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imzoop

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About imzoop

  • Birthday 03/02/1955

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  1. What a surprise, Tuesday morning the Dept. of Justice arrived to conduct a 6-8 hour survey. It is a first for us, and we were surprised that such a survey existed. It is a general survey and not an investigation. There were a few minor issues that will be easily addressed. They held their exit at 11:45 that morning, so their survey didn’t quite last a whole 6 hours. As the Dept of Justice surveyors were walking out of the door Licensing walked in to do their survey. We were floored!!! Licensing conducted two surveys this week, one was for Title II and the second was Fed. They conducted the Fed survey first, followed by title II. Licensing held their exit at 11:40 today. The exit, again, consisted of two separate reports, the first Title II, the second Fed. They said that we would be receiving two separate 2567’s one for each survey. There were no issues with activities. Praise God, there were no issues with Activities during all three surveys. On their second day, following the Resident Council meeting, a surveyor met with me. She began by saying, “By the way the residents love you.” (That credit goes to my staff!!!) We talked for a while about my younger residents and my concerns about them. I brought the subject up and addressed my concerns for each and talked about what I am working on with them and the outcomes that I hope for each. Since admission one resident is the local American Legions Auxiliary Chaplin and is a member of the hospital’s auxiliary and works in the gift shop. Members of those organizations come to take this resident to their meetings. Another is now on the County Transportation Department’s Advisory Committee, and is transported to those meetings via the city transportation van. Two residents call the city transportation van and go out to eat, shopping, etc on their own. A third is a photographer and we have this resident critiquing our dept photos, very educational for myself and my staff. The surveyor asked for six months of my staff’s work schedules and for my certification. She also asked if there was any reason that mail would not be delivered on Saturdays. I told her that the only reason that residents would not receive mail would be if there was no mail to receive. The next day I was asked to show a surveyor my supplies. We went to the supply closet and I showed her my sensory stimulation shelf that contains plastic shoe boxes, each with a theme name written on the outside, and inside the boxes are items to stimulate the senses according to the theme (Hawaii, school days, berry picking, gardening, western, southwestern, and a shopping bag with artificial groceries etc.) These theme boxes can also be use to cue reminiscence. I showed her my art therapy kit, physical games, Nintendo WII, Therapeutic Music and videos, cognitive supplies, table games, crafts, etc. I explained that I also kept supplies in our library for the staff to use when Activity staff is not available, and showed her our room to room cart. While looking at the activity supplies she asked about a resident who is semi comatose and wanted to know what we are doing with that resident. She also asked if we have computers for the residents to use. I told her that we have two and that one resident has their own. I talked about how we are encouraging this resident to start using Netflix. She said that she thought that was a great idea. The surveyor commented that we were doing a good job. She complemented us on having facility pets and talked about “community living” and how much emphasis is now on that. She told me about the buffet dining that is being done in several facilities to promote, “community living.” The surveyor then said, “by the way I love your care plans. They are easy to read and follow. I can read right down the care plan and know exactly what you are doing.” I was blown away at that point. Last year, with the new regs, I changed my style of writing care plans and have been soooooo terrified that the new style would not fly with licensing. Finally one of the surveyors asked me the standard FSD questions. What do you do during a fire? What is the code for a fire? How to you use a fire extinguisher? What do you do during an earthquake? And this one surprised me, “What do you do after the earthquake stops?” (answer: search for victims and begin assisting them) We are waiting on another survey to become a critical access hospital. This survey should take place within the next few weeks. eeeeek It has been a heck of a week but a good one.
  2. trixiedg, I am so sorry to have taken so long to reply. I could not find the info for some time, then became ill. It has been on my mind and finally I went to our Q.A. and Compliance Officer. She, within five minutes, (errrrrrr) found this site. I hope that this is helpful. http://www.hipaadvisory.com/action/faqs/Ro...0Compliance.htm This web site contains: HIPAAregs: The full text of both the proposed and final HIPAA regulations, and articles that explain them. HIPAAprimer: Learn more about HIPAA in plain English. HIPAAction: Information on the necessary planning and implementation required to make an organization HIPAA-compliant. HIPAAFAQs: Frequently Asked Questions on HIPAA, organized by topic, plus an extensive glossary of common terms and acronyms. HIPAAnews: The latest news of significance to the HIPAA community. HIPAAtech: Technologies for electronic privacy and security. In addition, the HIPAAdvisory web site sponsors two email lists: HIPAAlive is a busy two-way discussion list with nearly 5,000 professionals exchanging ideas and answering each others questions on HIPAA. HIPAAlert is a monthly email newsletter with news headlines, compliance tips, and a summary of what's new on the HIPAAdvisory web site. And don't forget our HIPAAstore with information on our upcoming audio conferences, tapes of past audio conferences, and books on understanding and complying with HIPAA.
  3. I have two perfect petzzz. They are absoutely cute, and very life like. My office is near the front entrance and I often sit one on my desk. It is amazing the number of people who come into my office concerned that the puppy is going to fall off of my desk. The only problem that I find with them is that they have a hard flat bottom, and while the fur is soft, the upper body is formed and stiff, (except for the spot where they appear to be breathing.) They are not the greatest for sitting on a resident's lap to hold, which was an expensive disappointment. The bean or rice filled stuffed animals, to me, are still preferable for that purpose. Here is their web site. http://www.perfectpetzzz.com/?gclid=CKn_vs...CFSAWawodv1FSDg
  4. Fantastic idea ADInfo!!! I love the idea of inviting guest speakers. You know - Toastmasters and high school Speach Club members need audiences. About 12 years ago a high school student came to me and asked if she could practice her speaches with the residents. She earned extra money speaking for the local clubs and she needed an audience to practice her speaches with. She eventually became a volunteer and helped me with group activities after school. A year later she was off to college. Several years go she returned, as a nurse! How surprised I was to see her orienting. (I just had to share that ) OK! This thread is getting fun, I know there are more great ideas out there!!!
  5. Hi TRiffic, Have you looked into public service projects for your residents? Many people who have lived a comfortable lifestyle, seem to receive a sense of accomplishment from philanthropy. Maybe something along this line of thinking can be the key that motivates your residents to actively participate. Perhaps a fundraising project with the funds being used to purchase needed equipment at the local dog shelter. I have read about people who knit, crochet, or purchase tiny blankets for the pets that are in dog shelters awaiting new homes. A project such as this can have many facets including; planning meetings, actual fundraising events, presentation of the donation, newspaper article, etc. I have a resident who is the Chaplin for the local American Leigion Auxiliary and who also works twice a week in the hospital's auxiliary shop. Another resident coached little league soccer last year. A group of residents participated in Ann Lander's "Valentine's for Veterans" project this month. They also enjoy sponsoring a toy booth as many community events. There is very probably a small part of every community event that your residents can be an esteemed part of. Are any of your resident's family members involved in philanthropy? They may be a good resource. Having a family member involved may be a great motivator. Are there any areas that your residents have a special interest? That may be a good direction to go. A resident who loves children, may enjoy supplying the police department, ambulance crew, and/or emergency room with teddy bears for children. (Again a nice newspaper article) This is a good question TRiffic, I am looking forward to all of the other ideas that will be posted here. It sounds like you have an interesting group of people to work with. What a valuable experience. All the best, and let us know what works. imzoop
  6. Pennie, I have a resident who is getting ready to purchase a lap top in a few days. I will be helping that resident while making feature choices. I would never have thought about a lap tray, which for this resident, will be very beneficial. Thank you for the suggestion, links, and information.
  7. Beth, Arthur C. Clarke said, "I don't pretend we have all the answers. But the questions are certainly worth thinking about." Thank you for starting this thread, it gave me pause to stop and think about something from my calendar that I could share with you in my way of saying WELCOME. Your enthusiasm will be a strong asset to you as a new AD. I remember developing my first few calendars (many years ago) and the challenge of coordinating all of the different facets of the Activity Schedule. That was back in the days of pencil paper and a typewriter. I went through lots of pencil erasers back then. There is a lot more that goes into an Activity Calendar than many people realize. As a matter of fact, it had such an impression on me that it became the inspiration for one of my Activity based inservices. When I give my Activity inservices I provide the staff present with all of the criteria for developing the calendar. I give them the State regulations (simplified to basic requirements) the Federal regulations (simplified) the volunteer names and scheduled time frames, resident preferences, and the time frames that the dining room is available for group activities etc... I explain the criteria that they have been given and the requirements/importance of each, and then divide the staff up into four groups. Each group is responsible for putting together one week of activity programs. The groups are to spend the next 1/2 hour or so putting together their week of activithy programs and the time frames for those programs. We use a large wipe off board with lines and squares like a calendar has. The staff ask lots of good questions during this exercise, giving me the opportunity to share more of what we do in the Activity Department. After 30 min or so we stop and discuss the exercise. Through this exericse the staff become aware of the various programs that we are required to provide, why we do some things we do, and the challenges that the Activity Department faces. It opens up many topics of discussion. The staff participating usually leave the insevice with a whole new perspective of the Activity Program. As for the beer budget, I am so grateful for the dollar store and I find unbeleivable supplies at yard sales. Pickles, I love your idea of using the newsletter to request donations of supplies. Thank You for sharing. Welcome again Beth, and thank you for your questions.
  8. Leap Year has been the traditional time that women can propose marriage... http://marriage.about.com/cs/holidays/a/leapyear.htm In the United States, some people have referred to this date as Sadie Hawkins Day with women being given the right to run after unmarried men to ... http://www.lil-abner.com/sadiehawk.html Now for the recipes; http://www.countryfolkmag.com/recipes_recipe_page39.html http://www.emints.org/ethemes/resources/S00001552.shtml http://www.foodreference.com/html/breadpor.html For those who prefer to sip mock-tinis rather than drink Dogpatches' Kicka-Poo-Joy-Juice. http://www.martinellis.com/Recipes/Non-Alc...tails/index.php As Mammy Yokum used to say "good is better than evil because it's nicer". OK, now I'm having too much fun - not to mention showning my age....
  9. Hi Kelly, My department has found that the time just before breakfast, lunch, and dinner, can be the most rewarding activity time frames for some of our residents. We do 1:1 activities in a group setting. We alternately call this time Do Drop In or Puzzles'N'Things. Our main focus is on those residents who are not up between meals for group activitities, our lower functioning residents that need a more hands on activity intervention, and those who may be higher functioning with special needs that we can assist during this time frame. We may play music or put a respite video on the television. While two or three may be interacting with the respite video, we set one or two residents up with person appropriate - cognitively stimulating puzzles, then we move to the next resident(s) and perhaps begin a senory stimulation activity, or lotion rub. We may give a resident a small stack of wash clothes to fold, or items to sort. Then we return to those working on their puzzles and assist or set them up with new ones to work on. Then return to another resident or two and get them sorting, drawing, coloring, or perhaps working on another activity that is more appropriate for them. We have women's purses and items that one might find in a purse. We set the items down and ask a reisdent to put the items in the purse. (We have found that they will not touch an already filled purse, because it isn't polite to get into someone elses purse.) Most of these residents have a short attention span and the time frame we have to work with them here is perfect. We may work with 3 residents or 10 residents during one activity session. We keep in mind that we want to provide for each resident that we work with, an activity that they will have the best response to, and that will bring them the most benefit. This activity has cut our independent programming (room visits) down by at least 2/3rds. These residents are at their most rested and alert time of day, and are up rather than laying in bed. When we do this just before breakfast we find that our higher functioning residents want to participate and like being given newspapers, coffee, & magazines. We do a little cueing and the current events discussions, reminiscing, and social interaction takes on a life of it's own. I am looking forward to hearing what other Activity Departments are doing.
  10. Hello Gwendolyn, I have been an Activity Directer for twenty-two years, and have been certified since the late 80's. I would be happy to help you in any way that I can. My e-mail is zoop@frontiernet.net.
  11. Congratulations!!!!! It sounds like you and your facility have done a great job!!!! I am so happy for you!!!!!
  12. The two hours between activity programs may be a good time to complete assigned progress notes, set up craft projects, clean and up keep of supplies and storage areas. It may be a good time to deliver independent activity supplies, or set up your therapeutic/relaxation, cd's for those residents with sleeping disorders or pain management issues. Lotion rubs, aroma therapy for those residents who go to bed after supper. Deliver books and magazines. Prepare library material returns for the next day. Clean and upkeep of pet supplies, bird cages, feeding dishes. Copy and replentish forms in their file folders. Set up supplies and forms for the next day. Make those phone calls to volunteers and family members. Fold, staple and address the newsletter. Coaching ADL Skills for those residents preparing for bed. imzoop
  13. Hi BillinDayton, I agree that it is very riskey to leave a volunteer who is entertaining the residents alone to handle whatever situation that, can, may, and probably will, arise. A volunteer who works with small groups or 1:1, and who has been trained to handle such situations may be another story. However, being the entertainer during a large group activity and having to provide supervision as well is too much to ask. I wonder if it wouldn't be a good idea to make it clear where you stand on this issue right from the beginning, when initially discussing the services that you will be providing. and for those facilites where you are already volunteering, you may talk to the Activity Director and explain that you have found it important to take a look at the process of your work, and that since it is a new year you feel it is a good time to implement your new safety guidelines, explaining that this new approach will protect not only yourself, but also the residents, and the facility. Explain that the Activity Director's cooperation is essential and that your new guideline (s) will put your mind to rest and allow you to give 100% to your work with residents. The Activity Directors and assistance that are on this site have a lot of experience and insight into situations like this. I am sure that you are going to receive some very good suggestions. Thank You for sharing your special talents with the local nursing homes and care centers in your area. Your community is very fortunate to have you. imzoop
  14. Valentines for Veterans The residents at our facility enjoy participating in Ann Landers "Valentine's for Veterans." They make Valentine Cards during crafts for several weeks in advance. They ususally vote during Resident Council to use some of their fund raiser money to purchase regular and diabetic chocolates and sometimes other small items items to include in the box with their Valentine Cards. Early in Feb. all the items are boxed up and sent to the VA hospital in Reno. The residents have been participating in this project for about eleven years now. Valentine Dinner On Valentine evening each resident may invite one or two guests to join them for dinner. I purchased tap lights for each table at the dollar store. I cover the tap lights in a pillow of red or pink tissue paper. The covered tap lights are placed in the center of each table and turned on. Then I surround the covered tap light with a vine of silk roses, also from the dollar store. The centerpieces are attractive and emit a very romantic glow. The diningroom lights are dimmed. The department managers serve the meal and are dress in black slacks and white shirts. We either have live music or we play familiar romantic music cd's. We serve chilled sparkling cider in disposable wine glasses. The bottles of sparkling cider is taken from the ice bucket, wrapped in a white towel and taken to the table to be served. The cider flows through the entire meal. (I beleive our residents consume more fluids during these special meals than they do at any other time.) Our Dietary Supervisor purchased and prepared a wonderful prime rib last year. The managers seem to enjoy these special meals as much as the residents do. We do this twice a year, once for New Years Eve and again for Valentines's Day. I love reading about the Valentine's Day ideas that everyone is sharing. Next will be Leap Year ... and then St. Patricks Day, and soon those wonderful spring and summer events!!! (Yes, I have a bad bad case of cabin fever this year!)
  15. I try to give my staff choices in how they would like to provide coverage for the holidays. One choice is that each cover one of the major holidays and that they decide between themselves who is going to cover which holiday. Another choice is that each person work two hours each holiday and they can work out who will work which two hours. This year my staff worked two hours each on Thanksgiving I choose to work Christmas and my new trainee and I worked New Years. The atmosphere is so festive among the staff as well as the residents that it is a pleasure to be there sharing it with them. A suggestion, especially for those who are the only person in their department, is that family members who plan to be there on Christmas Day can hold group activity programs for you. This can be a topic of discussion at the Family Council meetings. We have a family member/volunteer who does two Bingo games each week and our special Bingo games such as; Christmas Gift Bingo. I know if I asked that he would be very happy to do our Christmas Chocolate Bingo game for us. You may also have an alert and oriented resident who can set up board games, read the newspaper, or put a movie in the DVD player, while dietary department takes a few minutes to serve coffee, and nursing keeps an eye on them. ( I like the post where each department does one activity program per month, that's great team work!) What we all do need to remember, in regard to those Activity Directors who work alone, is that yes other departments do work the holidays, however, they have more than one person in their department and do not have to be there working every single holiday, they are able to alternate, and work together to provide coverage. This goes for vacation time and sick days, it is much harder for one person in a department to stay home when they are ill, or to schedule vacation time, hence the burnout. Three Cheers for our dedicated collegues - your the bomb!!!!
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