![]() ![]() ![]() ![]() Identifying and reporting early changes is the critical first step in the INTERACT process to prevent unnecessary hospital transfer. The INTERACT program provides an early warning tool called STOP and WATCH and a process which makes successful communication about early resident changes more likely. The key to reducing unnecessary hospitalizations is the early identification of a resident’s acute change in condition. We will discuss common barriers that prevent successful communication of resident changes in condition and provide suggestions on how to implement the STOP and WATCH in your facility. We will review the primary changes in the resident’s condition which the tool helps identify, and that should be reported to a licensed nurse. Using the INTERACT Early Warning Tool: Stop and Watch What This Session Will Cover Purpose of Stop and Watch Staff who should use Stop and Watch Changes in resident condition to identify and report Common barriers to communicating early changes How to implement Stop and Watch in your facility In this session we will describe the purpose of the INTERACT Early Warning Tool called Stop and Watch as well as the staff who should use the tool during their daily routine. In collaboration with participating nursing homes Our team thanks you for joining us in this project and appreciates all of the feedback we get on how to continue to improve the program and resources we provide. Your facility is one of several from many different states that is using the INTERACT program modules. The INTERACT team that has developed and evaluated the INTERACT program is listed on this slide. The INTERACT team has worked together on many projects related to INTERACT and other topics in long-term care over the past several years. Caring for older adults is a team sport! Like those teams at your facility, members of the INTERACT team are from a variety of health professions including nursing, medicine, social work, and psychology. The INTERACT Interdisciplinary Team Joseph Ouslander, MD Florida Atlantic University Ruth Tappen, EdD, RN, FAAN Florida Atlantic University Jill Shutes, GNP Florida Atlantic University Nancy Henry, PhD, GNPğlorida Atlantic University Maria Rojido, MD Florida Atlantic University Sanya Diaz, MD Florida Atlantic University Laurie Herndon, MSN, GNP-BC Mass Senior Care Foundation Jo Taylor, RN, MPH The Carolinas Center for Medical Excellence Gerri Lamb, PhD, RN, FAANĚrizona State University Annie Rahman, PhD, MSW USC Davis School of Gerontology Dan Osterweil, MD California Association of Long Term Care Medicine Mary Perloe, GNP Georgia Medical Care Foundation John Schnelle, PhD Vanderbilt University Sandra Simmons, PhD Vanderbilt University Alice Bonner, PhD, GNPĜenter for Medicare and Medicaid Services The care of older adults requires an interdisciplinary team approach. The development and evaluation of the INTERACT quality improvement program have been supported by grants from The Commonwealth Fund and the Retirement Research Foundation.Ģ Using the INTERACT Early Warning Tool: Stop and Watch We want to acknowledge that the development and evaluation of the INTERACT quality improvement program have been supported by grants from The Commonwealth Fund and the Retirement Research Foundation. Nurses who should attend this session include the project champion, key RNs and LPNs who supervise direct care workers, and the director of nursing. Examples of direct care workers include certified nursing assistants (CNAs) and all non-nursing staff with regular direct resident contact such as rehabilitation therapists, and those working in activities, dietary, and environmental services departments. The audience for this session includes all staff with direct resident contact who would be the first to see a change in the resident’s condition as well as the nurses who supervise and work directly with them. ![]() This module is designed to provide a complete review of the INTERACT Early Warning Tool called Stop and Watch. Session 3 Using the INTERACT Early Warning Tool: Stop and Watch This session is designed for: Certified nursing assistants (CNAs) All non-nursing staff with regular direct resident contact such as those working in activities, dietary, and environmental services departments Project champion DON RNs LPNs Rehabilitation Therapists Welcome to the third module on the INTERACT program. ![]()
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