Behavioural Support Ontario At Fairview Lodge

1. Behavioural Support OntarioAt Fairview Lodge 2013

2. Timeline • Oct 2012: Ron Ranin and Maricar met with DOC regarding starting BSO • Nov 2012: First meeting with recruited staff members to discuss BSO • Dec 2012: BSO binder placed in every unit. • Jan 2013: work began on referral form • Feb: resident review at team meetings began • March: white boards up • April: BAT review with BSO team, Binders update • May: ON Shores representatives attended team meeting to review some concerns • June: BSO Flyers went out to all of Fairview

3. Resident RPN RN PSW Interdisciplinary Team

4. WE are ALL responsible for: • Supporting the Resident Bill of Rights in the care we provide • Responding to referrals for BSO support • Utilization of assessment tools including DOS, BAT, MMSE, • Develop and maintain plan of care for residents with responsive behaviours to direct care for staff members • Maintaining partnerships to support quality care provided to residents • Working with residents and family to address need • Collaborating with the interdisciplinary team for plan of care for residents • Documenting and communicating needs clearly • Maintaining knowledge and skills through on-going education to best manage responsive behaviours THE BSO TEAM

5. Meetings every two weeks Thursdays from 1400-1500 • AWing: H. Shields, RPN. M.Dressing Therapy, H. Newberry PSW • Bwing: S. McKean RPN, J. Blake PSW, J. Kolaczynski PSW • CWing: M.McCorkell RPN, I Bone, RPN, C.Kusiak PSW • DWing: M.Miller RN, J. Bulmer PRN, D. Truppe PSW • E. Wing: J.Ferris RPN, C.Kennedy RPN • UK Wing: L. Cosburn RPN, C. Dionne RPN, S.Roy PSW • LK Wing: Nadia Ivannikova RPN, J.Janik RPN • Floats: D. Anderson PSW, L. Walsh PSW, S. Cox Rec, M. Fung Physio • Team Leads: A. Denard Trussell RN(EC) & M.Dulay RN • Social Work: S.Kearns BSO Team Members

6. What We Have Done • BSO Resource Binders on all units • Introduced the ‘white board’ • BSO brochure • Educational flyers (e.g. behaviours that do not usually respond to meds, posted in the units) • BSO montesorri kit (trial in one unit) • Working on communicating the BSO Goals with the unit staff • ON Shores attended meetings to speak re different concerns • GPA Training for BSO Members • Life stories continue to be completed

7. BSO Referral Form • Recent PN-Behaviours has been documented x3: _______ • 2. Add the residents name to the white board. Part 2 of BAT completed (to be done before starting DOS): ____ • DOS x 3 days: _____(Place in BSO Binder when completed) • 3. Staff has assessed resident for: • Constipation: _____ • Urine C&S (dip and send for C&S prn): _____ • Dehydration: ______ • Pain: ______ • Environmental Changes: ______ • Recent Medication Changes: ______ • Acute Illnesses: _______ • Depression: ______

8. Success Stories • Overall team success improved with: • Involving interdisciplinary team members • Increasing meeting frequency, which seemed to keep up momentum and provide more opportunity for different staff members to attend

9. Resident Success Stories • J.S: bath changed to evening, which seems to improve sleep, provide treats • I.M: music therapy • M.L: folding face towels.

10. Challenges • Staff think of it as an additional work load • Reg. staff hesitant/unwilling to accept suggestions/recommendations from PSW • Reg. staff not open in sharing information with the team. • Having staff members utilize the white boards • TIME!

11. In The Works • MP3 program • Montessori training for BSO team by 2 of the members • Continued Education Flyers focusing on topics that impact care of residents exhibiting responsive behaviours • On-going education for members of the BSO regarding how to use the BAT and DOS tools • Unit rounds for a follow up introduction of BSO

12. Thank You!!