In speaking with a dozen or more facilities, the e-cigarette seems to be handled in an individual facility- or corporate-wide policy. Many facilities are not allowing it at all; others allow it after the resident is deemed by the doctor or advanced practice nurse to be safe at handling the device.

In this era of ever-increasing clinical needs and critical thinking with our medically complex patients, continuing education is desperately needed.

Yes, I sure do! Meet with your leadership team to decide which areas you feel that you need to routinely track. Develop your audit tools based on regulation guidelines and have them updated on a monthly basis.

Focus on commitment and ensuring a culture of support. I find that sharing your commitment to providing the best care in an atmosphere of continuous quality improvement and ongoing demonstration of your commitment when making rounds on your nursing units provide a firm foundation.

Anne Marie Barnett, RN, President, Maryland NADONA/LTC

Anne Marie Barnett, RN, President, Maryland NADONA/LTC

Anne Marie Barnett, RN, President, Maryland NADONA/LTC

Anne Marie Barnett, RN, President, Maryland NADONA/LTC

Anne Marie Barnett, RN, President, Maryland NADONA/LTC

Anne Marie Barnett, RN, President, Maryland NADONA/LTC