Teach Back

[martymoose, BSN, RN]

Wanting some input on teach back. I understand the concept.I'd agree it works in some situations. What do you do when you have those patients who you know darn well have no intention of complying with anything?

The way I see things, the goal is to reduce admissions ( 30 day). Some of these people are VERY good at spitting the info back out at you. Well, it's because they have heard it all before. They continue to smoke- as a matter of fact, the faster they get out, the faster they get their ciggy. Or Mc D's , or their drink. Or, as I had happen a few days ago- their POT of coffee ( yes, cards pts)

What is going to happen when we document teach back, and they still come back in within 30 days for whatever? Does the hospital/we still get spanked?

With some of these frequent flyers, we know darn well they'll be coming back soon, despite them spitting back what's expected of them in the compliance dept. Many of these people will find the words "noncompliance" peppered throughout their charts.

Yet we are being held to a standard to teach them. More like they need to have a babysitter to watch over them.

Some people do not want to change. They even admit it.

Will we still be responsible for them??

[Asystole RN]

The MHRRP is a punitive program focused on excessive readmission rates. Of course there will be readmissions but the idea is to establish a standard of acceptable readmissions and put a punitive incentive to reduce excessive readmissions.

There will always be non-compliant patients but is the hospital thoroughly assessing the needs of the patient? Establishing home care for the patient? What teaching resources is the hospital providing except a busy nurse with some handouts?

[classicdame, MSN, EdD]

Ask the patient what is the main barrier for them to not be compliant (in your own words of course). Document that. All you can do is try. Frustrating.