CP meeting invites

[glm777, BSN, RN]

How does everyone handle inviting folks to the quarterly care plan meeting? Initially we used to invite the resident and only invite the family if the resident was not capable of participating. Now we are being told that if the resident has a HCP activated or a guardian that we are to invite them even though the resident is capable of participating. We have some residents who have HCPs activated or guardianships in place but are still capable of participating in their plan of care- just maybe not capable of making medical decisions.

Who do you invite?

[edhcinc]

Hi--sometimes we need to question WHO is telling you and WHY (?Regulation? Interpretive guidelines?)

Find the STATE OPERATIONS MANUAL.

The Resident's right to participate in care planning (and direct who can/can't assist or have knowledge of medical and treatment plans) supercedes the family's WISH to participate. However, if the person is legally incompetent with appointment of a legal guardian, the legal guardian acts as the resident in all matters.

Health Care Proxies can have different roles, so there is no CLEAR UNIVERSAL answer.

By regulation, the facility must provide medically-related social services--your licensed social worker or other qualified social worker, is responsible for these services--and should understand and direct this process. We all work as a team. For eqch team to "work", each professional must "work" as expected by regulation, professional standards, or facility job description.

Good luck!

[catnip3]

We invite the residents' FRP via letter, and give the resident a nice personal invitation that looks like a party invitation. Our response is great, with about 50-75% of the families and/or residents attending. The input of all, even an "incapable" resident, is valuable, and they all enjoy the personal meeting.

[susanthomas1954]

We also invite community case managers for third party payor sources and hospice nurses assigned to routine hospice patients. And anyone else that the patient/resident wants to invite.

[catnip3]

Ah, yes, I forgot about Hospice. Their nurse and/or social worker usually comes.

[glm777, BSN, RN]

And how much of your time do these meetings take? Coordinating and attending CP meetings is only a fraction of my job. Our building has 176 residents. By inviting all these folks, how do you manage to keep the meetings to a reasonable time limit? I know that our new admission CP meetings usually go at least 1/2 hr to 45 minutes each.

If I had a 50% attendance rate I'd have to work 80 hrs/wk just to keep up!