Mission Point Nursing & Physical Rehabilitation Ce

Review of the EMR Progress Notes for R101 reflected an entry dated 7/29/2025 at 4:15 AM by LPN H.

The entry reflected, resident (R101) was found in the courtyard stuck in his electric wheelchair in the mud, he had been out watering the garden and tried to shut off the water when he got stuck, no injuries.During an interview conducted 8/22/2025 at 7:30 AM, Unit Manager (UM) J reported if a resident leaves the building, they or their guardian are required to sign out in the books that are on the unit or at the front door. UM J reported staff do hourly rounds on residents and can check the books to see if a resident had left the facility.

During an interview conducted 8/22/2025 at 7:21 AM Registered Nurse (RN) B reported that residents are coded out of the building by staff. RN B reported that if a resident cannot be accounted for the Elopement protocol is initiated and a head count is conducted. RN B once all residents are accounted for an all clear is announced overhead.Review of Fundamentals of Nursing ([NAME] and [NAME]) 11th edition revealed, Health care agencies have instituted purposeful hourly rounds to improve nurse responsiveness and patient satisfaction.

Purposeful rounds include the 4 Ps (i.e., pain, potty, positioning, and periphery).

Nursing staff usually conduct hourly rounds and ask patients about their pain and whether they need to toilet; then the patients are positioned for comfort, and an environmental check is done.

The implementation of purposeful rounding improves patient safety by decreasing the occurrence of patient preventable events and proactively addresses problems before they occur (Zadvinskis et al., 2019). [NAME], [NAME] A.; [NAME], [NAME] G.; Stockert, [NAME] A.; Hall, [NAME].

Fundamentals of Nursing - E-Book (p. 1448).

Elsevier Health Sciences.

Kindle Edition.

Facility ID: