to wash hands. c. The medication nurse hands the medication container(s) to the consumer. d. The consumer uncaps medication container. e. Nurse reinforces proper number of tablets/capsules to place in med. cup. f. Nurse places tablets/capsules in medication cup and ensures proper administration by client. There should be 100% compliance by the client for a minimum of three months before progressing to next Phase. LCA RN will counsel client and in-service nursing staff relative to next phase. Phase V: Continuing initiative a. IDT will develop and implement skill building programs to address Any existing skill deficit identified in the client�s Medication Management Assessment that would prevent successful completion of Phase VI. b. The client continues to report to the medication nurse at proper time. c. Nurse requests consumer to wash hands. e. The medication nurse hands the medication container(s) to the consumer. f. The consumer uncaps medication container. g. Under the direct supervision of the medication nurse, the consumer is allowed to select and take medication. He/she is probed at least weekly as to the proper medication administration technique. h. Consumer recaps medication container and returns it to nurse. There shall be 100% compliance for a minimum of three months before progressing to next phase. Unit RPH will counsel client and in service nursing staff relative to next phase. Pharmacist will monitor monthly. Phase VI: Taking responsibility a. Consumer comes to pharmacy for refills weekly. b. Consumer locks refilled medication in medication cabinet (if available) in Living Care Area under nursing supervision. c. Pharmacist ensures client knowledge of medication dosages, frequency of administration, and focuses on building awareness of drug name, color, shape, use,
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