AAARRRRGGGGHHHHH!!! More new CMS guidelines!

[CapeCodMermaid]

I just spent the entire day at an inservice about the new CMS guidelines for incontinence and catheters. YIKES!!! Our old bladder assessment was one page long with some pretty basic questions. The new one, devised by corporate to incorporate ALL the details of the regs, is 2 pages long...about 47 questions. Can you imagine having 4 admissions and having to take at least 30 minutes on one assessment?!? The questions are patently absurd: "How many times a day do you void?" DUH..gee I don't know..depends on how many cups of coffee I've had. "Can you hold your urine for 2 hours?" TWO HOURS??? are they joking? Seems to be another case of the regulatory agencies looking for a way to give us citations.

And, oh yeah, you can't claim someone is too cognitively impaired to be "retrained". If they answer to their name, and can name 2 objects on a table, the surveyors will think them cognitively intact enough to participate in some sort of retraining or bladder program. Sure, we'll "train" the CNA's to get the person to the toilet. I can guarantee that the residents on the dementia floor in my building would rather be left alone in a brief than to be dragged to the toilet every few hours.

[fluffwad]

OMG, I went to the F315 seminar last Thursday and came out with my brain leaking from my ears. I work for an independant facility , the only support I have is some consultant who shows up occassionally and a DON who is already overburdened.

I've got to sit down this weekend and come up with some kind of plan of action. ( It seems clearer after a couple of beers..........)

[crsiamnsb]

Hello everyone. This is my first post on this board/site. I just finished a seminar on the new guidelines for incontinence. Lets just say that a walmart greeter is looking mighty fine in my near future. :chuckle