Qualilty Improvement for Senior Living Communities
GuideOne Risk Resources for Health Care
1111 Ashworth Road
W. Des Moines, IA 50265-3538



Quarterly Risk Management Tip

Document by Exception

Documenting a resident's normal daily activities and staff interventions every one or two hours can cause an undue burden for your staff, increasing the likelihood of charting gaps and liability exposures. If your nursing policies state that documentation is to be done by exception only, it is acceptable to limit this type of documentation to occurrences "out of the norm."

If extraordinary circumstances call for more frequent documentation, shift or daily charting is recommended instead of hourly. If hourly documentation can't be avoided, then limit it with a "start" and "end" time/date and flag charts accordingly to increase the likelihood for documentation compliance. If these types of circumstances become frequent or ongoing, you may need to consider transferring the resident to a level of care that provides more acute supervision. Please review your policies and make corrections as needed.

Product Spotlight

Extended Care Products Announces New Online Video Viewing Service
For The "Setting Realistic Expectations®Nursing and Assisted Living
Family Education/Risk Management Programs

***GuideOne Policyholders and Associates to Receive Special 50 Percent Savings***

Celebrating their 11th year of working together, Extended Care Products, Inc. is pleased to offer GuideOne Insurance policyholders and associates a special deep-discounted investment on the brand-new Setting Realistic Expectations online video viewing service. Traditionally, the family educational and risk management programs (in DVD format) were shown to new admitting families and responsible parties to stop misunderstandings about your care and services.

Today, nursing and assisted living facilities can obtain unlimited use and showings of one or both video programs online via a unique facility-specific protected password. Now, residents' families near and far can view the educational message at your facility, on a computer, lap top, or wireless device from the comfort of their home, office, anywhere and at anytime!

The Setting Realistic Expectations online viewing service retails for $99.95 per month; however, as a special for GuideOne policyholders and associates, you may lock-in your investment at $49.95 per month, a savings of 50 percent for unlimited viewings! Plus, you may cancel this service at any time. Please visit www.extendedcareproducts.com to watch sample footage of each video program and to place an order. When ordering, please state you're a GuideOne policyholder or associate in the shopping cart comments box and ignore the listed pricing. We'll send you back an email confirmation with your deep discounted investment savings noted. You also may call toll-free 1-800-807-4553 to order.

If you desire to use both Setting Realistic Expectations programs (nursing and assisted living), please call 1-800-807-4553 to inquire about additional special discounted savings.

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