AGI

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1. absenteeism

   AGI replied to AGI's topic in Geriatric

   Time to post a note about our absenteeism policy.......we have cut absenteeism by 1/2 since November........yes, our facility has day care, yes, we encourage trading of shifts, yes, we encourage requests off and yes we do work with the staff when "so...

2. Any LTC DONs out there??

   AGI replied to MaineNurse67's topic in Geriatric

   To the contrary, spudflake......I am very much appreciated by my administrator, guess that is because we both respect each other and our heirarchy starts with the residents, then the front-line care givers , then on down. I have been in LTC for 31 y...

3. Any LTC DONs out there??

   AGI replied to MaineNurse67's topic in Geriatric

   I too hunted for regulations re: ADL documentation, I also talked with our DOH, they agree there are no regs and daily doc doesn't need to be done, but need sometype of follow-through. By dec 1 we will have eliminated the CNA flow sheets, but simpli...

4. Pet Therapy

   AGI replied to panda_181's topic in Geriatric

   Amanda, Peter is right.......The Eden Alternative will give you a tremendous amount of information. Our facility began about 3 years ago working toward the concept that LTC facilities need to make "life worth living" to our elders. The road was tou...

5. absenteeism

   AGI replied to AGI's topic in Geriatric

   That was an interesting reply! So first, staffing ratios......1 cna to 7 residents, I don't think that is too darn bad. Do we hire people and say.......I don't have any work for you but if you will sit by the phone, I will call you when someone call...

6. Medicare Requirements

   AGI replied to ohlpn's topic in Geriatric

   Also, make sure their is detailed documentation as to this residents cooperation, make sure documentation shows teaching, and anything pertinent. Keep administration informed, document that also, not only that they are informed but what you have info...

7. Medicare Requirements

   AGI replied to ohlpn's topic in Geriatric

   You have a tough issue, first, if wound care is keeping him skilled, it best be done qd like it is suppose to be. Second, this gentleman is Medicare but gone on LOA? We are looking at some fradulent issues. The family, the resident needs to be talke...

8. Should I stay at this facility???!!

   AGI replied to wendyd's topic in Geriatric

   We need you in nursing, keep going. There are alot of facilities out their that put the resident first! Yes, the ratio is way too high. I too wonder how to take care of each residents needs, and it seems as tho those needs are having to be met all ...

9. absenteeism

   AGI replied to AGI's topic in Geriatric

   I forgot to mention something but with the reply mentioning unions, it triggered my mind. Federal and State Mandates state that LTC facilities must have "sufficient" staff. No numbers are given, it is up to us. Some states are putting out numbers and...

10. absenteeism

    AGI posted a topic in Geriatric

    Ok, let's talk a minute about how to handle.....call-in's. We schedule 8 CNA's on our evening shift for 78 residents......last evening we had three people say, oops! I can't come to work, one was legitimate, had been to DR, one had a babysitting prob...

11. Any LTC DONs out there??

    AGI replied to MaineNurse67's topic in Geriatric

    I'm a LTC DON........isn't it great!! Actually, it is "ok".....4 1/2 yrs doing this, sure have been lots of ups and downs but I manage to get through it. So much I want to do, so much that could be done, just not the time. I find myself so torn as ...