Homework
February 13, 2008
Step 1 Assignment
Are incontinent residents thoroughly evaluated in your facility? Find out by reviewing a handful of the medical charts of incontinent residents. Use our Medical Record Review Form (enclosed) to guide your review, focusing only on item 8, a-k.
Were dip stick urinalyses completed for the residents? Post-void residual measurements taken? Voiding records kept? Email your findings to the project manager.
Reading
Read Step 2: Conduct a Trial of Prompted Voiding
Plan Ahead
Start thinking about which residents you will assess first and start recruiting staff members who will implement the trial. To start, we recommend conducting the prompted voiding trial with 2-3 residents. New admissions are good candidates as are residents who express interest in using the toilet. We do not expect you to conduct trials until we have had a chance to thoroughly discuss how the trial works at our next meeting.
March 12, 2008
Step 2 Assignment
Administer Motivation/Preference Survey and implement a prompted voiding trial with identified residents. Determine who among them is responsive to the intervention. Optional: Continue to prompt responsive residents.—due in 4 weeks. Tally results on our data collection form (available from project manager Anna Rahman at rahmananna@yahoo.com).
Reading
Read Step 3,“Implement time-saving strategies to maintain prompted voiding.
April 9, 2008
Step 3 Assignment
Share your thoughts: Of the staffing and time-saving strategies presented in this section, which two do you think your facility would try first in an effort to make prompted voiding more feasible to implement? Email your answer to the project manager.
May 7 , 2008
Step 4 Assignment
Set a wetness warning limit. Suppose after their prompted voiding trial, five incontinent residents have wetness rates of 15%, 17%, 19%, 21%, and 22%. Use our Excel management program (go to http://borun.medsch.ucla.edu) to calculate average wetness rate for these five residents and a standard deviation.
Next, using the standard deviation, set a wetness warning level. (Remember: the wetness warning limit should be set at two standard deviations above the mean.)
What did you get for your wetness warning level? Report your answer to the project manager and describe your experience using the Excel management program.
June 11, 2008
Assignments: Begin conducting control checks.
Submit progress report to project manager.
Hold mini-in-service with nurse aides to discuss control check results.
July 9, 2008
Assignments: Continue trialing new residents; maintaining responsive residents on prompted voiding; and conducting control checks and discussing results with nurse aides.
Update the Data Collection Form.
August 13, 2008
Assignments: Submit written evaluation to project manager.
Continue conducting control checks and discussing results with nurse aides in mini-in-services.