Photo of main entrance of the Extended Care Unit.

About BPSO Designation at ECU

The William A. George Extended Care Facility achieved the Long-Term Care Best Practice Spotlight Organization (BPSO) designation from the Registered Nurses Association of Ontario (RNAO) in April 2019.

To date, the following Best Practice Guidelines have been implemented:

Oral Health

We now have a policy in place specific to oral health for our residents. In-line with this policy, we purchased soft, small headed toothbrushes, added extra oral health documentation to point-of-care in MED e-care, and develop individualized care plans upon admission. We are working on full consideration of each resident’s culture towards oral health during each admission.

Promoting Continence Using Prompted Voiding

We have updated our fluid monitoring system, and monitor the voiding through continence record to find a suitable plan for each resident. We have added prompted voiding interventions to our residents’ care plans, which is discussed in a daily report specific to residents on prompted voiding schedules.

Prevention of Falls and Fall Injuries in the Older Adult

We have implemented a restraint reduction program specific to residents who are high risk for falls and have bed alarms/wheelchair alarms. We have developed a process for when a resident falls, and how we can prevent falls in future.

Pressure Ulcers and Wounds

We now have a formalized monthly skin assessment to be completed on bath days by our Personal Support Workers. We also have a turning and repositioning program, and in addition to staff education we have introduced several pressure relieving devices such as air mattresses, and diabetic shoes.

Pain, Assessing and Managing Pain

Formalized assessments are completed quarterly for those who have chronic pain. We address unrelieved pain in quarterly reviews with a pharmacist.

As of 2021, we are currently working on:

  • Person and Family Centred Care (Gap Analysis Complete)
  • Palliative Care (Gap Analysis Complete)
  • Healthy Workplace