I am the RN at an assisted living facility in Washington. I am the only RN. I delegate tasks to the CNAs who are also med aids. I have very busy days with training and delegating, making sure delegations are current, resident assessments are current, doing incident report assessments (ie: falls), reviewing new orders and the MARs, managing the overall health care of the residents, as well as being the liaison between the resident and or their family, and their PCP.
I know weight changes are significant especially since diseases and medications can be the cause. I would like any advice anyone has as to better monitor weight changes. The med aids get weights monthly on every resident and this goes in the resident file. So if the resident isn't currently being monitored "regularly" due to doctor's orders I may not know if a resident has gained or lost a significant amount of weight (I figure 5lbs is significant) in a month's time. We are paper not electronic. Which if we were electronic this would be so much easier. I just don't want a resident to slip by for a month or two losing or gaining weight until it is noticed (prob by a family member - yikes) and I don't know about it.