princess626

I'm not sure of the reasonings behind it. We do have lifts in our skilled unit, but PC has always been no-lift. Up until recently, the residents in PC only needed minor assistance throughout the day. But with the recent swing to aging in place, PC residents are needing a lot more assistance.

Annie We're trying to avoid having them use their own judgement, and many of the PC aides have told us they don't feel comfortable making those decisions. I like the idea of a flow chart, thank you for that! As for the lift assists, in our county is it a police response only call. So it will not be a full ems/fire dispatch unless pd requests it. At this point, we are remaining a no-lift facility, which is why I was wondering if any other agencies treat falls the same way.

Our organization is looking to do a training to reinforce the importance of calling 911 when pt's need to be transported. The issue we're running into is that on the 3-11 shift, the RN cannot be pulled from our skilled section to PC. Our PC employees are not required to have extensive medical training, but they are hesitant to call 911 for the wrong reasons. Do any of you have guidelines that your organization follows for when to send a pt out? My belief is "when in doubt, send them out". I am also an EMT and a former 911 dispatcher, so I understand the frustrations from all ends, but believe ensuring the residents receive the proper care while reducing our risk of liability is most important. And a second question... we are technically a no-lift facility. With residents beginning to age in place, PC aides are being asked to do a lot more lifting. Does your organization call 911 (in this county both 911 and the non-emergency numbers go to the same center, so I use them interchangeably) for list assists of residents when there are no apparent injuries?