I am curious what your protocol is for accepting new admissions to your LTC/SNF. In the facility where I work, the social service/admissions person (not a nurse) simply gets all the info from the hospital over the phone, and a decision is made based on that. No one actually goes to the hospital to meet the prospective admission, review the records, or speak face to face with the nurses at the hospital.
In other facilities where I have worked in the past, someone actually goes to see the person prior to admission. With the current protocol, it seems we are getting an awful lot of agitated, high-risk-for-falls admissions. (Surprise, surprise... ) Our narc drawer is filled with Ativan!
The facility I work in does not have any "set" policy. Here is what happens. Our lazy, greddy admissions coordinator-who gets a corporate bonus for keeping the facility census above 90%--lets anyone in regardless of diagnosis or level of care. The results are quite horrifying. Patients with advanced COPD who require high volume oxygen therapy but our equipment only delivers a max of 5 litrers. Residents who are severly agitated who dont speak english who are pulling out their wound vac dressings and foley catheters minutes after they are placed
who fall out of bed and who require restraints but surprise! we are a no resatraint facility so we have to do a one to one with these residents and do our job. These problems are met with a noncommital shrug from the DON and a sarcastic smirk from the admissions coordinator who is only concerned with lining her pockets and could care less about your problems and laughs when she drops seven empty charts on your desk and says "Let the games begin!!" To answer your original question No nobody from our facility prescreens potentilal admissions. Such an activity would take away from precious smoking and texting time!! Sarcasm free of charge:angryfire:angryfire:angryfire:angryfire
cowboy up
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The facility I work in does not have any "set" policy. Here is what happens. Our lazy, greddy admissions coordinator-who gets a corporate bonus for keeping the facility census above 90%--lets anyone in regardless of diagnosis or level of care. The results are quite horrifying. Patients with advanced COPD who require high volume oxygen therapy but our equipment only delivers a max of 5 litrers. Residents who are severly agitated who dont speak english who are pulling out their wound vac dressings and foley catheters minutes after they are placed
who fall out of bed and who require restraints but surprise! we are a no resatraint facility so we have to do a one to one with these residents and do our job. These problems are met with a noncommital shrug from the DON and a sarcastic smirk from the admissions coordinator who is only concerned with lining her pockets and could care less about your problems and laughs when she drops seven empty charts on your desk and says "Let the games begin!!" To answer your original question No nobody from our facility prescreens potentilal admissions. Such an activity would take away from precious smoking and texting time!! Sarcasm free of charge:angryfire:angryfire:angryfire:angryfire