DjHAWKY

CMS Hand in Hand: A Training Series for Nursing Homes Toolkit Section 6121 of the Affordable Care Act of 2010 requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matters experts, created this training to address the need for nurse aides’ annual in-service training on these important topics. The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse. Visit the Webite : https://surveyortraining.cms.hhs.gov/pubs/HandinHand.aspx : This 6 DVD training course is available free to anyone. The website provides the .ISO files to download and create your own DVD using your computer with a DVD Writer and DVD Writer Software. The training files also include DVD Labels, Front and Rear Images for the case, Ad Posters for your facility, and Instructor Guides for use as an InService or training class. If you wish to play the file directly from your computer follow the instructions below. 1. visit the CMS Hand In Hand Training webpage, download the files to your computer. The ISO files are the DVD files. 2. Download the ISO File Mounting Utility (WINCDEMU) to your desktop. 3. Double Click on the new WINCDEMU icon on your desktop to run the ISO files directly from your computer. A small window will open asking you for the directory containing your .iso files, open 1 at a time using the same procedure for each file. Resources: Visit the .ISO File Mounting Utility Tutorial : http://wincdemu.sysprogs.org/tutorials/portable/ WINCDEMU Portable Website : http://wincdemu.sysprogs.org/portable/ Download the .ISO File mounting utility for direct play on your PC : http://sysprogs.com/files/WinCDEmu/PortableWinCDEmu-4.0.exe Training Website : https://surveyortraining.cms.hhs.gov/pubs/HandinHand.aspx

Hi.. the MEPAP qualifies for the National certification and is a state approved course. The surveyors from Medicare/Medicaid services. (http://cms.gov) print a guide for their surveyors who inspect long term care and specialized care facilities. Here is their guidebook with the regulations they are asked to inspect when they visit a facility.. this is the link.. do a search for f249 which relates to Activity Directors http://www.activitydirector.net/index.php?categoryid=28&p13_sectionid=6&p13_fileid=11 Look in the download area of this site to find the state by state regulations /.. depending on your state, the regulations may add a few more hurdles, but most State regs are superseded by the national regs http://activitydirector.net/forum/files/file/24-regulations-for-activity-directors-state-by-state/ Contact the NCCAP.org for all the details on their MEPAP program Denise

I found this simple explanation about care planning at activitydirector.com , Care Plan Assistant , . It helped me .. add any comments that you may think would be helpful with careplans.. thanks -------------------------- Writing a Comprehensive Care Plan We gather information on a resident by doing an assessment / resident interview. Using the information from the assessment allows us to design a comprehensive plan of care. The ICP (Interdisciplinary Care Plan) Team would then meet to form a Care Plan for a resident. The Care Plan must address 3 areas of concern in order to be a complete plan The concern: What and Why The goal: When and How Often The approach: How and by Whom Create your Care Plan First - define the problems / needs / concerns for your resident. What is the concern and Why is it a concern. Resident does not attend activities due to Hard of Hearing Resident refuses to follow diabetic diet orders Resident unable to feed self due to Alzheimers Question? Is the concern d/t (due to) a secondary cause, an underlying reason or is it a concern of the staff, but not for the resident? i.e. Resident will not participate when attending an activity. – This is not a problem with the resident, maybe he/she is a people watcher.. he/she just likes watching.. But the staff has a concern that he/she does not join in… still it is not a concern with the resident. i.e. Resident prefers to eat breakfast at 10am. This is not a concern for the resident, it is a concern for dietary, unless they wont serve he/she a later breakfast, then it’s a problem, it is the residents right to have breakfast when he/she wants, and dietary should comply. Second- define realistic goals. Define the schedule and time limit for the goal(s) to be met. How Often will you and your resident work to acheive the goals and When will the goal be accomplished A goal should simply address your concern, it should not be unobtainable, just a resolution to the concern. It is helpful to ask, What is the problem? The answer will lead to a realistic goal. The goal should be a phrase or statement in which the residents progress can be evaluated and their concern resolved. i.e.Concern: Resident is depressed bad Goal: Resident will be less depressed. (progress cannot be measured) good Goal: Resident will choose 2-3 activities to attend each week. Third- define your Approaches to obtain your goal(s) How - devise procedures / strategies to acheive the goal(s). By Whom will the procedures be conducted The Approach is your plan or strategy to meet your goal(s) and resolve the concern. The approaches should be the steps to be taken, specific services to be offered and who is responsible for implementing the approach. Some approaches may have only one department assigned and others may have all departments assigned. i.e. Concern: Resident is a diabetic and non-compliant with her diet d/t (due to) refusal to accept DX (diagnosis) of being a diabetic. Goal: Resident will be compliant with diet and aware of the risks of refusal x 90d (times 90 days) Approaches: Offer resident alternate choices in food - A,D,N (Activities, Dietary, Nursing) Remind resident of risk when refusing to comply with diet orders - A,D,N,S (Activities, Dietary, Nursing, Social Worker) If resident refuses to comply with diet, inform nursing or social worker - A,D,N,S Praise resident when he/she follows diet restrictions - A,N,D,S Ask family to stop bringing candy and other foods that are non-compliant with residents diet - A,D,N,S Have dietary speak with resident and family members about the disease and offer alternate foods choices - D A-Activities, N-Nursing, D-Dietary, S-Social Worker Approaches should not be specific tasks, make your tasks universal and non-specific to allow variety in your proceedures. Note the specifics in your progress notes.

Your paperwork is the only record that the surveyors have to gather information about the care you provide your residents. Even though they are called State Surveyors, they are still armed with Federal Regulations, applicable in all states, even Florida. Your resident council is the only place residents have to go and voice their concerns, in confidence. Its your job to make sure that their rights to privacy are upheld, you should record the minutes but dont take names and dont share any of the concerns except with the proper channels. "Resident Rights" You should keep the participation records to verify that the "Plan of Action" that you have careplanned in the charts is actually being carried out and you are taking notes monitoring the progress. A surveyor should be able to walk into a facility, pick 3 resident names out of a hat, and, from the paperwork provided, follow the day by day care of each resident. the Assessment the official get to know interview, what the residents likes and dislikes, hobbies, interests etc, and then on to your careplan.. any concerns or strengths to plan for, your action and your expected Goals .. your progress notes and participation records show the progression of your plan. Good documentation is key to avoiding deficencies. An AD spends a huge amout of time on documetation, planning, meetings (corp & family) so make sure you have a good working volunteer dept, capable assistants, self directed resident volunteers Your assistants can keep participation notes on scheduled and non-scheduled activities, so make sure they have good forms. Create them with a pencil and a Xerox machine if needed. Just make sure if your facilty is regulated by Medicare and Medicaid State and Federal Regulations that you keep up-to-date and proper paper work dating back 120 days, close at hand, or you could be tagged.

Hi.. Is this nccdp seminar available in other cities, is there a schedule ? thanks in advance.. DJ

It seems to be working now.. I had no problems.. DJ

I was moving to Texas... This is how it was explained to me when I asked about the becoming Texas Certified as opposed to being Nationally Certified.. hope this is useful to you.. Good Luck DJ

the "I" care plan are the coming method of moving from the medical model to the social model of providing healthcare in nursing facilities and still meeting the guidelines from the fed regarding care planning and assessments..

Check out the Care Plan assistant on http://members.activitydirector.com to help you write your care plans. This service comes as part of a membership for 9.95 a month .. but well worth it. You pick your area of concern, enter your challenge and receive several pages of suggestions on plans and approaches.. notes comments, variations..

Laura,... Admin is right.. there is only one thing worse than someone that rides your but and thats is not having anyone who cares enough about you to ride your but. You have all the power ... its your programs and your festive nature and your show that make the facility a success, you fill the beds.. Dietary is the same spoon, fork, napkins and Meatloaf, Nursing is bedpans, meds and care, Maintenence is lightbulbs and mops... its your show to take Meatloaf on plastic plates and make a "Elvis Dinner Theater" complete with Neon Lights, Blue Suede Shoes, Viva Las Vegas DVD and Peanut Butter and Banana Dessert! Its You!.. not your education or your lack of, its you, the popular kid, Bubbles the Clown.. the one everyone wants to be around. You sell potential customers as they tour your facility with the admin, the families will always be talking in the community about the crazy fun mom has at the facility.. You say that you never know whats going on at the facility.. YOU is what should be going on at the facility, let everyone try to keep up with you for awhile.. Its your heart that makes you a good AD not your education.. do what you feel in your heart is the best thing, listen and care for all you friends (residents) and dont ask your assistants to do anything you wouldnt do.. you'll be fine.. DJ

Hi .. Sara,, I dont believe there is any thing written in stone about your requirements.. 4 activities aday is ok, weekends should be 2 Sat and 2 Sunday.. one being church.. After hours should be 3 per week, one can be the Wed Church Social.. With 30 residents it will be a pretty tight knit family.. you should work towards some self directed activity, Moon (dominoes), Music Room .. piano or keyboard.. , Movie Night.. do a few fund raisers to get a Popcorn machine, Knitting club... Study their assessments, do some personal interviews.. find some past history, gather some favorite hobbies and make supplies available.. with 30 residents you should be able to have a pretty good group.. have fun

I am with you trish.. I use the members.activitydirector.com also ... I have tried both sites and would like to use them both if I could afford it.. my facility wont pay for my subscription, so I went with the activitydirector.com site becaus it was cheapest. I use the Live help everyday.. I dont have a consultant and I can use all the help i can get.. merry xmas everyone!

Hi smrld.. the forms have assessments with new doc area for updates, multi dept participation logs, we print these out and put them on a clipboard that floats any staff leading a discussion, observing a self directed activity.. volunteers even fill these out. we have them in our Volunteer pack.. we give them to the family members to pencil in anything they discuss any wishes expressed.. the note resident reaction, times.. dates.. they are 3per sheet.. I am taking them directly from the clipboard and filing with my participation records..making notation in Progress notes.. updating assessements.. creating careplanning therapies as I go.. its helping tremendously .. I have even started a seperate sheet to start grouping similar interests for clubs, tourneys, functions.. If I can get my residents participating in self directed group functions..clubs and what not I will be more a community coordinator.. merely providing support for my groups.. I have 2 very established functions meeting weekly.. and have been offering membership/participation to new arrival-residents.. now if I can get a few culture oriented groups going.. that can help me to understand their backgrounds and needs .. I will have pretty good thing going.. :-P

they have a pack of forms for the new guidelines in the Activity Bookstore on this site. has the staff participation logs, and assessment form with extended area for self direction and updates.. same ones we use here..

Here is one I copied from this site last year. good luck, DJ Activity Assistant Job Description Job Title: Activity Assistant Department: Activity Department Supervisor: Activity Director Qualifications: Must posses a high school diploma or GED equivalent Must have one-year experience in a recreational setting or long-term care Must be a pleasant, creative, people person Must have leadership and decision-making skills Understand the Activity Director has the authority to override these rules General Job Description: The Activity Assistant will (1) aid in creating a remarkable activity program, (2) lead daily scheduled groups and one-on-ones, and (3) carry out various projects assigned by the Activity Director. Job Responsibilities: Lead daily group activities Assist in planning the monthly calendar and newsletter Report to the Activity Director regarding any changes with the residents' health and participation Assist in maintaining supplies and inventory Attend all requested in-services and continuing education workshops Be aware of the chain of command Abide by all policies and procedures within the facility Perform any duties as directed by the Activity Director Work nights, weekends, and holidays, as needed Keep participation and/or one-on-one records, other paperwork as delegated Must be able to work well under stress and be able to think on their feet. Lift over 50 pounds and be on your feet for long periods at a time. Agreement: I have read this job description and understand the responsibilities of the Activity Assistant position, and agree to accept these job duties and perform to the best of my ability. _______________________________________ _____________________ Signature of Assistant Activity Director Date _______________________________________ _____________________ Signature of Activity Director Date

Hi I need some help with cultures also, Our facility is becoming more and more a melting pot. We have Japanese, Korean, French, Spanish and Pakistani.. if anyone has any culture ideas I could sure use some ideas.. we have several club ideas we wanted to start and a few activities.. if anyone knows the customs of any of the different cultures that you can share I think I can work with that.. religious preferences .. celebrations, food snacks games.. everybody pitch in and tell us what you know about the various cultures we can all benefit.. thanks,

I used the inservice and the forms I received from taking the FTAg course on this site, We used BigChris idea of making a floating multi dept documentation for all the facility to note any and all self set goals, interests, off hour activities and I took it upon myself to do the inservice. I need my facilty to rally behind this in order to get staff moving in this direction.. the Admin and Nursing in our facility dont have the friend factor that activitys has, Our Activity Dept, works with dietary, nursing, janitorial.. everyone to get residents moved, get meeting rooms setup, lunches perpared.. we have a good working relationship with everyone. We started non scheduled activities with several residents, teaming them up with staff, we supplied staff with materials to better equip them when talking to or helping out with certain residents, we are developing friendships as well as a good community.. it works for me... my facility wide activities are being noted, my assessements are being updated and I know I will be ready for state.. good luck....

Our facility uses the ActivityDirector.Com, they created a custom logo for our newsletters, and have helped with my careplans on the live help. Incredible service for the price. Hundreds of downloads forms, activitys everything I need. They created a custom sign for my birthday residents. like a consultant online. Its great. Go Seahawks!!!!

One on One carts is what we called them, very useful. We had a rolling cart from Dietary converted to an activity cart. I received a hint from a state surveyor that they really frown on being unprepared when doing your One on Ones. I had to leave a residents room to restock my cart, while state was in the building, So my advice is to keep records of your one on one residents and their likes and preferences, and be prepared with everything on your cart. It will save you alot of time and if state is in the building, especially helpful I love this site and the members site members.activitydirector.Com for the newsletters and calendars.. way worth the 9.95 a month