By October 2013 Azalealand Nursing Home will maintain a quarterly average of no more than 18.5% of our residents to receive antipsychotic medications.
METHODS
Involve the Administrator, Medical Director, DON, Social Worker, Nurse Managers, MDS Coordinator, Certified Nursing Assistant, Pharmacist, Activity Staff and Quality Assurance Coordinator
Identified residents receiving antipsychotic medications
Educated physicians, staff and family members
Reviewed documentation that described the behaviors being monitored to ensure description of target behaviors was accurate and appropriate for antipsychotic medication use
Analyzed Behavior Logs for residents demonstrating behaviors and Behavior Monitoring Forms for residents receiving antipsychotic medication
Identified those residents whose communication was misinterpreted for inappropriate behaviors
Went for the LOW HANGING FRUIT and determined those receiving antipsychotic medication that had no behaviors recorded would be first considered for Gradual Dose Reduction
Enhanced the Activity Assessment tool which resulted in the development of more personal interventions to be included on the resident’s care plan
Monthly consultation with the Registered Pharmacist Consultant for Gradual Dose Reduction