I need expert opinions for my BSN paper, please

[dhsieversRN]

Hi,

I am working on my BSN. I am currently

taking Collaborative Healthcare. It focuses on delegation and

management of patient care. This is a good class for me to be taking

right now as I am working for an assisted living facility as their

Director of Healthcare. I do delegations, resident assessments,

resident care management, as well facility healthcare management and

organization.

I have a project due for this class and I need some expert opinions to

include in a paper that I have to write. I would like to get opinions

each of my goals (there are 4). My goals are ones that I am currently

working on implementing at the assisted living facility.

They are:

1) Create a plan for continuity of communication through the shifts

(day, eve, noc) with the use of a shift planner/change of shift

report. This will allow better communication as well as improved

resident care. The ball won't get dropped on follow through with

orders or resident alerts. See attached for what I designed and is

currently in use by my med aids.

2) Develop a daily planner for myself (my brain) that I will use to

organize my day allowing me to complete resident assessments,

delegations, order and MAR reviews, and other management duties in a

timely and effective manner which allows me and the staff to provide

the best resident care we can. See attached for what I designed and

am using as my "brain".

3) Create a protocol by which to best monitor weight changes among

certain at risk residents. Includes tracking weight changes,

notification to primary care providers, and follow through with PCP

orders for continued weight monitoring, medication changes, and/or

requested office visits.

So far I have given the following notification to my med aids: "Some

residents have disease processes and/or medications that can cause

weight loss or gain. A gain or loss of five lbs. can be significant

and mean the resident may need to be seen by their PCP or have a

change in medication. From here on out please forward me your fax to

the resident's PCP regarding the wt. loss/gain of five lbs. or more.

For residents not currently being monitored weekly: if you feel they

have lost or gained weight please notify me".

I also have a list of monitored residents with monthly weights. These

are usually residents on medications like lasix, or who have diseases

such as CHF.

4) I will assess the need for the facility to use standardized

dementia and Alzheimer's screening tools (ie: MoCA and FAST) in

conjunction with the current facility assessment templates. I will

determine whether or not these tools to assess for level of cognitive

impairment may be beneficial in determining self medication safety,

self care abilities, and overall well being of the resident in an

assisted living facility. I could use these screening tools along

with self med assessments, incident assessments (falls), etc.

Please feel free to give your opinion (even a brief one) on one or two

or all of my goals. Give brief rationale for your opinions or

opinions that I can readily find rationale for. My paper is due this

Sunday. I know you are very busy so I am very sorry for the late

notice I thought I could use opinions from authors and have recently

been informed I need opinions from people I know. So if you are able

to send me your comments I would be so grateful. Also when you send

your "expert opinions" please also include your title and credentials.

Thank you so much!!!

Diane Sievers,RN

Shift Planner Report-Template.doc

RN Daily-Planner1-Template.doc