I am a new DON in a critical access hospital that has 20 extended swing patients (nursing home type patients) who reside here. My specialty is ER and I have no experience with LTC so am looking for advice from you experts.
A longstanding problem at this facility has been getting the nurses to keep their care plans for the extended swing patients up-to-date...... and obviously they are not using them to plan and deliver care. I think one step toward changing the culture to one in which they use care plans in their daily work (and base their documentation on them) is to give their shift reports utilizing the resident's problem list. We don't have electronic records yet so I wonder about devising a kardex that includes the patient's problem list which is used to communicate and give report with? Any one do that in your ltc facility? If anyone has such a kardex could I see what yours looks like?
Any other suggestions for getting staff to plan and deliver care based on care plans? Would it be beneficial to buy the premade care plans on a disc that staff could individualize to the patient, print out and put on the chart?
Good question. Like I mentioned, there are 19-20 residents. They are cared for by 1 LPN and 2 CNAs. What is a good ratio of nurse to patients that will allow adequate time to do care planning and documentation that is reflective of the care plans? The nurses don't appear to be terribly rushed to provide nursing care (pass meds, carry out treatments, etc) but maybe it's not enough time to write and update care plans?
Last edit by afteralltheseyears on Apr 28, '11
: Reason: typo