How Staff Handled an Emergency

(n=127) 

9-1-1 issue

14

CPR issue

17

call police issue

1

Heimlich

1

staff panic

5

Other (broken equipment, etc)

2

Medical Communication Problem

Information w/client at placement

5

medical information gap following placement

7

nursing assessment issue

8

medical provider information getting to group home

8

problem scheduling/getting to appts

4

provider/hospice communication

5

staff to EMT communication

8

staff to ER/hospital communication

8

staff to SNF

5

other medical communication

13

Delegatable nursing responsibility issue

8

Staffing/Coverage issue

10

Record-Keeping Issue

nursing

31

case-management

17

staff running log

20

Case/Management Functions

1

contact w/family guardian

4

involvement w/IDT

2

client contact issue

2

case management/legal issue

4

DNRs

documentation issue

25

staff training/knowledge/ response

6

Other Client Issue( in place but not done -- or not done correctly)

5

food consistency

8

safety equipment

2

bath/shower assistance/monitoring

2

alarms/monitors

1

diet

1

Actions Not Taken/Later Questioned

safety straps/belts

1

room monitors

1

bed checks

3

house monitor/alarms

locks on cupboards/fridges

repositioning

2

OPS/IDT Issue

Clients issues not addressed

25

OPS not timely

5

Consistency/agreement issue w/OPS

6