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Preventing Incontinence-Associated Dermatitis (IAD)
Performance Improvement Plan

Sample Performance Improvement Plan
Track the impact of Perineal Cleansing and Moisture Barrier application on incontinent patients at your facility with this customizable template.

 
 
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Sample Process Improvement Plan
Assess staff knowledge and opinions about incontinence care practices in your facility. This template includes a section to list your facility's desired objectives, your protocol, and an area to record results from the Clinical Evaluation Form.
 
Step 1. Establish your facility's objectives for incontinence care. Then enter them into the left hand column of the Process Improvement Plan template.
 
Process Improvement Plan Template

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Step 2.Customize a Clinical Evaluation Form to measure and record staff opinions about incontinence care and the effectiveness of new practices.
 
Clinical Evaluation Form

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Step 3. Analyze your completed Clinical Evaluation Form to determine the best incontinence care tools to achieve protocol compliance and meet documented objectives. Record your results in the right hand column of the Process Improvement Plan template.
 

* You will need Adobe Acrobat®. If you do not have Adobe Acrobat® installed on your computer, you can download it for free by clicking here.

 
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