Recently, while training, I had an AHA! moment, and could clearly see that staff in class had one, too.  It was simple…

We were training current staff from one of our programs on Medication Administration, and were focusing on policies, procedures and practices that were unclear to staff.  Staff had already been reminded of things like the 6 rights, the importance of triple checking the bubble packs and MARs, how to log that a medication was given, and all of the “usual” med admin procedures.

The AHA! moment came as we were training staff on making sure resolutions to PRN (and other health)  follow ups are logged, and the importance of documenting in the health tracking modules (instead of only logging in detail mode of the MAR).  We tried to give them a glance of their documentation through the eyes of supervisors and QA.  We pulled up the Health Care Report (which has been an invaluable tool for us recently) and showed staff how their supervisors and QA folks are using it to  monitor follow ups and health issues.  We also refreshed their memories of the PRN follow up report, and looked at recent appointments and actual T-Logs entered by staff at the program to see if we could “close some of the loops” based upon the information they were seeing.

That simple explanation–and acting with the eyes of a QA specialist–was incredibly helpful in helping staff to understand what it means to close a loop by noting when a GER is written, by attaching training records to GERs, by simply making an entry that a resolution was reached on a PRN,  and by making sure all health issues are addressed and documented.

Why didn’t we catch on to this approach sooner???

Closing loops for the people we support is important, but closing the loops for staff understanding is valuable too!