Page 40 - Ombudsman Participant Manual Optimized_Neat
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        with  federal  standards  and  regulations    measured  through  review    this  documentation.    Local Program Coordinators  are




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        expected     o assist new ombudsmen with developing the skills and confidence required to document properly and to capture




        information   required for the NORS  (National Ombudsman Reporting  System) standards.  Additionally, documentation









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        provides     valuable record of issues, concerns, training needs, and ombudsman presence in facilities.
















        Please   see attached sample of a completed Facility Visit Form to use as a guide in regards to documentation and use of the
        form.






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        Supplemental   Information:    Conducting a facility visit properly requires communication skills and observation skills.














        new   member of the Ombudsman Office, be patient with yourself.  The best way to develop and improve those skills     s

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        through   practice.    With each visit conducted, you will feel more comfortable and capable.      o help you get started, a sample
        “outline”   for a routine facility visit follows:




           	  	  I.	   Arrive     facility;  make sure you are wearing your badge.      f the facility wants visitors to “sign-in” then do so.    You






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               can  simply  say  that you  are  there  for    routine  visit.    Facilities  are  entitled    know  you  are    the  building  but  you

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               cannot   reveal whom you speak to or the information shared by consumers.    Some ombudsmen pre-arrange with




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               facilities  that    monthly  new  admission  list    provided    the  ombudsman  and  they  will  use that  tool    make  sure
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               new   residents receive information regarding resident rights and our services.    Otherwise, select residents as you








               conduct   your visit for conversation.    Be sure to visit each wing/floor/unit of the building and connect with residents






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                  - remembering  the  importance    being    diverse  and  inclusive    possible     your  selection.
        II.	   As   you walk through the building, observe sights, sounds, smells, staff interactions – are they respectful with the




















               residents?    Are they responsive to requests for assistance?    Check for menus and activities calendars posted – if








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               Bingo    supposed to b e         the  dayroom,  walk    and  see    the  activity  matches  the  calendar.  Are  residents






               alert?    Are they dressed appropriately?    Are they groomed well?    Look to your Facility Visit Form for other targeted







               observations.

        III.	   Make   sure to visit with any PEERs residing in the building and also try to seek out the resident council president.

























               See     f either needs any help/support from our Office and request permission to attend a resident council meeting


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                   in the future.


        IV.	   When   you begin conversations with residents and/or families, be sure to introduce yourself; briefly explain where














               you   are from and the purpose of your visit. Always begin the conversation in a quiet, private place.     Stress the fact






















               that   confidentiality is guaranteed and that there is nothing “wrong” – often people get concerned and think that




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               the   visit is in response to some type of issue or problem.    Be patient.      takes time to establish rapport.      f people






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               opt  not    share  details  about  their  care    services,  respect  that.    Provide  contact  information    case  they  wish  to
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               connect  with      the  future.    When  trying    start  conversations,  look  around  the  room  for “ice-breakers” – family

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               photos,    hobbies,  sports memorabilia, etc.  These are great conversation-starters.  Often, it  can lead to more


               pertinent    conversation  about  meals,  care,  comfort,  etc.  To  assist  you  with  responding  to  some  of  the













               communication  challenges  experienced    the  residents,  see  the  Communication  Tip  sheet  attached.    Be  careful  in
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               regards     o your observations – note what you see but  do not jump     o conclusions.       f  you see something that

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               concerns   you, work those concerns into your conversations with the residents.    For instance, “It seems the staff is













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               slow     o answer call bells here.      s that the case?        like that every day?”    Residents will then respond with the



               information   you need to know.


        V. 	   When   residents do  share concerns     issues,  remember that our primary goal     s self-resolution  and focus  on
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               providing   information and suggestions to assist them in resolving their own concerns.    Promise to follow-up – and




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               be   sure to do that on subsequent  visits.    Remember that we are NOT caregivers.        resident asks you to hand



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               them   the TV remote – or their glasses – that is fine.  But if they request assistance with a drink, the bathroom,















               getting   into bed, etc. – we cannot do that.    Residents often require specialized care or thickened liquids that we are
                                                                                       Office  of  the  LTC
                                                                                       Office of the LTC OmbudsmanOmbudsman
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                                                                                         Version 1.0 September 20202020
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