We always have difficulty getting extra fluids into our residents during these hot summer and fall months, any suggestions? Getting fluids into elderly residents is something my facility struggled with every summer and fall. We started by asking activities to serve small cups of juice or water. Some of the activities staff have wonderful relationships…
As a new DON, I have instructed my staff to remove, rinse and reuse colostomy bags. Do you agree? As a person who has a colostomy, I do not agree with reusing bags. I choose to use a one-piece system. Therefore, I empty my pouch and flush what I have emptied. I use a baby…
We are having an outbreak of Candida auris in my facility. Is this a problem in other skilled care facilities? Candidemia, a bloodstream infection with Candida, is a common infection in hospitalized patients. Unlike Candida infections in the mouth and throat (also called “thrush”) or vaginal “yeast infections,” invasive candidiasis is a serious infection that…
Nursing care documentation has been influential but hasn’t driven payment to the degree it will October 1.
As a new nurse leader, what can I do to support my facility’s nurses? I don’t have a budget for this. I totally get what you are asking, and it is a proven fact that nurses who feel supported have less turnover, and less turnover produces a higher quality of care for the residents under…
QPP stands for Quality Payment Program, which is a new program from the Centers for Medicare & Medicaid Services for billing based on quality measures and reaching benchmarks and facility performance.
There is a whole open can of worms concerning photos, with some corporations wanting photos of everything, and some forbidding photos.
I am responsible for the medication pass and worried about doing it with surveyors watching. Can you give me a few tips?
Our new medical director keeps referring to VPD’s when we bring up vaccines. I don’t feel comfortable asking too much, so can you help clear up what he’s referring to?
Can you tell me what states have a Death with Dignity Act? Providing for end-of-life care has become more and more important over the years. About 25% of Medicare dollars are used in the last year of life, according to the Centers for Medicare & Medicaid Services. Six states currently have a Death with Dignity…
