Assessing your new resident
When looking at a prospective resident, you must perform a resident assessment to determine if you can perform the care this resident will require. Many facilities will allow a resident to move in who they cannot care for due to low census and many other factors. Performing this DHEC required assessment prior to admission will ensure the relationship with being cohesive for all parties. Using this resident assessment will assist with developing an individual care plan. Take a look below for what the SC DHEC requires in the resident assessment and ICP:
- Assessment (II).
A written assessment of the residents in accordance with Section 101.H shall be conducted by a direct care staff member as evidenced by his or her signature and date within a time period determined by the facility, but no later than 72 hours after admission.
- Individual Care Plan (II).
- Using the written assessment, the facility shall develop within seven (7) days of admission an ICP with the participation of the resident, administrator (or designee), and/or the sponsor or responsible party when appropriate, as evidenced by their signatures and date. The ICP shall be reviewed and/or revised as changes in resident needs occur, but not less than semi-annually with the residents, administrator (or designee), and/or the sponsor or responsible party as evidenced by their signatures and date.
- The ICP shall describe:
- The needs of the residents, including the activities of daily living for which the residents requires assistance, i.e., what assistance, how much, who will provide the assistance, how often, and when;
- Requirements and arrangements for visits by or to physicians or other authorized healthcare providers;
- Advance directives/healthcare power of attorney, as applicable;
- Recreational and social activities which are suitable, desirable, and important to the well- being of the resident;
- Nutritional needs.
- The ICP shall delineate the responsibilities of the sponsor and of the facility in meeting the needs of the resident, including provisions for the sponsor to monitor the care and the effectiveness of the facility in meeting those needs. Included shall be specific goal-related objectives based on the needs of the residents as identified during the assessment phase, including adjunct support service needs, other special needs, and the methods for achieving objectives and meeting needs in measurable terms with expected achievement dates.