Toronto Best Practices Initiative - Long Term Care Guidelines
Registered Nurses’ Association of Ontario’s Long-Term Care Best Practice Initiative Best Practice Coordinators are available through the RNAO Long-Term Care (LTC) Best Practices Initiative to support LTC homes in implementation of evidence based-practices and best practice guidelines (BPG). This program is available to all LTC homes in Ontario at no cost. For more information on this Initiative please visit: The RNAO LTC Best Practice Guidelines
Visit The LTC Best Practices Toolkit to obtain resources that support the uptake of BPGs to help LTC homes adopt best practices. In Toronto, the Best Practice Implementation Steering Committee convened under the auspices of the Ministry of Health and Long Term Care’s Best Practice Initiative to identify or develop best practice resources that would assist caregivers in long term care homes. Led by the Toronto Best Practice Coordinator, best practice resources are available for use in the following areas: Hydration Management, Skin Care and Pressure Ulcer Management, Pain Assessment and Management, Optimizing Blood Glucose Levels, Falls Prevention and Management, Bladder and Bowel Management, and the The 3-D's (Delirium, Depression and Dementia). In each instance an overall policy and procedures document is followed by several assessment tools.
Hydration
Policy and Procedure on Hydration
The Dehydration Risk Appraisal Checklist
The Dehydration Signs and Symptoms Checklist
The Hypodermoclysis Checklist
Skin and Ulcer Care
Policy and Procedures on Skin and Ulcer Care
Pressure Ulcer and Wound Assessment Record
The Braden Scale for Predicting Pressure Sore Risk
Pain Assessment and Management
Policy and Procedures on Pain Assessment and Management
A Pain Assessment Tool
A Pain Management Flow Record
Falls Prevention Management
Policy and Procedures on Falls Prevention and Management
Slide Materials on the Prevention and Management of Falls
A Falls Risk Checklist
The Morse Falls Scale
Bladder and Bowel Incontinence Management
Policy and Procedures on Bladder and Bowel Management
Bladder and Bowel Continence Assessment
7 Day Bowel Record
Voiding Fluid Record
Quarterly Continence Assessment
Pamphlet on optimizing blood glucose - Part 1
Pamphlet on optimizing blood glucose - Part 2
The 3-D's - Depression, Delirium and Dementia
A 3-D's Resource Guide
A Chart Comparing the 3-D's
The 3-D's Quiz
Answers to the 3-D's Quiz