Pennie

Hi I also live in Texas and have not heard of QMAP either. We have AD/TXC which is Activity Director, Texas Certified, qhich is recognized by Texas. There is also NCCAP which is National Certification. If you are moving to Texas then I would put my efforts into becoming NCCAP.

Hi, Click here to read about a New Entertainer Service for ADs also visit the Entertainer Listings for your state, click on the link located on the main menu. thanks, Pennie :-)

Hi Hrysia, I don't know exactly what you are looking for but a couple of things I have done or seen done: Placing a picture of the resident along with their name outside the door. The pictures are placed into a plexiglass frame that is mounted on the wall/door. This way the pictures are easily changed by sliding them in or out. The other thing I saw at another facility that O loved was a shadow box outside of the residents room. This was mounted in the wall, either some money would need tobe spent to do this or make some shadow boxes up to mount on the wall. Each resident had one outside of their room inside was a place to put their name and a few special items that means something to that resident. (Ex: Mrs. Smith collected or loved to sew so hers had needles, pin cushion, small amouth of material etc.. Mr. Smith displayed pictures of his grandkids etc..) The family members bring up the items that go in these boxes. The boxes lock and can only be opened up by certain staff people. I really loved these and when you walk down a hallway it was interesting and had a welcome feeling. You got a feel of the people who lived in those rooms and what a great conservation starter. Even after all of these years I still remember the facility because of this! Hope these are useful. P

Hi I have had several members asking about state surveys.... what to expect... how to prepare.... These are a few of my suggestions, please add yours... thanks, Pennie :-) ************* Check and prepare your previous three month of participation, one on one, resident council minutes(any concerns should be resolved or if not.. Why? no council attendance records) put records, in seperate binders, up to date, in good easy searching order. Have your 1yrs present and previous calendars and newsletters ready also. Make sure alll are neat, professional order. Offer these to them when they hit the door, dont make them ask. Make sure its complete, they will key in on two or three random residents, so make sure that your paperwork can be aligned to any resident, make sure they can go directly to the folders, pull the any choosen res. records..easily, dont give them a reason to come and ask you about things. In your office make sure you have the current Participation, one on ones, one on one schedule, and they will ask for precautionary records(the records you make available to volunteers and staff as to precautions when working with certain res. ..i.e. residents diet restrictions, special needs etc.) ... make sure that while they are in the building, that all scheduled activities are conducted and ON TIME! pray your charting is up to date..... then chill have a good time, find your happy face... expect them to watch you do a one on one ....

Hi, One of the activites I do for Ice Cream involves the family, staff & volunteers. I ask everyone to make their favorite homemade ice cream. I ask that everyone please call that plans to do this so that I know how much I should make. I hold this event on a weekend during the day, attendance is high! I start making ice cream on Monday and make it up to the day of the event. Be sure that you hang signs up and let it be known that everyone is welcomed to attend. You could even have a contest for the best, most unusal etc.. have the residents judge it. Of all the years I have done this the residents love the coffee ice cream best, hands down!! Could it be the generation that we are working for have a love for coffee 24/7 ;-) Let us know what all you come up with and which ones worked best etc.. Stay cool P

Hi, Publisher is a good program, most AD's I have worked with use PrintMaster. but if corporate is going to install and pay for support, dont give them any reason to complain, because the first time your computer has a problem, the computer guy is going to point at "that program the AD installed"... go to microsoft.com do a search for templates. Look in the Office Area for downloadable samples that microsoft and others have designed. They have some incredible calendars and newsletters, that you can download, and edit to fit your facility. thanks, Pennie :-)

Hi StacieO, Raw42 was starting a new job at an adult day care, she has a message board post active on the front page and in the forms section title: Care Plan you might Private Message or email her Pennie

1. Color of Coaching ¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯¯ Several years ago I was sitting in my office wondering what balance looked like as a drawing. At the time I was selling goal setting and time management programs and wanted to demonstrate an image to my clients. I went on to illustrate other situations like getting off track or out of alignment. This one simple drawing has evolved over the years and continues to inspire my clients to build their own model or metaphor. My dedication to this process has been an ongoing evolution as I explore new applications and audiences. What it has become is: Well you know how some people have a difficult time seeing the big picture…. they can't see how they have gotten off track, stressed or out of balance... Which means they often have conflicts, they don't achieve their goals they say yes when they want to say no? … they have no leisure time, Well, what I do is offer them tools and techniques to paint a picture, a picture that illustrates their current situation. Then support them in breaking it down into workable parts where they can begin the process of reshaping which means the conflicts are fewer and better handled, goals are achieved, and they take back control of their time and life The benefit of which is they enjoy leisure activities, find greater satisfaction in their work, and make positive contributions that shape their world. When we work together we use shapes and vibrant colors. Let me begin by giving you an example of the evolution of one element of your life and see how it comes alive for you. When people begin their careers they look at options and explore different ways to make money. Some may be transitioning into a new career as a way to create a life style change, a remodel of the old career. It is an expression of power and of taking charge. It is strength and energy and the color is red, the base chakra. It doesn't matter if they hire themselves a job in a corporation or build their own business. They are inspired and motivated. Their career moves quickly to professional, civic or networking meetings and all the social issues. They contact buddies or former business associates to promote their role. If in a corporation, they meet the leaders and their co-workers. It is stimulation, socializing and the color is orange, the second chakra. Their career is a craft at this point based on a set of skills or a model. Many are trained from a memorized process or protocol. Their work is a left brain, mental experience. It is the third chakra and the color is yellow. These experiences are formalized and may become a routine. Some people may stay here. They may be at the job for forty or more years before they retire. Others move on to the next level, the heart center, as a natural transition. They link in to an evolving growth cycle both for themselves and their work. They have begun to integrate their work to the inside where it has a drive, a motivation all its own. This may be the shift from job to career--- Some people -- and I hear this from so many -- began their careers early, maybe even as a child. They come from tinkering in their garage, Junior Achievement, or lemonade stands. They are giving their all from their heart center. They begin their training from this place as they begin to get the basics, to learn the techniques and lingo of their career path. Do they move back to the heart after their training? They never leave this heart center for that is their passion and who they are. The color is green, balance, and they give it their all, for that is their place of authenticity. This is the fourth chakra. Each color transition may be initiated by a lack of focus, no time for family or play or a dissatisfaction. These steps bring new challenges as well as joy in the possibilities of change. The next transition may be the most difficult, for this is where people express who they are, what they do. In the routine of business, it is where many get tripped up. The golden handcuffs may have a strong hold here. It is at this level where they integrate their job into a career and into their bodies. They lose the memorized skills. I as their coach now move with them in a flow as they meet new people change companies, encounter new opportunities and life takes on an art form. This is the fifth chakra, blue, and it is throat or communication center. As the client speaks from this place, they begin to notice the law of attraction coming in to play. This is where I really work with my client to clarify or redefine some clear intentions set on who and what he wants to attract and where she want her career or business to expand. The next shift is to integrate this new knowledge into the inner knowing, the intuitive self. This is where the real flow begins. The individual begins to take some real leadership roles in training, sales or product development. The work, with the intuitive voice, lets go of ego, the need to be right and brings in fresh ideas, synchronically, and magically. This is the sixth chakra, indigo, also known as the third eye. It is the center from which shamans and healers -- as well as innovators and visionaries work. For most this step is the last step and brings them to the spiritual level -- a vital step in the big picture. This is where people connect to the divine in all things and become aware of their impact on other environments. They connect with themselves in a different way. It is the integration of their lives on all levels. Here is where balance really begins. It is the place where I hear my clients experience the big AH HA. I think this is when it gets mystical. It is the crown or seventh chakra, and the color is violet. For most this is "the be all, end all". I believe there is a next and maybe final step. It is here where people can get off track again and I know, because I have experienced this for a while. It is here where the client is free to express who they are to the world. They reach a place of trust and knowing and their lives become an art form they have finely crafted. It resonates in their body, in their mind as they move freely in this knowledge. It is where you walk your talk, and paint or write, design a house or build a boat. It is a place of freedom and is not age related. It is here where I see the client bring the strength and power of the base chakra - red -and blend it in with the crown chakra of violet, the spirit that speaks deep from within their being. This color magenta is the magical, mystical attractor of our aura. It is how people interact with the world. It is where they express their uniqueness, and it is grounded back to their being in their heart. Then you ask why do we see so many in business, any business or job with the poor me attitude? Well from my perspective this comes from those who are working from the lower chakras, the red, orange and yellows and are coming from fear, lack and competition. No matter, if you are an entrepreneur or in the corporate world, there is something you can do about it. It is time for you to revitalize, color and reshape your world as you step aside for a moment, walk around and reflect as I do with my clients on "where do you stand in the world of business" and better yet "where do stand in the world". Look back on these eight levels and examine where you stand today. Where have you been in the past and where are you moving to in your career, your life? Could you benefit from some examination and evaluation? Take time, for these are growth steps. Give me a call so you can find your place in this spectrum of color. Previously published in InTouch Magazine New Zealand

Hi Jac, the Activity Director regulations and certification requirements are listed on nccap.org, you can probably find out all the info that you need there. good luck, Pennie

Hi Weda, Welcome, you can edit your own posts, when you are viewing the topic with the error, simply click on the edit button in the upper right hand corner of the text box. Remember you must be logged it to do so. About the block party thing, the closest activity that I have ever planned was a courtyard party, we assembled a bunch of the staff and family members to set up craft tables, the fire dept., the ambulance company each set up a table with food and bbq, they brought a Fire Truck, We contacted the churches that held services in the facility, they had members that did various crafts and carnival food vendor equipment. It was more a carnival for the kids, with lots of crafts and food for the moms and dads. One fella brought his petting animals, my husband made funnel cakes(that was a carnival in itself, dietary helped him) Of course the adminin and her husband did their thing, The residents had a competition for the best family secret apple pie recipe a couple of weeks before the carnival, and with this info we were able to gather the ingredients and conduct a apple pie baking activity and sell our pies and secret recipes to raise money. The ladies did a knitting booth and class, where the little girls were given an opportunity to sit and try their luck with a pair of needles and yarn, grocery store donated stuff, florist donated leftovers for a crafting booth, had the water balloon launch made from an old bra and some bungies, had a big time... Good Luck! thanks, Pennie :-)

Hi There is a Care Plan form in this download http://activitydirector.net/modules/mydown...php?cid=3&lid=6 This is an MS Excel Workbook that provides an initial assessment/interview, that once completed, would then produce several forms that are needed to document the on going Care for the resident in a Nursing or Assisted Living Facility. So this being said .... I dont have any experience in Adult Day Care, but I will outline a care plan for a Nursing facility and try to parallel the procedure to fit the day care facility, but I can only assume certain aspects of the day care not having been involved with any. First off a Nursing Facility is federally funded and the state requires that the Activity Dept. document all of the planning involved in caring and meeting the needs of each resident. You would conduct an initial interview (assessment) with each guest / resident (and family if needed) in an attempt to determine each residents interests, hobbies, their mental and physical functioning level, etc. Once you have this information, you would be required to maintain documentation (in the form of a Care Plan, Initial Assessment and Quarterly Assessments, Individual Activity Participation,) This documentation would give state regulators and inspectors your professional view of the resident and how you and your program will be implementing your Care Plan to meet the needs of the resident. I can only assume that the day care facility would work much in the same way if they are federally funded, but if not than documentation of the same nature should be kept to satisfy your facility and the family, that you are indeed meeting the needs of your guests and their loved ones. So lets say you have 30 guest attending your daycare on a daily / weekly schedule. During your interview you have determined that you have 20 high function, good physically and mentally residents and 10 low function guest / residents, than your Activity Planning for the facility should reflect these percentages, you should offer 66% high function activities and 33% low, Go to Charles Dixons site: http://activitydirector.net/modules/mylink...hp?cid=2&lid=60 and look at his collection of activities, he has hundreds all categorized by function level and number of participants, this will help you plan your Activity Calendar... of course you will also have previous favorites from the Directors before you, parties to celebrate the holidays, outings and community activities that fit your particular community and facility. In a Nursing / Assisted Living Facility you would conduct a meeting with all the departments to create Care Plan for each resident,... Nursing, Activitys, Dietary, Admins would all bring their expertise to the table and Care Plan and document an effective plan for each resident, In Day Care you may not have such a situation, but you would do your own Care Plan, using what you info you have gathered on each guest, you would create an activity plan that you think would be suitable for your guests, of course document each step for your bosses, admins and the family, the more you plan the better the experience for everyone. Most new Activity Directors panic at the thought of writing a care plan, which is the wrong approach... you should just use common sense and compassion, What would Jesus do? is the way I teach and implement Care Planning... Your new resident is scared, she has been removed from her home and placed in a Nursing Home, that in her day was called a Mental Institution... she is withdrawn and unsure.. how can I help her? how can I get to know her, be her friend? how can I get her to believe that I am here for her, to help her meet people, have fun, that I am on her side to fight for what she needs to protect her from her uncertainties. Your love and compassion will guide you from here...common sense. How do I document this...well a standard care plan would have the individual residents info, and an area for the Problems: the Goals: and the Approaches: So how do I convey that she is scared and I am going to do everything I can to make her happy, safe, loved and welcome... ummm In the problems area, which may or may not be a problem per say you would enter Problem: ::: resident is new to the facility and the surroundings. Goal: :::Resident will be out of room and involved in activities X 90days NOTE: this is an obtainable goal, dont document specific goals that may be hard to achieve... state regulators will only assume you are not doing your job... Approach: ::: interview the resident and family for residents interests, provide resident with Activity Calendar, invite resident and family to activities. Introduce resident to other residents of similar interests. Monitor residents participation in activities NOTE: again dont document things that you cant prove that you actually did, if you are not going to create an individual Participation record for the resident at each activity, then dont say you are going to Monitor the resident... state will want to see the proof... and if it doesnt exist, then you get an X in that square. I hope this helps with your new position, the Activity Director is one of the most powerful forces in Nursing / Assissted Living and Adult Day Care facility, on the business side, the owners, shareholders, the administrators, bosses all need to make money and run a efficient machine, they need to have every bed occupied and or a large attendance at their facility in order to be successful, your job as the ruler of all things fun and exciting is to make sure that your faciltity is the place to be! Your calendar should be full of things to do, your newsletters should reflect the exciting Activity that goes on in your facility, the programs, the outings, the up and coming events, the parties, the participation of the community, the acknolegment of those who join in, that volunteer, that help your facility provide the quality of life that our elderly so very much deserve. You should send your newsletters and calendars to all guests and their families, to the local businesses, the churches, the schools, the city goverments.... in doing so you will be the most valuable employee in your facility and the brightest star and a best friend to some folks who really need you... thanks, Pennie :-)

Hi HeavenStar, Reading your post about the res. giving you cigs. brings to mind something I did years ago. There was this female res. who was just the greatest lady. She was in charge of her own funds, her own gaurdian etc. She also had her own banking acc't with checks. So when she cam eto me ask me to cash a check for her and bring the money back to her when I came back to work, I was leary of doing this. So i told I needed to check on this. I spoke with SS, DON and Admin. It was agreeded that since she was responsbile for herself and if I didn't have a problem with this then it was OK. It was not a big deal for me so I did it. Of course I made notes about this in her chart. The checks where made out in my name so that I could cash them at my bank. I did this for several months for her. Low and behold one of relatives came for a visit and the res. mentioned how she was able to get cash. All of her realtives lived out of tow/state and rarley came to see her. This relative started in on how I was getting the res. to write me checks and I was keeping some or all of the money. To make a long story short since everyone knew of this arrangement I had with her, my notes and the res. vouching this was her doings it turned out to be deadend for this relative. I did however stop cashing the cheks for her. It made me relaize how this must look to the family members and just was not a good place have gotten myself in. So here is a lesson that we can all learn from :-? P

Hi, Read your post on doing 1:1 visits with your bed bound res. The tube feedings should not interfer with the res. activities, which it sounds like it doesn't. As far as suggestions how about music, books on tape, reading to them, bible study by reading to them and/or using religious tapes, chess (for those able to) you set up a board in their room and one in your office Have the res. make a move, write this move down then you or the person playing against them gets this paper and move that piece to match the res. board. Then you or whoever makes a move writes it down and this is given to the resident the next day. Move the piece on their board etc.. This is done everyday (except for the days you are off, unless you can work something out for someone else to do it on these days) til someone wins. Also when you have special events with people in the facility see if they can go by the residents rooms to say "HI", Pet visits are great, have other volunteer residents. and church groups go by to visit. Resident volunteers are great for this type of activity. You can also write letters, send out cards for the residents. Do their hair, nails, pedicures etc.. Hope some of these things find a way to be helpful to you. P

Hi Everyone, I am asking all of you to please send me copies of your forms. The ones you use for charting, 1:1 records, Activity Part. Records, Volunteer, any and all of them. I would like to have a copy so that I can share these with everyone on the site. So if you will email me and attach a copy of the form I will upload it to the site. They will be on the message board under the form section. Email these to me at pbacon@(at)activitydirector.net or you can IM them to me. ** You do not need to write the word at in the email, the reason I put it in there is to prevent getting all that spam junk. The machines they use to get scan everyones computers are unable to read the email this way. Just another FYI for you all Thanks so much P

Hi Tigger, Your survey my be over now as it is friday, if so hope all went well. It is hard to do everything yourself, especially when you are new AD or at a facility. But the fact is that without working way beyond your 40 hours a week it usually can't be done. This leads to so much stress, effects your home life and eventually leads to burn-out. So the best thing that could have happen to you (most of the time, depends on admin attitude) was for state to be in the facility. Because this can show that you alone can not meet all of the needs of your res. and what is required of you by state and the company policy. It is the prefect time to ask about getting an ass't in there to help you out. Use this to your advantage. Sometimes you have to take the slap on the hand prove a point. If you do all of the work yourself then the powers that be will let you do it! Let us know how you got by. P

I have been in your postion as I am sure alot of others have too. When you get to many 1:1/s and In-rm visits it is just about impossible to get everything done that is required. So I finally had to take a stand for myself. During CP meetings I wrote CP's that stated res. would be out to certain act. on certain days and times. I made sure I had a selection so that I could see if one shift was more willing to get res. to an act. than another shift. The approaches stated that CNA's would ass't res. to act, have res. out of bed (OOB) an ready etc.. of course I kept daily part. records and if the res. was not at any of the act. I would check after it was over to see if s/he was OOB, or what happened. And I write on the Part. records under that res. name why they did not attend. I placed the blame where it needed to go. Next CP meeting this was discussed sometimes it brought about changes and if it didn't I tried to speak with DON, ADON and/or Admin. However when State came in they saw the Part Records and sometimes a defiiciency would be written up but not on Act. but nursing. I will bend over backwards to help any other person/dept/staff I give them all respect but in turn they must also respect me and my dept. Sometimes you have to fight back to get this. Hope this helps in some way. P

Hi, I have not done this but I thought if you could make a game using the bases. Maybe have a list of things that res. look for or a things about the staff lives. Have the bases located at different nurse stations. Res. will have say 5 questions or items to find once they have meet this the 5 then they go to base one and have a nurse sign of on it. Do this for all bases and first one to get home wins. Maybe you can think of a game better than this it is just off the top of my head. Please share with us what all you did and what did and did not work, as well as why. Hope you have a homerun on this event. P

Next.... Pennie :-)

Hey Tinki,,, send me a copy and I will post it in the downloads... thanks, Pennie :-) admin(at)activitydirector.net

Hi, I tried to set-up orientation day/time for volunteers and found this did not work. I now only use it for the high school kids or groups like that. For the rest of them I have made a volunteer packet up. It has the dos and donts for volunteers, res. rights, volunteer rights, privacy sheet, a minor sheet for parents, a list of possible things for them to do etc.. I ask them to take it home read it over and bring back all of the papers that need a sign to me. Besides this one of my staff or myself always take the time to sit with them when they come in. Get to know them a little find out what their interest are and offer suggestions from there. They get a tour of the facility as well. I have a book that they sign in and out of. I try not to have them start with out of of us there to help them get started. The staff vary on attitudes towards the vol. I ask the vol. to please let me know if they have a problem with anything or anyone (this includes staff and res) The problem is addressed ASAP. If it involves a staff person I speak with them directl, if it cont's. to be a problem or I get high volume of complaints about 1 person I then go to their supervisor. This usually nips the problem in the bud. I do inservices on what the volunteers mean to the staff as well as to the res. Lucky I have always had strong support from all of the administrators over the years. Act. for vol. can be unlimited. If you have someone who does not want to be hands on in the facility for whatever reason have things they can do at home and bring in to drop off. Like have them make the signs for your monthly board, make up the Bday banners, special crafts projects, make mobils, lots of things like this. A good thing to have is a person that is a vol. that has his/her own desk that keeps track of all the vol. They can file the applications on them, set up their duties, calendars, greet them, help out w/ any questions etc. they also send out Bday cards, get well cards, new grandbaby, just a simple thank you card for no reason, and any other type cards that we know is a big event in that vol. life. Vol. can hold group act. for you: bible study, bingo, sewing, craft, poetry reading, book clubs, music classes etc.. They also can form a club for res. as well as others from the community like the red hat society, a collectors clubs (for anything that a group collects). Hope this helps there is so much thaey can do and really benefits help everyone. try to get the other staff members to understand this. Ask that the other dept. heads help encourage this and pass it on to their staff. P

Hi, Over the years I have had non english speaking res. different language but mostly spanish. It also seems that this is happening more now than it did in the past. Anyway you must be sure that you have a way for the res. to communicate with you and you to them. Making up a cards with pictures and the word written in their language as well as ours really helps. Punch holes in the cards and put a ring through them then the res. can hook them on their walker, w/c, bed etc.. State always gave us a thumbs up for this method. Also contact local groups in your area that speak res. language and see if they can volunteer to visit. Don forget to be sure and check if there are different customs that may differ from ours.

Hey, As far as the courses go they able probably broken up by the instructors as to how they want you to learn. So follow their outline as I am sure you are doing. If you are working and wanting to know what you should start on there, well the best palce is to beging by getting to know you're res. Listen to them on what their backgrounds are, act. they enjoy and/or enjoyed prior to being admitted. Follow this by looking at the calendar(s). Look into the act. planned learn about them and see what is working and what is not. the ones not woking ask why, decide if they should be fixed/changed or replaced by another act. This is a good starting place. The paperwork is usually held towards the end of your courses, but you are still required to go to care plans and all of the other meetings. This is like entering a different world :-o People using words, terms and forms things that leave you in a state of confussion. Don't worry to much about this you will understand all of this in time, I promise. But these meetings help you learn about the res. and how your facility works. The people on your CP team have a system down and will teach you how to understand it. They will help you learn that when a new res. comes into the facility that you have to use a new admission form on them and that you must have it completed by a certain date. The best way to fill the form out is first read the form, use your MDS book to help understand the areas you are unsure of. Then interview the res., family members, other staff members that work with that res. on a daily basis (CNA) also observe the res. Then be sure to read the res. chart, you will find lots of info. on him/her in there. Be sure to look at the admission notes/area lots of history in there. As far as a system in your dept. for the paperwork well we all of our own. You can ask 100 AD's and get 100 different answers. So ask us, then take from ours what you think will work for you and ad to it adapt it to fit your needs. This will take a while for you. You will improve it over time until you finally get one that works. But I have been in this field for over 20 years and I'm always learning new ways to improve my system. This is the improtance of networking with others and how this website will become a graet resource for you. I know that if you are brand new to this field it can be over whelming at first, ;-) but in time it comes together. Just hand in there and know that we all are here for you. welcome P :-D

Somebody said it takes about six weeks to get back to normal after you've had a baby ......... Somebody doesn't know that once you're a mother, "Normal," is history. Somebody said you learn how to be a mother by instinct ... Somebody never took a three-year-old shopping. Somebody said! being a mother is boring ...... Somebody never rode in a car driven by a teenager with a driver's permit. Somebody said if you're a "good" mother, your child will "turn out good." Somebody thinks a child comes with directions and a guarantee. Somebody said "good" mothers never raise their voices ..... Somebody never came out the back door just in time to see her child hit a golf ball through the neighbor's kitchen window. Somebody said you don't need an education to be a mother. Somebody never helped a fourth grader with her math. Somebody said you can't love the fifth child as much as you love the first. Somebody doesn't have five children. Somebody said a mother can find all the answers to her child-rearing questions in the books ....... Somebody never had a child stuff beans up his nose or in his ears. Somebody said the hardest part of being a mother is labor and delivery ... Somebody never watched her "baby" get on the bus for the first day of kindergarten Somebody said a mother can do her job with her eyes closed and one hand tied behind her back ...... Somebody never organized four giggling Brownies to sell cookies. Somebody said a mother can stop worrying after her child gets married.... Somebody doesn't know that marriage adds a new son or daughter-in-law to a mother's heartstrings. Somebody said a mother's job is done when her last child leaves home.... Somebody never had grandchildren. Somebody said your mother knows you love her, so you don't need to tell her...... Somebody isn't a mother. :-)

Hi, This resident should and I'm sure she does have a CP for restraints. Which I'm sure you are listed on in the approaches. The resident may be bedbound but sounds as if she is active with in room activites. Even though she didn't trigger as having a problem in activites. I have a general rule that I write a CP up on anyone who is bedbound, gets one on one's, in-room activities, or self-isolated. These residents are put on the 1;1 or in-room calendars, this is stated on the CP approaches. I do this because state looks so closely at these type of residents. However if you have documentated it well in your notes on the chart that res. does not have a problem with being bedbound and that she is very involved, state should not be able to write you up on this resident. Did you get a deficency on this? If so you should get with your consultant and the 2 of you should write your plan of correction as a rebutal. They may have been looking at res. restraint issue and didn't full understand that your staff does it in 1:1's but not in group act. if only 1 person is present. If this is the case then you should clearly make note of this in you progress notes and I would be sure to write a CP up to this effect or be sure that it was covered in the approaches (under restarint) for activites. We don't have the time to write a CP on every res. First off a CP is only written if it is a problem for the res, not staff and second if we write one for every res. this is a sure fire way of hanging ourselves. Just be sure in your progress notes to cover yourself and your staff. I know this is a catch 22 when dealing with state and paperwork. Damed if you do damed if you don't :-?

Hi Karen, Where in Houston are you? Do you teach at a certain place or area? There is a monthly network meeting in Houston that I think you could connect with. They are always wanting speakers, any info. on classes etc.. Would be a connection for you and them. If interested email me or IM me OK Feel free to announce your info. on any seminars classes etc. on the site. Pennie