12 replies to this topic

[Miguel]

I learned that the minimum time you need to spend on 1:1 is 15 minutes 3 times a week for every resident. Of course this is going to vary with each facility. At some facility's you will be able to spend more time, in others your lucky if you can do 10 minutes.

And also each state has their own laws, this is what we use in California.
~`Miguel`~

[rose]

Regulations call for 1:1 to be done 3 times a week for 15 minutes each time.

[Ella]

Where is everyone finding the regulation that 1:1 visits have to be x3 per week for a min of 15 minutes? I am from Michigan and I have not been able to find anything that states this. Also I have had surveyors question me about how I set the amount of scheduled visits for each resident, which may be only x1 per week and they have never (knock on wood) had a problem with my reasons or documentation. If anyone has a source for the regulation, could you please post it? Thank you!

[turtle]

I have never seen a regulation pertaining to the length and frequency of 1:1 visits. It is my understanding that the purpose of 1:1 visits, or any type of activity, is to meet the leisure needs of the residents. How can one put a time limit on this, as the needs of each person are so different. For one, a brief visit once a week may be all they desire while the individual in the room next door may like to have a lengthy visit twice a week. I think the key is to look at each person as an individual and ensure their needs are being met. If you document and care plan well there should not be a problem. Just my thoughts on the topic.

[Ella]

I agree, and in part, what you state is exactlly what I state to the surveyors. Maybe this is why I haven't had a problem with some of my residents receiving just one visit per week. As long as it is a meaningful and productive visit, not just a pop-in, pop-out visit and it does meet their indivdual needs along with their other leisure pursuits i.e. individual room pursuits, family visits, etc., x3 per week could been in excess. Just my thoughts!

[yunakitty]

And I think everyone needs to remember that not every resident needs 1:1 visits. We have several residents that have family and friends in and out constantly (yeah, I know, what a blessing; there are others that family has NEVER been by in two years.) It was demanded of me by a former DON that I spend 15 minutes with every resident EVERY day. We only had 9 residents at the time, but even with that, 9x15 is 135 or just over two hours, not counting travel time in between each resident and considering the time for reattempts if the resident is not available - that was impossible for me to squeeze in between 2 hours of activities in the AM and 2 in the PM, with set up and meetings and paperwork...you get my drift. You're all in the same boat. Anyway, I'm so glad she's not the DON now that we have 20+ residents in 3 units.

I do 1:1's for my ones that don't respond well to group activities and don't have visitors, as well as a couple that just really like me. So that's 1 on memory care, 3 on Skilled, and 2 on AL. I count the visits we make with the therapy dog as well.

There is one resident that I get about an hour in with - in 3 minute snippets throughout the week! Hey, whatever works.

[BartMan]

yunakitty, on Jun 2 2009, 09:45 AM, said:

And I think everyone needs to remember that not every resident needs 1:1 visits. We have several residents that have family and friends in and out constantly (yeah, I know, what a blessing; there are others that family has NEVER been by in two years.) It was demanded of me by a former DON that I spend 15 minutes with every resident EVERY day. We only had 9 residents at the time, but even with that, 9x15 is 135 or just over two hours, not counting travel time in between each resident and considering the time for reattempts if the resident is not available - that was impossible for me to squeeze in between 2 hours of activities in the AM and 2 in the PM, with set up and meetings and paperwork...you get my drift. You're all in the same boat. Anyway, I'm so glad she's not the DON now that we have 20+ residents in 3 units.

I do 1:1's for my ones that don't respond well to group activities and don't have visitors, as well as a couple that just really like me. So that's 1 on memory care, 3 on Skilled, and 2 on AL. I count the visits we make with the therapy dog as well.

There is one resident that I get about an hour in with - in 3 minute snippets throughout the week! Hey, whatever works.

You are right yunakitty , whatever works ! I am blessed with an outstanding volunteer program and one of the first things I orientate them on is doing one on one's ;o) Hey, it works for me ! We just went through Joint Commision and they were very satisfied with my RT Department. Zero Tags. Later , BartMan

[BartMan]

BartMan, on Jun 3 2009, 05:28 AM, said:

You are right yunakitty , whatever works ! I am blessed with an outstanding volunteer program and one of the first things I orientate them on is doing one on one's ;o) Hey, it works for me ! We just went through Joint Commision and they were very satisfied with my RT Department. Zero Tags. Later , BartMan

[Jen]

Activity visits are my biggest challenge. I work in a SNF with currently 11 residents in memeory care & 64 in the nursing unit. My 2 part time assistants are in memory care almost exclusively except for 1 day. I keep a current resident analysis to identify who needs activity visits (those who need 1:1 due to are bed bound or unable or unwilling to participate in group or self-directed activities), or small group or 1:1 sensory interventions (those who have little or no awareness of their surroundings or are passive observers only usually d/t late stage dementia) et. those who engage in self-directed activities only or receive activite family visits that I call Brief Social Visits. That is currently 42 of my 64 nursing unit residents. We are in our survey window & survey teams in our general area are hitting this hard. They want to know what is being done for those residents who are not actively engaged in group programming & clearly with only 48 staff hours devoted to these groups, doing the programming, documentation, writing the news letter, on & on, this is an area that I'm concerned with. I keep telling my administrator that we may get a tag, but still no more hours in my dept. I sure don't want to get a deficiency, but that may be what it's going to take. Gosh, I didn't mean to rant! Back to the original subject, my state does not have a set amount of time that each resident receives 1:1 visits, just what the federal states -"to meet the needs of each resicdent."

[jolynh]

Jen, on Jun 4 2009, 06:40 AM, said:

Activity visits are my biggest challenge. I work in a SNF with currently 11 residents in memeory care & 64 in the nursing unit. My 2 part time assistants are in memory care almost exclusively except for 1 day. I keep a current resident analysis to identify who needs activity visits (those who need 1:1 due to are bed bound or unable or unwilling to participate in group or self-directed activities), or small group or 1:1 sensory interventions (those who have little or no awareness of their surroundings or are passive observers only usually d/t late stage dementia) et. those who engage in self-directed activities only or receive activite family visits that I call Brief Social Visits. That is currently 42 of my 64 nursing unit residents. We are in our survey window & survey teams in our general area are hitting this hard. They want to know what is being done for those residents who are not actively engaged in group programming & clearly with only 48 staff hours devoted to these groups, doing the programming, documentation, writing the news letter, on & on, this is an area that I'm concerned with. I keep telling my administrator that we may get a tag, but still no more hours in my dept. I sure don't want to get a deficiency, but that may be what it's going to take. Gosh, I didn't mean to rant! Back to the original subject, my state does not have a set amount of time that each resident receives 1:1 visits, just what the federal states -"to meet the needs of each resicdent."

Hi there I am new to this I also have been struggling with this issue and I am not sure what my state requires Texas. If anyone knows please let me know. I agree also that it should be by an indiviual basis.

[cpage]

yunakitty, on Jun 2 2009, 11:45 AM, said:

And I think everyone needs to remember that not every resident needs 1:1 visits. We have several residents that have family and friends in and out constantly (yeah, I know, what a blessing; there are others that family has NEVER been by in two years.) It was demanded of me by a former DON that I spend 15 minutes with every resident EVERY day. We only had 9 residents at the time, but even with that, 9x15 is 135 or just over two hours, not counting travel time in between each resident and considering the time for reattempts if the resident is not available - that was impossible for me to squeeze in between 2 hours of activities in the AM and 2 in the PM, with set up and meetings and paperwork...you get my drift. You're all in the same boat. Anyway, I'm so glad she's not the DON now that we have 20+ residents in 3 units.

I do 1:1's for my ones that don't respond well to group activities and don't have visitors, as well as a couple that just really like me. So that's 1 on memory care, 3 on Skilled, and 2 on AL. I count the visits we make with the therapy dog as well.

There is one resident that I get about an hour in with - in 3 minute snippets throughout the week! Hey, whatever works.

I agree with you. It is impossible to spend that much time with time each day. I do 1:1's with residents that are bed ridden or do not come out of their rooms to do group activities. I have some of the ones that prefer to stay in their rooms that have families come several times a week or call them. We have these residents that are listed as Leisure visits 1x weekly.
My facility does everything in their power to make sure our residents get up and out. We only have approximatly 10 that are bed ridden and of those 4 have visitors 4x's weekly. I do go in and check on them atleast 3x's a week to make sure they do not need anything. The others I go in a read to them or just have a conversation. We also have a therapy dog that comes in every Friday.