Marci Raye

Thanks everyone, for your thoughts and great sense of humor! We all need a laugh sometimes. These appear to be fixed neuro deficits and I worry about unlicensed staff recognizing any neuro changes. Sometimes I worry about ME recognizing neuro changes. The client is mostly non-verbal, so some of the check and info I would want (do you have a H/A?, what's your name?, etc.) aren't going to be applicable. Keep your suggestions and thoughts coming, I appreciate all of them.

Thanks TriageRN, the information was excellent. If our agency decides to take this client back, I will use your ideas to train staff. Thanks!

Thanks TriageRN, the information was excellent. If our agency decides to take this client back, I will use your ideas to train staff. Thanks!

Currently at a nursing home but we need to be making a decision if our agency can support the client in a home based setting. This would be their own apartment with unlicensed staff.

I work for an agency that provides community care services for the developmentally disabled. Direct care staff is unlicensed. We have a client who has long standing neurological problems and a vp shunt. The neuro problemes have become worse after recent brain surgery. The client falls often (unable to restrain) and I am concerned about delegating unlicensed staff to assess for neuro changes after falls, or anytime for that matter. What do you guys think? Would you be comfortable with this type of client in a community based program?