RhondaRNConsult

Just wondering if there are any QA coordinators in LTC out there.... Who sits on your team, how do you audit... what function does your team have in the facility?

I enjoyed surfing the site! The Alzheimer's unit sounds terrific! I'm not sure that I have heard of the type of chart notifiers you are talking about. Apparently you would need the correct binders to use them? Are they plastic & you just put t...

Do the nurses understand their job descriptions? Have you given them a copy, educated them in the importance of care planning, documentation etc??? The single most effective thing I've ever done to educate nurses on the importance of documentation ...

I'll never forget one evening years ago when I was working as a CNA in LTC...... (I was in my first year of Nursing School) ..... the charge nurse that evening asked me.... 'what should I do, I'm running out of D5 and not sure what to do..... It will...

Not a chance

Tex, in my past experiences with the QI & Behaviors sections... make sure you have documentation to back up what the QI flagged. IE... a resident with Organic Brain Disorder will flag out, however as long as you have the supporting diagnosis for...

In my experiences, hospice has not only assisted the resident in long term care facilities financially, but also mentally and spiritually. Hospice takes a great deal of burden off the resident. They have so much to offer. In my eyes, it's an added...

In my past experiences, I worked for a long term care facilitiy that had a full-time ADON that took on the responsibilites of Quality Assurance/Infection Control with her other duties. When she stepped into the DON position, they combined QA/IC and ...

Guess it all depends on your own systems. Not all facilities operate with the same policy nor procedures. One has to be up to change in order to make it work. It's all in the delegation of assignments and job descriptions........

It all depends what you want to do in your career. I started out as a Nursing Assistant, then on to Certified Nursing Assistant, Registered Nurse and now Regulatory Consultant. Before nursing, I was an Office Manger... the change came from my love...

my feelings are it all goes back to quality care.....quality of life...... Regulations come from system changes that need to be made in facilities.....

without that quality assurance coordinator, it's doubtful effective system changes will be made... which department head has time to audit, and implement changes so desperately needed within our facilities? The Quality Assurance Coordinator takes a ...

That's why we have a Quality Assurance Coordinator & team ..... If the MDSs are being completed accurately, and if the team is heading in the same direction then it can and does work. It's when, as I said earlier you get one 'crab' pulling the r...

kinda scarey isn't it Betts??

it all begins with having a team that has the same goals..... and works with the mission statement.... setting up and following policy & procedures..... getting a 'kick butt' quality assurance team put together..... and going for the gold. It's ...

when they're highly agitated you're going to restrain them?????????????

ah, thus the 'teamwork' effort comes in to effect. Without top management in the teamwork loop, you have no team. It only takes one person to start the teamwork....... If it comes from the administrator showing the teamwork effort, the DON showing ...

Privately owned facilities are a bit different in that area compared to the Corporate owned facilities. I've worked in both, and know of instances where all department heads are family members! (imagine that!) Most corporate owned facilities do have...

Fran, what I was saying is that when our shortages hit, we took a look at why they were there.... What could we do to keep our staff, and worked together to form an unbelievable team.... much like your facility did! The shortages are there, no doubt...

nurses working the floor as C.N.A's..... in our facility it just made the teamwork spirit overwhelming!!! We did become one happy family and gave the best quality care I've witnessed yet!!! It's all in the attitude!!!

Why is there a shortage in these homes? .... Management? On-The-Job-Retirees? (those who don't want to take responsibility for their positions)... Burn-out....What burns people out? What can we do to encourage our people to stay... Have consisten...

Was the resident awake when bed-check was performed? ...... could he possibly have been brought out of his room? Were all of his needs met? Would a trip to the bathroom have helped? Does he have a bag full of activities that you could have given h...

Quality Initiatives are being trialed at the present time.... I think your information source quite possibly gave you some inaccurate info! LTC is going in the direction of MDS's. Deeper & deeper.... Med Tech's are coming in to assist with the...

The day I witnessed a C.N.A. fighting with a resident over his food....... she actually took his cake......and ate it!!! ...simply uncalled for.... and yes, she lost her job... on the spot.