DHS 83 Requirements

Recently, the Excel spreadsheets on the Employee Registry have been removed.  Employee training records can now be accessed by a database record search (which is super user-friendly).  Employees and employers can now access the registry by clicking here.  In addition, the UW Green Bay site for other CBRF registry specifics is extremely organized where you can […] Read more

Knowing there are individuals with disabilities or limitations living in your facility, it is imperative that life safety protocols are in place.  It is crucial that staff and residents are properly trained on processes and procedures emergency planning.  The better trained they are, the more effective they will be in an emergency. Emergency preparedness begins […] Read more

Staff are required to undergo orientation and training in specific areas… certifications and/or proof of training must be kept in the employee’s file.  Below are the requirements for staff training: Orientation (prior to performing any job duties) Job responsibilities Abuse, Neglect, and Misappropriation (prevention and reporting) Info regarding individual services Emergency and disaster planning and […] Read more

Prescribing, Labeling, Packaging, and Storage Must be a written practitioner’s order for EACH prescription medication, OTC medication, PRN medication, and dietary supplements. Must be maintain in their file at all times. Medications for internal consumption and medications for external application must be separated. If unable to do so, putting the external application medications in a […] Read more

Program Statements are an important part of your facility, resident care, and even for care teams. Even though they’re required by DHS 83 (and DHS 88), it is a wonderful opportunity to “show off” your assets and services in addition to proving your commitment to quality care.  The content should, at a minimum, include: Staffing […] Read more

I always recommend facilities create at least four Policies & Procedures (or handbooks) to make available to all staff/caregivers and administration.  Medication Management and Administration policies are especially important because it’s a serious and big responsibility. Topics should include, but are not limited to: Practitioner’s Orders Medication Packaging Reordering Medications Process Medication Storage Medication Documentation […] Read more

Without discharge planning and proper relocation procedures (especially with developmentally disabled, elderly, and emotionally disturbed residents), relocation stress syndrome may develop.  Transferring from one environment to another causes physiological and psychological impairment that is actually known to cause serious illness (and can even be fatal).  However, the good news is, a change in routine and this […] Read more

A resident change in condition is not only a “change” it is a process. Many professionals require certain tools to do a job well.  As a caregiver, your valuable tool is observation.  By simply being attentive, you can gain a better understanding of how your residents feel and are able to recognize how their health, […] Read more

What exactly needs to be included in the Individual Service Plan??  The most important and main things we need to include are the (1) current status and observations; (2) services provided; (3) desired outcomes and measurable goals; and (4) providers.  It is important to note that the provider will often include staff, but will also […] Read more

All too often, facilities do not understand the importance of monitoring and documenting the use of PRN psychotropic medications.  I am often asked, what constitutes a psychotropic medication? What is the difference between an antipsychotic and a psychotropic medication?  A psychotropic medication is any medication prescribed to treat a psychiatric disorder, a medication capable of […] Read more