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Alderwood Rest Home

Alderwood Rest Home. Brenda Nicholson, Director of Resident Care. Who We Are:. 70 bed facility We provide care to residents who require level 1 and 2 care 70% of admissions per year(last year) Population served approx.150,000 primarily rural residential elderly clients in Cape Breton.

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Alderwood Rest Home

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  1. Alderwood Rest Home Brenda Nicholson, Director of Resident Care

  2. Who We Are: • 70 bed facility • We provide care to residents who require level 1 and 2 care • 70% of admissions per year(last year) • Population served approx.150,000 primarily rural residential elderly clients in Cape Breton

  3. AIM Statement • To decrease the potential for medication discrepancies to zero on admission and during transfer from hospital

  4. Team Members • Administrator, RNs, LPNs, Pharmasist, Physician, Dietician and Director of Care • Crucial in making med rec successful at Alderwood was the nurse coordinator, Pharmacist and Director of Care

  5. Change Ideas • Using multiple sources for data collection • MARs, medical status report, sometimes pharmacy and family. Depending if the person is being admitted from home, hospital or another LTC home. • Start BPMH before the person arrives

  6. Change Ideas • Use BPMH to get admission orders • Add forms to admission package

  7. Change Idea: Combined Form

  8. Results • At baseline we exceeded 6 discrepancies per resident admission • The last 4 admissions had ZERO discrepancies!

  9. Lessons Learned • Physicians & nursing staff to be on board • Surprised at the number of discrepancies on admission • Quickly decreased the number of discrepancies but it took 8 months to reach goal • It is valuable to measure and use results to improve the reconciliation process

  10. Challenges • Data entry was definitely a challenge for us at Alderwood. • Some Physician/Nurses were and are frustrated with the process and more so in acute care, as this is where we often see most of our potential errors. • Prescribing physician often not family physician

  11. Currently • Nursing staff are starting to see the benefits of the BPMH: • it is time consuming prior to admission • preventing discrepancies/errors and rework

  12. Next Steps • Work with DoCs to standardize routine med protocols • Reconcile medication on discharge • Need to consider appropriateness of medication

  13. Thank you! Contact Information: Brenda Nicholson Alderwood Rest Home Baddeck , Nova Scotia Email: brenda.alderwood@hotmail.com Phone: 902 295-2644

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