Nursing Home Rounds Checklist

Use this Nursing Home Rounds Checklist to monitor resident care, assess health needs, ensure cleanliness, and maintain compliance with care standards.

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Nursing Home Rounds Checklist

Privacy And Patient Rights

Overall Wellness Of The Resident

Interdisciplinary Team

Medication Needs And Administer Medication

Resident's Vital Signs

Resident's Medical Records

Dietary Needs And Nutrition

Resident's Physical Therapy Progress

Cleanliness And Safety Of Rooms

Mental Health Of The Resident

Dietary Plan

Resident Updates

Family Members

Activities For Cognitive Stimulation

Nursing Staff Shifts

Emergency Systems

Medical Appointments

Physical Therapy Progress

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Nursing Home Rounds Checklist

Use this Nursing Home Rounds Checklist to monitor resident care, assess health needs, ensure cleanliness, and maintain compliance with care standards.

1. Are privacy and patient rights being respected?

2. Is confidentiality maintained in all aspects of the resident’s care?

3. Is informed consent obtained from the resident for medical decisions?

4. Is the dignity of the resident preserved during care?

5. Is the resident’s autonomy supported?

6. Is a patient advocate involved when necessary?

1. Is the resident's overall wellness being checked?

2. Does the resident have a fever?

3. Is the resident experiencing shortness of breath?

4. Does the resident have a cough?

5. Is the resident showing signs of fatigue?

6. Does the resident have a sore throat?

7. What is their pain level?

1. Is the resident’s care being discussed with the interdisciplinary team?

2. Is the physician involved in care discussions?

3. Is the nurse contributing to interdisciplinary team meetings?

4. Is the physical therapist included in the care discussions?

5. Is the occupational therapist participating in the planning?

6. Is the psychologist consulted during care discussions?

1. Is the resident's medication status being reviewed and updated?

2. Are regular medications being administered as prescribed?

3. Are PRN (as-needed) medications provided appropriately?

4. Have any medications been discontinued, and is this documented?

5. What is the dosage administered?

1. What is the resident's blood?

2. What is the resident's heart rate?

3. What is the resident's respiratory rate?

4. What is the resident's body temperature?

1. Are updates being made to the resident’s medication records?

2. Are treatment plans being reviewed and documented?

3. Are allergies being recorded and updated as needed?

4. Are assessments being added to the resident’s records?

5. Is the resident's medical history kept current and complete?

1. Are the resident's dietary needs being reviewed?

2. Is the resident following a vegetarian diet?

3. Is a low-sodium diet being maintained if required?

4. Are gluten-free dietary options provided for the resident as needed?

5. Is a diabetic diet plan being adhered to?

6. Is a soft diet provided when appropriate?

7. How is the patient’s appetite?

1. What is the resident's mobility?

2. What is the resident's physical strength?

3. What is the resident's range of motion?

4. What is the resident's balance?

5. What is the resident's coordination?

1. Is the sanitation level in the resident's room inspected?

2. Are infection control protocols being followed?

3. Is the lighting in the room adequate?

4. Are all safety features in the room functioning correctly?

5. Are any maintenance issues in the room being addressed?

1. Is the resident experiencing anxiety?

2. Are there signs of depression in the resident?

3. Is the resident showing signs of confusion?

4. Does the resident exhibit agitation?

5. Is the resident withdrawing socially?

6. What are the resident’s behavioral observations?

1. Are dietary needs and nutrition reviewed?

1. Are updates being discussed with the resident?

2. Have medication changes been communicated to the resident?

3. Are updates to the treatment plan being explained to the resident?

4. Have test results been shared with the resident?

5. Are new interventions being discussed with the resident?

6. Is the discharge plan reviewed with the resident?

1. Are family members being communicated with regarding the resident’s care?

2. Are the names of family members documented for communication purposes?

3. Are communication details with family members properly recorded?

1. Are cognitive stimulation activities planned for the resident?

2. Are puzzles being provided as a cognitive activity?

3. Is the resident participating in reading groups?

4. Is art therapy being offered as an activity?

5. Are trivia games included in the resident’s activities?

6. Is music therapy being used for cognitive stimulation?

1. Are nursing staff shifts assigned properly?

2. Is staff availability considered during shift assignments?

3. Is staff expertise being factored into shift planning?

4. Are workloads distributed evenly among the staff?

5. Is continuity of care ensured through appropriate shift assignments?

6. Are staffing concerns addressed during shift assignments?