Weekly Weight Variance QI Log : Closeout Item
Briggs Weekly Weight Variance QI Log allows clinicians to track potential resident weight changes and record information pertinent to weight, including:
•Current Weight
•Weight Variance Percentage - 1, 3 & 6 month periods
•Weekly Weight - 4 weeks
•Diet
•Supplements
•Physician and Family Notifications
•Care Plan Updates
•Significant Change in Status Assessment (MDS)
•Follow-Up
•Data Collection Items for Weight Loss
•Calculation Instructions for Facility Weight Loss
•NEW: Clinician Comments/Notes area provided on reverse side of log
The information collected and recorded on this Log provides the information needed to initiate a PIP (Performance Improvement Project).
· Size: 8 1/2" x 11"
· Print: Black ink; 2-sides different
· Punching: 5-holes top and side
· Packaging: 100 per pad