CMS Manual System - Louisiana Department of Health and Hospitals

Using universal precautions and clean technique and as per
facility/manufacturer‘s directions when stopping, starting, flushing, and giving
medications through the tube;
Using hang time recommendations by the manufacturer to prevent excessive
microbial growth;
Implement the procedures to ensure cleanliness of supplies, e.g. irrigating
syringes changed on a regular bases as per facility policy. It is not necessary
to change the irrigating syringe each time it is used;
Using a pump equipped with a functional alarm (if pump used);
The facility‘s criteria for determining that a resident may be able to return to
eating by mouth (e.g., a resident whose Parkinson‘s symptoms have been
controlled);
There are sampled residents meet these criteria;
If so, the facility has assisted them in returning to normal eating; and
Identify if resident triggers CAAs for feeding tubes, nutritional status, and
dehydration/fluid maintenance. Consider whether the CAA process was used
to assess causal factors for decline, potential for decline and lack of
improvement.
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F323
(Rev. 66, Issued: 10-01-10, Effective: 10-01-10 Implementation: 10-01-10)
§483.25(h) Accidents.
The facility must ensure that –
(1) The resident environment remains as free from accident hazards as is
possible; and
(2) Each resident receives adequate supervision and assistance devices to
prevent accidents.
INTENT: 42 CFR 483.25(H) (1) AND (2) ACCIDENTS AND SUPERVISION
The intent of this requirement is to ensure the facility provides an environment that is free
from accident hazards over which the facility has control and provides supervision and
assistive devices to each resident to prevent avoidable accidents. This includes:
Identifying hazard(s) and risk(s);