Determining AccountabilityResources

You are the owner and CEO of group homes that serve those with mental impairments. Each group home services six to ten adult residents. Your group homes are located in neighborhoods throughout the community. The group homes are staffed with caregivers who have been trained as Certified Nurse Assistants (CNAs) or Home Health Aides (HHAs). You have a Director of Nursing (DON), an RN, who is responsible for writing the medical care plans and ensuring the needed medications and treatments are provided for each resident. The medications are given by the caregiver staff of each building.

The DON has come to meet with you. The DON reports that the medications at one facility are not being given on time, and some appear to be missing. The DON is particularly concerned about pain medications for one resident with rheumatoid arthritis. This client has been experiencing more pain symptoms and seems to be in tears often in the later day due to pain. The DON is concerned that this resident's pills have actually been stolen.

You contemplate your next steps. What will you do? Design a plan of what needs to happen and who may be accountable. How do you follow the PDCA model while moving swiftly on this issue?

In a 250- to 300-word post, outline your plan. Be sure to highlight who is accountable for each step of your plan. Your plan should have a minimum of five steps.