Any suggestions on how to stop a resident with advanced dementia from urinating in the heat/air vent in his room. He is ambulatory and wanders, resides in a memory care unit. Staff offers toileting assist, but he still owes in the vent at times.
What is your policy or protocol for making sure Fentanyl patches stay on the resident? Do your nurses check every shift and sign off that the patch is still on the resident? Do you cover with a cosmopore dressing? What have you found that works? We have drug tested randomly when a patch is missing. We have found patches in dirty linen and in the shower stalls after showers. What works?
Do any of you use a white board for communication with staff about resident care such as labs, infections, change in condition, etc? If you do, will you share how you use it please. Who changes the info, how is it set up, etc?
Our nurses are not good at charting on skilled therapy residents. They think only therapy should deal with this part but it all ties in together on the residents recovery. I would like to have some cheat sheets for areas for nursing documentation. It is how we get paid in the end! They just don't get it! Does anyone have good cheat sheets for what needs to be covered in documentation pertaining to specific skills that you would share?
For Medicare Skilled residents charting does your facility chart every shift or daily charting? The requirements say the resident must need a "daily" nurisng assessment or therapy 5xweek. So are we required to chart every shift?
Does anyone have a suggestion for a name for a program to promote employee morale and cost cutting suggestions. We have the program details but need a name. We want to use something other than "bright ideas". Any ideas are appreciated.