Describe your dream LTC

Specialties Geriatric

Published

Okay, we MUST pretend that a) there are no regulations, b) all of the families are sane and reasonable, and c) everyone does their job willingly and happily and well. This is pretend.

My ideal facility:

Carpeting on all of the floors with padding underneath so people don't slip on the shiny tile in their slippery socks and break hips.

All of the low beds we need. Delicious, high-tech hospital beds. Beds that can automatically inflate and deflate for wounds.

The facility is built around a huge, self-contained courtyard with a flower garden, bird feeders, and smooth paths that anyone can use, from those in geri-chairs to the independent ambulators.

If someone doesn't wnt to get up they don't have to. Old, exhausted people don't need to be gotten into geri-chairs (beds on wheels) just so we can report that they're not bed-bound.

We have enough activities people that we can have dances and games and fun. I can get my people in geri-chairs moving, for crying out loud.

PT will let that old woman who is 92 and just broke her hip the heck alone.

If someone wants a salt-shaker so what. She's 112. She doesn't have to live as long as Methuselah.

People can get baths as often as they want them.

The hairdresser is there everyday.

We have enough personnel that everyone gets a back rub every day. They are so starved for tuch, and the more demented esp. are very tactile.

Now you go!

Specializes in Med-Surg.

It was so nice to read all your great ideas about LTC. It shows there are so many nurses who actually care for their patients. I was frustrated about my short time in nursing business (1 yr). you guys encouraged me to continue working harder to become a better nurse. Thanks everyone! :nurse:

under staffing is the main problem in ltc, so "simply" doubling staff would make ltc so much more bearable for employees and better for residents.

how's that for dreaming.

I was the activity director in a community that had independent, assisted living and ltc and we had happy hour every night except Sundays. People would dress to the nines and I even was able to get orders for some of my medical patients to participate. I know being able to have a nightly cocktail lengthened one sweet man's life by months and made him so much happier.

I am an RN now, but it does my heart good to see that some people recognize the importance of quality recreation and activities. I actually look forward to returning to LTC.

Every room has a closet containing the lift the resident needs (if any) so that CNAs don't have to run from room to room trying to find one and then have to wait while it is being used.

The bathrooms are actually large enough so that mechanical lifts can fit inside (been a problem everywhere I've worked). Non-weightbearing residents would then be able to use the toilet instead of a bedpan 24/7.

Residents could wake up and go to bed whenever they wanted. No more night shift dragging them out of bed and dressing them at 4:30a, and no more evening shift putting everybody to bed at 6:30p.

Like others have said, built-in pharmacy with 24/7 pharmacists and physicians. No more leaving the residents, especially those on hospice, in pain for hours on end just because you can't get ahold of the physician to call the pharmacy for some schedule II narcotics.

On-site bakery so the building will smell like cookies instead of you-know-what.

Don't forget a greenhouse and a water garden for outdoors. Nice place for the residents to relax and reflect.

Forgetting about infection control and such, it would be neat to have a daycare/nursery built-in to the LTC. Residents could play, sing, and color with the children, as well as hold and feed the babies. I sincerely believe there wouldn't be so many residents on antidepressants if they had more contact with others, especially children.

Specializes in Professional Development Specialist.

I love all the suggestions, let's implement every one of them! :D

My place is pretty nice really, but if I (or the CNA's) just had a few less pts I could give a lot better care.

Non-weightbearing residents would then be able to use the toilet instead of a bedpan 24/7.

Or be forced into incontinence because it's such a rich to get them onto the bedpan.

How about heavy, Hoyer-compatible commodes? With slings to match.

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

1. Let the diabetics eat cake!

2. Bingo everyday.

3. Float nurse every shift every day!

4. On site bistro for employees only..we need to eat too!

5. Float nurse covers your wing so you can take a real break!

6. Mass/religious services more than 1-2x/week, please!

7. Wound care nurse 40 hours/week!

8. Fish pond in that nice garden.

9. More variety in juices.

10. "Decent" pureed meals, instead of what looks like "slop!"

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

Great thread, Sue!

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

Last week at the LTC facility where I work, the Recreation Director brought in a woman who displayed womens' hats from the 20's, 30's, 40's, etc. The elderly women had a blast, trying on hats. Pictures were taken, and there was a social that concluded the event. I peeked in on the activity; it really was a sight to behold!

Specializes in LTC.

I LOVE the idea about child care. I don't even have kids but if I did it would be great to just have them cared for at work. That would probably mean less call-offs too. And I know so many residents who just love kids.

I'd like to have 3 residents per CNA. You'd actually have time for things like nail care, ROM, frequent ambulation, frequent toileting, pushing fluids, etc.

Much better activities.

I agree with whoever said to put a shower/tub in every room. If that's not possible then at least make them bigger and have separate male/female ones so that you don't have to wait forever to get your male residents in there.

On that note, make all the rooms bigger, with really pretty privacy curtains and a cabinet for each resident in the shared bathrooms (so you don't have to schlep everything from the bedside table and balance it all on the back of the toilet)

pets

fresh flowers

Every room gets a lot of sun. And the residents are able to sit outside if the weather is nice. Maybe everybody could have a little fenced in patio outside their room so you could still hear their chair alarms but they could enjoy the outdoors without a staff member doing 1:1 supervision.

The supply rooms stock plenty of hair supplies and lipsticks with all the other toiletries, and there's an abundance of razors- that actually work.

All of the residents let you do mouthcare. None of them flip out or clench their lips and teeth shut like a vice.

When someone is actively dying they call in a staff member to sit with them.

The beds move up and down faster and they have the ability to boost people up with the press of a button.

No one sits there watching the clock so they can ring right at shift change.

It's never 300 degrees in there.

There's a water cooler and a staff bathroom at the beginning, middle, and end of each hallway. No more sudden realizations that hey, you're REALLY thirsty, and you REALLY have to pee, but there's no time and the bathroom/snack room is soooo far away. Goodbye dehydration headaches! See ya later chronic UTIs!

Specializes in Long term care.

An Ice Cream Shop to dish up sweet sundaes to whomever can have them.

A beautiful garden area with tons of flowers, comfy places to sit, and water features with fish in them for all to watch, feed, and enjoy.

Specializes in Long Term Care.

I love everyone's thoughts.. but my dream would be that every resident have a large private room where the nurse coming on to the unit in which she only has 10 patients and 3 cna's for her 10 patients would use her finger print to open the med container which is installed into the room with all the patients meds.. So therefore, NO MORE PUSHING HEAVY MEDCARTS :yeah::yeah::yeah:...

And how about a dinner theater that plays different musicals every week.

A boutique for those lovely ladies (like me) who love to shop and browse.

activities past 3pm daily - and creative activities, not the same old bingo and coloring stuff

fresh flowers given to every patient daily to remind them they are special (fake one's if they are allergic)

a Hugger.. someone who comes daily for 8 hours a day and hugs every resident in the facility for as long as they need a hug.

a group of students to come once a week to sing and dance for the residents and stay and have punch and cake with them after.

a free flight 1x a month and accomodations made for the family member to stay in a guest suite on site for those family members who can't afford to come and visit. and a booty kicker to go and kick the booty of those family members who wouldn't even come with free accomodations.

and I would like there to be a state mandate that if you put your mom or dad in a ltc facility, you must live in the facility with no outside contact for 4 weeks to see how it feels.

+ Add a Comment