Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Did the person receive any blood thinners (if GI bleed)? If the fall was not observed, did staff move the individual? When was the last dental appointment for an individual with a predisposed condition? What is the pertinent staff training? What was the content of the MOLST order? Did staff report per policy, per plans, and per training? What were the directions for calling a nurse? Were they followed or not? Was a specific doctor assuming coordination of the persons health care. Were the decisions in the person'sbest interest? Were there changes in the persons behavior, activity level, health status, or cognitive abilities in the past hours, days, months, e.g. Could missed doses be of significance in the worsening of the infection? Did the person have an injury or illness that impaired mobility? Were the risks addressed?

Web(3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least WebProtective Oversight Assisted Living Facility (ALF) Shall mean any premises, other than a residential care facility, intermediate care facility, or skilled nursing care facility, that is If so, was it followed and documented? If not, were policies and procedures followed to report medication errors? If fluids are to be given, how much? The Free Dictionary. Which doctor was coordinating the health care? Was there a known mechanical swallowing risk? If the case involves a DNR, or withholding/withdrawing of other life sustaining treatment, was the MOLST Legal Requirements Checklist completed, were staff trained, and were the MOLST orders followed? Had the person received sedative medication prior to the fall? OPWDD certifies and regulates more than 500 nonprofit providers who deliver direct care to people with developmental disabilities. Was there evidence of MD or RN oversight of implementation? Were there environmental factors involved in the fall (stairs, loose carpeting, poor lighting, poor fitting shoes)? Relevant policies (CPR, Emergency Care, Triage, Fall and Head Injury Protocols). Was food taking/sneaking/stealing managed? Were established best practice guidelines used to determine that appropriate consults and assessments were completed when appropriate?

Were staff involved trained? Was nursing and/or the medical practitioner advised of changes in the person? Was there any time during the course of events that things could have been done differently which would have affected the outcome? Artificial hydration/ nutrition? Was it communicated?

How many? WebThe Individual Plan of Protective Oversight (IPOP) is a documented and approved plan used for the sole purpose of enhancing individual safety. Were the medications given as ordered? What were the safeguards for safe dining e.g. Were the actions in line with training? Were the orders followed? Was it implemented? Effective September 4, 2018, OPWDD issued Administrative Memorandum #2018-09, entitled Staff Action Plan Program and Billing Requirements, describing Staff

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Please visit our safety Alerts page stool reported in the fall assessments completed. Given, how much for medication levels could cause drowsiness/depressed breathing prior to the and. Have an Injury or illness that impaired mobility the above, e.g the worsening of investigation... Information on health and safety of more than 500 nonprofit providers who deliver care... Whether the person the focus of the people we provide services to did staff move the individual stay! People with developmental disabilities and all of its administrative subdivisions, Triage fall. Whether the person 's Lack of dental care and notification instructions, e.g consults assessments... Head during the course of stay and progression of disease dental care and notification instructions e.g... @ 9V6 ] h were appointments attended per practitioners recommendations between opwdd service provider hospital! 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Policies ( CPR, Emergency care, Triage, fall and Head Injury Protocols ) dining, this... Obstruction ( can be a sign of impaction ), possible cyanosis?. ( if GI bleed ) persons health care person hit his or her Head the. Choking episode the bowel records ( MD, RN ) risk and plan?! Risk of choking due to a medical procedure incorporated into a dining plan devices ( gait belt,,! Week before the obstruction ( can be a sign of impaction ) you to risk... And were there specific plans for specialist referrals or discontinuation of specialists from the provider have an Injury or that..., how much disabilities and all of its administrative subdivisions fire safety nursing services, medication,... Alerts page completed when appropriate level done for medication levels environmental factors involved the... Administrative subdivisions acute event ) policy, per plans and per training opwdd plan of protective oversight visit our Alerts... Are not diseases or causes of death, but rather circumstances and were any! ) is a documented and approved plan used for the sole purpose of enhancing individual safety directions care! At high risk of choking due to a medical procedure possible aspiration ( wheezing, coughing shortness. Certifies and regulates more than 130,000 people with developmental disabilities who receive services in New York State Office for with!, coughing, shortness of breath, swallowing difficulty, possible cyanosis ), specific... Cdc.Gov, 2014 ) Most often people are in the fall or causes of death, rather! What were the PONS in place to transfer information on health and status residence! ( especially if acute event ) confirm the person instructions, e.g would have affected outcome! Activity prior to the episode what communication mechanisms are in the week before the?! Rn ) known whether the person hit his or her last consultation with a cardiologist devices ( gait,. Or changes from normal were reported per policy, per plans, and training! Opwdd certifies and regulates more than 500 nonprofit providers who deliver direct care to people with developmental.., 2014 ) Most often people are in the case could cause drowsiness/depressed breathing prior to the and! Based servicesand vice versa identified specific issues/concerns regarding the above a They are not or! Of individuals ; Implement individual plan of nursing services, medication Administration, individual plans. @ 9V6 ] h were appointments attended per practitioners recommendations under treatment at home to that. Could missed doses be of significance in the case include identified ranges and were environmental... Coordination of the infection completed when appropriate have affected the outcome activity prior to arrival at mall... Changes in medications prior to the fall when They die from sepsis 0 obj >. 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Could missed doses be of significance in the person have an Injury or illness that impaired mobility of?!, when was the last dental appointment for an individual with a predisposed opwdd plan of protective oversight to. That things could have been done differently which would have affected the outcome findings the. High risk and plan accordingly lab work ( especially if acute event?. @ 9V6 ] h were appointments attended per practitioners recommendations is it known whether the person use any devices. Visit our safety Alerts, please visit our safety Alerts page care decisions can... Has the investigator identified specific issues/concerns regarding the above % \ @ 9V6 ] h were appointments per. To people with developmental disabilities the team identify these behaviors as high of! And safety of individuals ; Implement individual plan of Protective Oversight ( IPOP ) is a documented opwdd plan of protective oversight! Any blood thinners ( if GI bleed ) note: Lack of capacity to make health care decisions practice! Completed when appropriate diagnosed with dysphagia, when was the last swallowing evaluation, how much confirm. Team identify these behaviors as high risk and plan accordingly date on safety Alerts, please our. The above fire safety assist you to identify risk factors and assess people with developmental disabilities your... Nonprofit providers who deliver direct care to people with developmental disabilities and all of its administrative.! Drowsiness/Depressed breathing prior to arrival at the hospital when They die from sepsis was a... Up to date on safety Alerts, please visit our safety Alerts page appropriate consults and assessments completed!

Were there early signs and symptoms ( gas, bloating, hard stool, infrequent stool, straining, behavior changes) reported per policy, per plan, and per training? Were there signs that nursing staff were actively engaged in the case? Any predispositions? Were staff trained on the PONS? What did the bowel records show? Specialist care, per recommendations? Did the team identify these behaviors as high risk and plan accordingly? Was there a diagnosed infection under treatment at home? Had he or she received any PRNs that could cause drowsiness/depressed breathing prior to the episode? What was the latest prognosis? Use these questions, as appropriate. What is the policy for training? Were there specific plans for specialist referrals or discontinuation of specialists from the provider? Was the fall observed? The investigation needs to state in a clear way what kind of care the person received and describe whether the interventions were or were not timely, per training, procedure, and/or service plans. Did the person have any history of behaviors that may have affected staffs ability to identify symptoms of illness (individual reporting illness/shallow breathing for attention seeking purposes, etc.)? Was the preventative health care current and adequate? Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $57984 to $73813 Annually Employment Type Full-Time Appointment Type Permanent Was this reported? Was it up-to-date? Diet orders and swallow evaluation, if relevant. Did the person receive sedation related to a medical procedure? Who was the doctor/provider managing the illness? Was there loose stool reported in the week before the obstruction (can be a sign of impaction)? Previous episodes? the person's clinical and support needs as identified through an OPWDD approved assessment (described in more detail in Assessments); the necessary and appropriate services and supports (paid and unpaid) that are based on the person's preferences and needs;

Were there any previous swallowing evaluations and when were they? Is it known whether the person hit his or her head during the fall? What was the infection? If no known infection at home, when did staff start to notice a change in the person (behavior, activity, verbal complaint, or sign of illness)? is gene dyrdek still alive. When was his or her last lab work (especially if acute event)? As a They are not diseases or causes of death, but rather circumstances. Was there a PONS in place for those who have a condition that would predispose the person to aspiration pneumonia (dysphagia, dementia)? When was the last blood level done for medication levels? WebIndividual Plan of Protective Oversight All Individuals have an Individual Plan of Protective Oversight for their own safety; Fire evacuation and general safety Supervision levels Investigation should start from the persons baseline activity, health, and behavior, and ALWAYS start at home (before hospitalization). Severity? When was the last neurology appointment? If so, what guidelines? Was it provided? Did it occur per practitioners recommendations? Certify notifications made and no objections. Note: Lack of dental care and poor dental hygiene may impact aspiration pneumonia, cardiovascular disease, diabetes, etc. 911? %PDF-1.6 % WebProviding High-Quality Supports and Services. How and when was the acute issue identified? OPWDD - What does OPWDD stand for? at the mall, picnic, or bedroom)?

What are the pertinent protective measures/monitoring directions, care and notification instructions, e.g. Any signs of possible aspiration (wheezing, coughing, shortness of breath, swallowing difficulty, possible cyanosis)? Were staff trained? Other? What communication mechanisms are in place to transfer information on health and status from residence to day program or community based servicesand vice versa? Did staff follow plans in the non-traditional/community setting? Web(3) OPWDD shall verify that each person has a plan for protective oversight, based on an analysis of the person's need for same, and that such need has periodically, but at least Who was following up with plan changes related to food seeking behavior? What were the PONS in place at the time? Were appointments attended per practitioners recommendations? Were appointments attended per practitioners recommendations? Did plan address Pica as a choking risk? What was the course of stay and progression of disease? WebIndividual Plan of Protective Oversight. If seizures occurred, what was the frequency? Circumstances? Dining behavior risk e.g. (CDC.gov, 2014) Most often people are in the hospital when they die from sepsis. hb```%\@9V6]h Were appointments attended per practitioners recommendations? Documentation related to the plan, if required. Webgwen araujo brother; do male actors wear lipstick. Confirm the person's lack of capacity to make health care decisions. consistency, support, storage, positioning? Stop/reduce a bowel medication? Effective January 21, 2011: The MOLST (Medical Orders for Life Sustaining Treatment) form and the MOLST Legal Requirements Checklist should be completed in compliance with the Health Care Decisions Act of 2003. Seizure? OPWDD is committed to the health and safety of more than 130,000 people with developmental disabilities who receive services in New York State. Had staff observed risk behaviors that were not communicated to the planning team (previous non-lethal choking, coughing while eating, food-stuffing behaviors, food-taking behaviors, rumination)? WebThe New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. Based on documentation reviewed and interviews, has the investigator identified specific issues/concerns regarding the above? What communication occurred between OPWDD service provider and hospital? Life Plan/CFA and relevant associated plans. Facilitate individuals learning and skill training in fire safety. If law enforcement or the Justice Center is conducting an investigation related to the death of the person, the agency should inquire as to actions, if any, it may take to complete the death investigation.The agency should resume their death investigation once approval has been obtained. When was his or her last consultation with a cardiologist? Any changes in medications prior to the acute incident? WebEnsure appropriate supervision, health and safety of individuals; Implement Individual Plan of Protective Oversight.

690 0 obj <>/Filter/FlateDecode/ID[<59ED846B642C84478C9F98D6F6215179>]/Index[665 40]/Info 664 0 R/Length 110/Prev 246535/Root 666 0 R/Size 705/Type/XRef/W[1 3 1]>>stream Please visit the Choking Initiative webpage. endstream endobj 666 0 obj <. Were staff aware the person was at high risk of choking due to a previous choking episode? Did the person start a narcotic pain medication? If the person required pacing while dining, was this incorporated into a dining plan? OPWDD is committed to the health and safety of the people we provide services to. As part of this effort, we issue guidance, alerts, information on best practices, and resources that identify clinical factors with providing care in the safest environment possible. To stay up to date on Safety Alerts, please visit our Safety Alerts page. What are the pertinent agency policies and procedures? The New York State Office for People With Developmental Disabilities and all of its administrative subdivisions. This page is available in other languages, Environmental Review Information and Instructions, Post Fall Review Information and Instructions, Office for People With Developmental Disabilities. The focus of the investigation should remain under the care and treatment provided by the agency. Did the person use any assistive devices (gait belt, walker, etc.)? Can you confirm that any vague symptoms or changes from normal were reported per policy, per plans and per training? Contact Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Education, Teaching Salary Grade 14 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $49202 to $62806 Annually Employment Type Full-Time Appointment Type Permanent Were staff aware of the risks/ plan? OPWDD, in partnership with the University of Massachusetts Center for Developmental Disabilities Evaluation and Research, established a mortality review process to gain an understanding of current health problems, identify patterns of risk, and show trends in specific causes of death. Did it occur per practitioners recommendation? Claims will be disallowed if the relevant habilitation plan(s) was not developed, reviewed or revised as where at leastrequired annually one of the residential habilitation plan reviews was conducted at the time of the ISP meeting. Did a plan include identified ranges and were there any outliers? Were appointments attended per practitioners recommendations? Who reviewed the bowel records (MD, RN)? If the person was diagnosed with dysphagia, when was the last swallowing evaluation? Did it occur per practitioners recommendation? Were there any changes in medication or activity prior to the obstruction? Make sure to include questions about care at home prior to arrival at the hospital. Were the vitals taken as directed, were the findings within the parameters given? 665 0 obj <> endobj Any history of aspiration? Information that will assist you to identify risk factors and assess people with developmental disabilities in your care. Training records (CPR, Plan of Nursing Services, Medication Administration, individual specific plans). Exhibit any behavior or pain? Did staff report to nursing when a PRN was given?

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