Long-Term Care Survey Alert
2 Tips Help You Use The PUSH Tool Effectively
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Ensure consistent measurements and trigger points for action
These two strategies will go a long way toward making sure the PUSH tool packs a powerful punch in the care planning and quality assurance (QA) arenas.
1. Train a team to use the PUSH tool and have the same person/team do the assessments weekly. "Interrater reliability is a big component of how successfully the tool determines a wound's status and progress," says Joyce Black, PhD, RN.
2. Develop an action protocol based on the person's score. "If the wound score stalls, deteriorates--or the person develops symptoms of infection or pain, the protocol should spell out what [the wound team] should do," says Black. "The protocol should also instruct what to do if the wound has improved over two weeks."
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