Green Light for Admissions

  1. ANy one heard of a Corp doing a Green light on admissions. This means you say NO to NO admits. DOesn't matter what their payor source or condition is. Let alone what the staff is for the buildings. I have never worked for a LTC before who does not allow the Administator or the DNS have some say about the admissions and types of admits.
    Insulin Drip and dopiame when there is only one nurse on for 60-80 residents. NAC ratio 1-20 on opm's and 1-15 on days. NIghts will be 1-30,35. LN have 40 residents no matter what.
    What happens to the LC of the administrator and DNS. NOt to mention the poor staff on the floor.
    •  
  2. 18 Comments

  3. by   renerian
    In that setting something is not right....Are you working there now? I have never heard of this no to no admission.........

    renerian
  4. by   donmomofnine
    I worked at a Genesis facility where that was the policy. It was more like a psych hospital than LTC setting! They literally took EVERYONE! The facility I work for now, I get to decide who our nurses can care for and what kind of residents best fit in with our resident population. We are committed to taking folks who live in our CCRC. That sometimes brings in a resident with a behavior problem, but when that resident is one of two behavior problems in the entire facility, it becomes quite manageable!
  5. by   Rnltc
    Quote from renerian
    In that setting something is not right....Are you working there now? I have never heard of this no to no admission.........

    renerian
    This Corp owns 350+ LTC across the US. I use to work for them until the fired me on 12-29. THey are firing people right and left cause they do not agree with this admission process. It is scarey and so uneithcal. 60% of the time LN and NAC do not even know the resident is being admitted till they arrive at the door.
    NO equipment ready, let alone the room and bed being cleaned. It is so embarssing.
    I worked at the regional level so I can say I have seen and witnessed this in at least 20 homes.
    I have seen buildings being told by the area V.P. and president of the company you will take them... WOrry about meeting their needs later,
    I have seen sex offends level 3 admitted felony. Drug dealers. Not to even mention the resident who were so clinical ill their needs could not be met due to the equipment, meds and staffing.
  6. by   donmomofnine
    They did you a favor......
  7. by   Rnltc
    Quote from donmomofnine
    They did you a favor......
    Yes I agree. The releace of stress has been wounderful. Still worry about the good people left behind, but I am sure they will get around to them also. In a years time the new VP has either fired or asked to resign 13 people out of 20.
    Guess the Mother Corp. doesn't care as long as census stays up.
  8. by   CoffeeRTC
    I PMed you! We have the Red,yellow Green admit process. If someone calls on the off shift, staff nurses need to be able to accept the admit and take the referal...We are never allowed to say NO. If our facility can't physically accept them we have to give them numbers of our local or state facilities or take the info and give the referal to another facility. Never say NO...heard it is a write up.
    We had the DOP drips before...let me tell you it was scarey. They weren't doing daily wts, I/O couldn't convert lbs to kilo grams :uhoh21:
    Yep this is todays LTC....wouldn't mind it if we had staff and they were educated.
  9. by   Rnltc
    Quote from michelle126
    I PMed you! We have the Red,yellow Green admit process. If someone calls on the off shift, staff nurses need to be able to accept the admit and take the referal...We are never allowed to say NO. If our facility can't physically accept them we have to give them numbers of our local or state facilities or take the info and give the referal to another facility. Never say NO...heard it is a write up.
    We had the DOP drips before...let me tell you it was scarey. They weren't doing daily wts, I/O couldn't convert lbs to kilo grams :uhoh21:
    Yep this is todays LTC....wouldn't mind it if we had staff and they were educated.
    Iam not sure how to PM. Your right. With doesn't matter if we can meet the residents needs. Little alone dose the staffing matter. Just say yes!
    It is crazy... I am just waiting to see who gets a lawsuit first and where will those people be that are making this ploicy and truly have no lic. to loose. I have seen the 20 facilties take some really scary things that has nothing to do with their medical needs. Residents who are homless and need a bed, but also need a fix. And we have all those narc. The new question the survey team are askingout here is what would you do if someone walked up with a gun and demanded all the drugs...the scarey thing that is so close to being a fact out here with all the CHem. people they take who are still activily using.
    I have staff being abused by these residents and the missing of objects go up. I have seen residents demand to move because of these types of residents. I would not to put my loved in a facility where there were multiple of these types of residents.
  10. by   Antikigirl
    Wow! Okay if that was the case I would so leave! I work in assisted living...so our facility is very limited! 160 residents to one nurse two floors...okay throw in anyone and we would be up for serious liablity and patient risk!!!!!!

    We nurses have had to step in many times to pull admins heads from various orifaces though! We almost okayed a newly established vent patient...assisted living...no pulse ox, no AED or crash cart of any kind, one nurse,???? UMMMMMM NO! I caught that one...and just about fainted that the administration was talking to the family like the 'nursing department' can handle that (nursing department? What...one floor nurse and a DON on weekdays???). I stopped that right away, and the admin got very angry with me..then my DON showed up..and agreed and was more stern and agreed with me 100% and said "she knows what she is talking about with these guys, she would be the last person that even touched a patient with a vent within 10-20 years! Don't even think about it!!!!". WHEW!!!!!!!

    NO if patients come in and they really shouldn't that is a risk to them, and even though I am a bit more calm about it than I use to be (hit my head against the ol administrative brick wall enough to know when to use my energy on challenges! LOL), but I have no probelm calling in a ombudsman or BON if I feel a resident is beyond the skills of the facility!
  11. by   VivaLasViejas
    I've been the ADON/care manager for a couple of facilities like this, and I didn't stay long at either of them.......when it's MY license and MY livelihood at risk because some corporate bean counter says I've got to accept every admission, no matter how serious their condition or how many staff members they beat up at their LAST facility, I am outta there !!
  12. by   angelboiMikey
    Quote from Rnltc
    This Corp owns 350+ LTC across the US. I use to work for them until the fired me on 12-29. THey are firing people right and left cause they do not agree with this admission process. It is scarey and so uneithcal. 60% of the time LN and NAC do not even know the resident is being admitted till they arrive at the door.
    NO equipment ready, let alone the room and bed being cleaned. It is so embarssing.
    I worked at the regional level so I can say I have seen and witnessed this in at least 20 homes.
    I have seen buildings being told by the area V.P. and president of the company you will take them... WOrry about meeting their needs later,
    I have seen sex offends level 3 admitted felony. Drug dealers. Not to even mention the resident who were so clinical ill their needs could not be met due to the equipment, meds and staffing.
    I know what you're talking about rnltc...I work for the same company (although I did turn in a notice last week) and I do NOT agree with the green liight policy....first of all..they expect EVERYONE (whoever happens to answer the phone) to handle the whole admission process...although we received no training whatsoever....and secondly...what if there are NO beds...or what if it's someone who still needs extensive monitoring? Our facility is right across the street from a major hospital...the hospital used to own it then sold to this company because they didn't want the liability for the rehab center.
  13. by   CoffeeRTC
    Angelboi....we are told we still have to say yes...then direct them to a sister facility. Don't you even say NO.!!! Having a bed availble isn't a reason to say no. There are other facilities that might be able to take them.
  14. by   alintanurse
    I'm wondering how often and what happens when the state comes in to inspect? What kind of rating does this facility recieve? It sounds so unsafe, has anyone reported their practices to the state?

close