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This tool does not provide medical advice It is intended for informational purposes only.
It is not a substitute for professional medical advice, diagnosis or treatment ... © 2021
but do rememember you do not need to be much good at medicine to specialise in psychiatry
because it is all so approximate and vague. It does in fact tend to
attract all the incompetents during medical training because nothing can really be proved right or wrong.
If you are making a lot of errors in surgery as a surgeon or general nursing as a nurse
for instance you tend to change down a few gears to psychiatric services.
Big pharma does tend to just happily pick up most of the checks available as well being a totally non hippocratic oath industry,
and Michael Greger MD does say in his book How Not to Die that
the medical industry is the 3rd leading cause of death in the United States.




Substance-Induced Disorders Decision Tree

Disclaimer

Symptoms that are due to the direct physiological effects of a substance (i.e., a drug of abuse, a medication, or a toxin)?

Yes

No



Deficiency Description Provide safe and appropriate respiratory care for a resident when needed. Dispose of garbage and refuse properly. Provide housekeeping and maintenance services. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Store, cook, and serve food in a safe and clean way. Provide and implement an infection prevention and control program. Observe each nurse aide's job performance and give regular training. Provide housekeeping and maintenance services. Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Ensure each resident's drug regimen must be free from unnecessary drugs. Provide appropriate foot care. Administer the facility in a manner that enables it to use its resources effectively and efficiently. Provide and implement an infection prevention and control program. Ensure each resident receives an accurate assessment. Ensure services provided by the nursing facility meet professional standards of quality. Store, cook, and serve food in a safe and clean way. Provide and implement an infection prevention and control program. Ensure each resident receives an accurate assessment. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Allow residents to self-administer drugs if determined safe. Ensure each resident receives an accurate assessment. Ensure services provided by the nursing facility meet professional standards of quality. Provide and implement an infection prevention and control program. Ensure that residents are free from significant medication errors. Give notice to the resident before a room or roommate change. Provide activities to meet the interests and needs of each resident. PASARR screening for Mental disorders or Intellectual Disabilities Provide safe, appropriate dialysis care/services for a resident who requires such services. Provide activities to meet all resident's needs. Ensure each resident receives an accurate assessment by a qualified health professional. Ensure services provided by the nursing facility meet professional standards of quality. Provide appropriate treatment and care according to orders, resident's preferences and goals. Provide and implement an infection prevention and control program. Provide enough nursing staff every day to meet the needs of every resident Provide timely, quality laboratory services/tests to meet the needs of residents. Implement a program that monitors antibiotic use. Maintain comfortable and safe temperature levels. Provide and implement an infection prevention and control program. Implement a program that monitors antibiotic use. Develop and implement policies and procedures to prevent abuse, neglect, and theft. Provide and implement an infection prevention and control program. Ensure each resident's drug regimen must be free from unnecessary drugs. Provide and implement an infection prevention and control program. Ensure each resident receives an accurate assessment. Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Ensure that residents are fully informed and understand their health status, care and treatments. Provide or obtain dental services for each resident. Provide activities to meet all resident's needs. Store, cook, and serve food in a safe and clean way. Ensure medication error rates are not 5 percent or greater. Implement a program that monitors antibiotic use. Allow residents to self-administer drugs if determined safe. Observe each nurse aide's job performance and give regular training. Store, cook, and serve food in a safe and clean way. Reasonably accommodate the needs and preferences of each resident. Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Provide safe and appropriate respiratory care for a resident when needed. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Provide food in a way that meets a resident's needs. Provide food in a way that meets a resident's needs. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Provide clean bed and bath linens that are in good condition. Ensure medication error rates are not 5 percent or greater. Reasonably accommodate the needs and preferences of each resident. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Provide housekeeping and maintenance services. Ensure medication error rates are not 5 percent or greater. Provide necessary care and services to maintain or improve the highest well being of each resident . Provide and implement an infection prevention and control program. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Provide care and assistance to perform activities of daily living for any resident who is unable. Provide and implement an infection prevention and control program. Keep residents' personal and medical records private and confidential. Provide or obtain dental services for each resident. Provide and implement an infection prevention and control program. Ensure that residents are free from significant medication errors. Ensure that residents are safe from serious medication errors. Ensure each resident receives an accurate assessment. Provide appropriate treatment and care according to orders, resident's preferences and goals. Store, cook, and serve food in a safe and clean way. Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Provide activities to meet the interests and needs of each resident. Ensure that residents are free from significant medication errors. Implement a program that monitors antibiotic use. Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Ensure medication error rates are not 5 percent or greater. Provide and implement an infection prevention and control program. Observe each nurse aide's job performance and give regular training. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Provide safe, appropriate pain management for a resident who requires such services. Have a program that investigates, controls and keeps infection from spreading. Ensure that residents are free from significant medication errors. Provide safe and appropriate respiratory care for a resident when needed. Implement a program that monitors antibiotic use. Ensure services provided by the nursing facility meet professional standards of quality. Provide safe and appropriate respiratory care for a resident when needed. Ensure that residents are free from significant medication errors. Ensure each resident's drug regimen must be free from unnecessary drugs. Make sure that doctors visit residents regularly, as required. Provide safe and appropriate respiratory care for a resident when needed. Reasonably accommodate the needs and preferences of each resident. Ensure that residents are free from significant medication errors. Provide and implement an infection prevention and control program. Ensure that residents are free from significant medication errors. Keep clinical record information safe. Provide bedrooms that hold no more than 4 residents per room. Ensure each resident receives an accurate assessment. Provide and implement an infection prevention and control program. Hire a qualified dietician. Keep signed and dated reports of x-rays and other diagnostic services. Store, cook, and serve food in a safe and clean way. Keep all essential equipment working safely. Store, cook, and serve food in a safe and clean way. Implement a program that monitors antibiotic use. Provide appropriate treatment and care according to orders, resident's preferences and goals. Provide and implement an infection prevention and control program. Provide and implement an infection prevention and control program. Reasonably accommodate the needs and preferences of each resident. Maintain comfortable and safe temperature levels. Dispose of garbage and refuse properly. Implement a program that monitors antibiotic use. Give notice to the resident before a room or roommate change. Provide safe, appropriate pain management for a resident who requires such services. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Provide safe and appropriate respiratory care for a resident when needed. Post nurse staffing information every day. Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Provide appropriate treatment and care according to orders, resident's preferences and goals. Store, cook, and serve food in a safe and clean way. Ensure each resident receives an accurate assessment. Reasonably accommodate the needs and preferences of each resident. Keep all essential equipment working safely. Provide necessary care and services to maintain or improve the highest well being of each resident . Keep all essential equipment working safely. Implement a program that monitors antibiotic use. Provide enough food/fluids to maintain a resident's health. Respond appropriately to all alleged violations. Post nurse staffing information every day. Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dispose of garbage and refuse properly. Ensure each resident's drug regimen must be free from unnecessary drugs. Keep all essential equipment working safely. Provide and implement an infection prevention and control program. Provide and implement an infection prevention and control program. Keep all essential equipment working safely. Have a program that investigates, controls and keeps infection from spreading. Train all employees on what to do in an emergency, and carry out unannounced staff drills. Ensure each resident receives an accurate assessment. Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Provide safe and appropriate respiratory care for a resident when needed. Let residents talk to and get information from agencies acting on their behalf. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Ensure each resident's drug regimen must be free from unnecessary drugs. Ensure that residents are free from significant medication errors. Store, cook, and serve food in a safe and clean way. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Provide care and assistance to perform activities of daily living for any resident who is unable. Implement a program that monitors antibiotic use. Allow residents to self-administer drugs if determined clinically appropriate. Ensure each resident receives an accurate assessment. Provide or obtain dental services for each resident. Provide activities to meet all resident's needs. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Ensure each resident's drug regimen must be free from unnecessary drugs. Provide care by qualified persons according to each resident's written plan of care. Provide care and assistance to perform activities of daily living for any resident who is unable. Ensure each resident receives an accurate assessment. Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Provide and implement an infection prevention and control program. Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Ensure medication error rates are not 5 percent or greater. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Ensure that residents are fully informed and understand their health status, care and treatments. Provide and implement an infection prevention and control program. Have a program that investigates, controls and keeps infection from spreading. Provide and implement an infection prevention and control program. Store, cook, and serve food in a safe and clean way. Dispose of garbage and refuse properly. Post nurse staffing information every day. Provide and implement an infection prevention and control program. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Provide and implement an infection prevention and control program. Ensure medication error rates are not 5 percent or greater. Store, cook, and serve food in a safe and clean way. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Keep all essential equipment working safely. Have a program that investigates, controls and keeps infection from spreading. Provide and implement an infection prevention and control program. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Have policies on smoking. Reasonably accommodate the needs and preferences of each resident. Keep residents' personal and medical records private and confidential. Prepare residents for a safe transfer or discharge from the nursing home. Ensure services provided by the nursing facility meet professional standards of quality. Ensure services provided by the nursing facility meet professional standards of quality. Store, cook, and serve food in a safe and clean way. Reasonably accommodate the needs and preferences of each resident. Ensure services provided by the nursing facility meet professional standards of quality. Ensure each resident receives an accurate assessment. Provide and implement an infection prevention and control program. Provide and implement an infection prevention and control program. Reasonably accommodate the needs and preferences of each resident. Provide and implement an infection prevention and control program. Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Ensure that residents are free from significant medication errors. Store, cook, and serve food in a safe and clean way. Make sure that a working call system is available in each resident's bathroom and bathing area. Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Provide and implement an infection prevention and control program. Keep residents' personal and medical records private and confidential. Reasonably accommodate the needs and preferences of each resident. Reasonably accommodate the needs and preferences of each resident. Provide safe, appropriate pain management for a resident who requires such services. Ensure each resident receives an accurate assessment. Have a policy regarding use and storage of foods brought to residents by family and other visitors. Keep all essential equipment working safely. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Implement a program that monitors antibiotic use. Ensure each resident's drug regimen must be free from unnecessary drugs. Implement a program that monitors antibiotic use. Reasonably accommodate the needs and preferences of each resident. Put firmly secured handrails on each side of hallways. Have policies on smoking. Provide and implement an infection prevention and control program. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Implement a program that monitors antibiotic use. Provide safe and appropriate respiratory care for a resident when needed. Provide appropriate treatment and care according to orders, resident's preferences and goals. Provide and implement an infection prevention and control program. Provide care and assistance to perform activities of daily living for any resident who is unable. Have a program that investigates, controls and keeps infection from spreading. Train all employees on what to do in an emergency, and carry out unannounced staff drills. Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees Provide bedrooms that hold no more than 4 residents per room. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Provide and implement an infection prevention and control program. Implement a program that monitors antibiotic use. Provide and implement an infection prevention and control program. Provide and implement an infection prevention and control program. Provide housekeeping and maintenance services. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Provide and implement an infection prevention and control program. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Honor the resident's right to manage his or her financial affairs. Ensure each resident receives an accurate assessment by a qualified health professional. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Assess the resident when there is a significant change in condition Keep residents' personal and medical records private and confidential. Provide safe and appropriate respiratory care for a resident when needed. Provide and implement an infection prevention and control program. Provide safe and appropriate respiratory care for a resident when needed. Have a plan that describes the process for conducting QAPI and QAA activities. Ensure medication error rates are not 5 percent or greater. Ensure medication error rates are not 5 percent or greater. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Notify the resident or the resident's representative in writing how long the nursing home will hold the resident's bed in cases of transfer to a hospital or therapeutic leave. Store, cook, and serve food in a safe and clean way. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Have a program that investigates, controls and keeps infection from spreading. Provide and implement an infection prevention and control program. Implement a program that monitors antibiotic use. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Ensure medication error rates are not 5 percent or greater. Provide housekeeping and maintenance services. Provide care and assistance to perform activities of daily living for any resident who is unable. Provide activities to meet all resident's needs. Allow residents the right to participate in the planning or revision of care and treatment. Provide and implement an infection prevention and control program. Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Ensure that residents are safe from serious medication errors. Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Give residents a notice of rights, rules, services and charges. Provide safe, appropriate pain management for a resident who requires such services. Provide activities to meet all resident's needs. Provide appropriate pressure ulcer care and prevent new ulcers from developing. Implement a program that monitors antibiotic use. Ensure each resident's drug regimen must be free from unnecessary drugs. Store, cook, and serve food in a safe and clean way. Ensure each resident's drug regimen must be free from unnecessary drugs. Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Reasonably accommodate the needs and preferences of each resident. Provide and implement an infection prevention and control program. Ensure medication error rates are not 5 percent or greater. Implement a program that monitors antibiotic use. Provide and implement an infection prevention and control program. Have enough backup water supply for essential areas of the nursing home. Keep all essential equipment working safely. Store, cook, and serve food in a safe and clean way. Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Ensure medication error rates are not 5 percent or greater. Reasonably accommodate the needs and preferences of each resident. Provide and implement an infection prevention and control program. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Provide activities to meet all resident's needs. Provide care by qualified persons according to each resident's written plan of care. Give residents a notice of rights, rules, services and charges. Ensure residents maintain acceptable nutritional status. Try to resolve each resident's complaints quickly. Ensure each resident receives an accurate assessment. Provide enough food/fluids to maintain a resident's health. Store, cook, and serve food in a safe and clean way. Provide and implement an infection prevention and control program. Implement a program that monitors antibiotic use. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Provide care and assistance to perform activities of daily living for any resident who is unable. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Store, cook, and serve food in a safe and clean way. Keep residents' personal and medical records private and confidential. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Provide appropriate foot care. Provide and implement an infection prevention and control program. Keep residents' personal and medical records private and confidential. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ensure each resident's drug regimen must be free from unnecessary drugs. Try to resolve each resident's complaints quickly. Store, cook, and serve food in a safe and clean way. Reasonably accommodate the needs and preferences of each resident. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Provide activities to meet all resident's needs. Dispose of garbage and refuse properly. Provide enough food/fluids to maintain a resident's health. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Provide housekeeping and maintenance services. Provide care by qualified persons according to each resident's written plan of care. Provide activities to meet all resident's needs. Allow residents to self-administer drugs if determined safe. Have a program that investigates, controls and keeps infection from spreading. Ensure residents maintain acceptable nutritional status. Store, cook, and serve food in a safe and clean way. Keep residents' personal and medical records private and confidential. Provide housekeeping and maintenance services.