This team is using numerous indicators which are outcome based. Results are evaluated and communicated and recognition is given for improving communication to front line workers in this regard. Completion and full implementation of the disaster plan is the team s number one priority, and indicators will be monitored to ensure that this is accomplished, including the education of staff. Recognition is given for the quality improvement initiative that resulted in a new risk management system and implementation of standardized codes throughout the region. Orientation and education relevant to the new system are ongoing.
Note is made of the plan to develop an organization-wide approach to fire drill exercises.
For the most part, fire drills are occurring only on the afternoon shifts. Long term care sites appear to practice drills more frequently than other sites. It is recommended that NSHR develop and implement processes that will ensure the regular practice of fire drills on all shifts at all sites on a rotating basis. Drills must be evaluated by observers who prepare written reports. A major exercise that involves more than two services or units and which includes evacuation of real or simulated clients must be completed at least every three years.