Quote from whereisrebecca
I am a new grad who just got hired and I am wonder what the regulations are regarding assessments for an average pt. in LTC. I know some pts. require more attention according to acuity, but for the average pt. are they assessed once/24hrs....twice/24hrs?? How is it split up betweent he 3 shifts? We have LPN's and CNA's and we do not do our own med passes, but there is only one RN/shift which leaves us in charge of alot of Pts!
Thanks for any info and advice!
You will do different types of assessments. But generally, if a resident is placed on report, then you do a focused assessment. Once the resident returns to baseline, they are generally removed from report and you assess as needed. One of the nice things about doing a med pass is you are interacting with each resident and even in that short of period of giving meds, you are kinda assessing how they are doing. But you won't be doing a med pass.
Upon admission, then you normally do a head to toe assessment. Then there are medicare assessments that have to have an assessment including a set of vitals every 24 hours. That assessment is focused on their primary diagnosis, but will cover multiple areas of systems. My state, states, that a resident must have a full assessment at least monthly. We break this down to weekly assessments. Then for MDS, there are quartely assessments, which is basically a head to toe with a whole bunch of paperwork. Ugh! LOL
It really depends on what your facility states is your responsibility. Make sure to understand what your role is.