In the LTC i work at we over document big time, ever little bruise and scratch. We even do total new admissions if a resident changes level of care, for ex: rcf to icf or skilled to icf, we have to redo everything all orders, assessments everything.
Thank you for all of your responses, but I need to clear up one thing, I miscalculated my resident I have 55 not 75 and a few do self medicate. but it is still hard to follow the policy and stay within time frame. I thought of something but not sure if it will work. I wrote up a paper for my rcf resident to sign stating they know about the state policy but what to exercise their residents right to have meds given with meals. All i can do is try, right?
I work in a local nursing home and we are expecting state any time now. I've been threw a few survey's before but never had to pass as many AM meds as i do now. I am the only nurse at my station and I take care of 75 residents myself , all with quite a few morning meds. I need to know if anyone knows if not being able to meds in the diningroom at meal time is a state policy or just possible a facility policy. My facility tells me its a state thing but i've also heard otherwise. I start at 6am, have two med carts 75 residents and all AM meds at 8 am.