Do all LTC's chart the meals on the MAR's? - page 3

I have just now returned back to LTC. I noticed that all of my patients have a place on the MAR to chart the percentage of meals they consumed at breakfast lunch and dinner. Is this now done at all LTC facilities? That's about... Read More

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    Quote from barbarake21
    CapeCodMermaid - Can I come work for you??
    Blackcat99 and barbarake21 like this.

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    get in line, lol.
    Quote from barbarake21
    CapeCodMermaid - Can I come work for you??
    Blackcat99 likes this.
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    I am off orientation now. Some of the CNA's are not doing their vital signs, meal percentages and BM's. I am required to chart it on the MAR but the aides are just ignoring their worksheets so I have no idea if the patients is eating well or not and or having regular BM's. I hate to say it but I am ready to start writing up CNA'S. Any other suggestions? I sure don't have time to follow them around and beg them to do their jobs.
    Anne36 likes this.
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    If you've asked them to do this, and have made the expectation clear, you really have no choice but to counsel them. YOU can't do your job if they don't do theirs. Perhaps one more get out of jail free talk stressing the importance of this information.
    Blackcat99 likes this.
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    In my facility (in NH) the LNAs chart meal intake and BMs electronically. They are the ones that pick up meal trays and toilet people, after all. Sorry to hear you have redundant tasks at your place.
    Blackcat99 likes this.
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    In the perfect world someone would design the electronic charting to notify a nurse with a warning screen or something whenever parameters have been exceeded such as 3 days with no BM, less than 50% intake after 24 hours, etc. Any informatics nurses out there?

    (Of course even with my "genius" electronic charting the aides would still need to collect and enter the data correctly.)
    Blackcat99 likes this.
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    Yes, sometimes we do have resdients who have a FAR in the MAR. The only problem I have with this is that I am probably not going to see what they eat at meals. I might not even get the CNA to tell me that much if their tray is taken away before they see it. Why is dietary not keeping track of meals?

    Blackcat, I have also just gotten off of orientation and have had the same problem. Last night I made sure to thank my CNA and let them how much the vital signs mean to me, because they actually did them! Im thrilled when they write down BM's and give me VS.
    Blackcat99 likes this.
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    BM's were recorded every day on a seperate chart where I used to work. The night RN would go through them and flag anyone who hadn't had a BM for 3 days.
    Never had to record how much a person had eaten - not on a med chart anyway - if anyone had noticeably begun to eat less or lose weight then their intake would be monitored and recorded on a seperate chart. Having said that, anyone on supplements had them on the med chart.
    Blackcat99 likes this.

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