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Everything posted by turtle
  1. We did not name our snack time. It is simply incorporated into our morning and afternoon activities. It is not necessarily as seperate time as there are usually other things going on, such as music, trivia or word games, while they are eating. This works just as well on our dementia unit. We decided that it was just one more thing to come up with a clever name for on an already full calendar and opted not to. Our residents, even those with dementia, know that they will be served refreshments during the activities.
  2. If you can email me the questions I will answer them for you. I have been in the field for 6 years. heather_yager@yahoo.com
  3. All of our activity staff are also CNAs so that we can assist with things like the dining program. My staff are assigned to those residents who would benefit from having someone sit with them 1:1 and encourage them to eat. I would be cautious in calling it a "Feeding Assistant Program" as we are assisting our residents to eat, feeding is what we do with very young children. Saying that we are feeding a resident has been considered a diginity issue in some states during the annual survey process. Just something to think about. Heather
  4. We wear masks, decorate wheelchairs and have a parade of residents down the hall. We have done this for five years and they always look forward to it. Have fun!
  5. Interesting that this topic is here as we just purchased cloth napkins to use instead of clothing protectors. We will be implementing this tomorrow at breakfast. Our policy will be to offer the napkin instead of a clothing protector if the resident asks for one. We are encouraging all of our residents to try this first. However, if they ask for a clothing protector instead it will be documented in the care plan. Will let you know how it goes.
  6. Thanks for all of the advice. We have tried offering incentives but noone was interested. I like the idea of a family council. No one in the facility can seem to find a copy of the resident council by-laws so we are looking at writing some with resident approval. We are also looking at having 3-5 residents that would be the council representatives. They would take turns with the various duties. This is getting some positive response because there is not an actual title to the postition; makes them feel like they are not making such a committment if they choose to be a leader. Will keep working at it until we find a solution that works. My concern is that our window opens soon and our surveyors were just trained in the new process. I don't like having issues like this hanging over my head; when they are here, there is enough aggravation
  7. Hi! We are having some issues with our resident council that I am not quite sure how to handle. Our president, who was elected by default a couple of years ago (no one else wanted the job), is now declining and unable fulfill his duties. He is unable to communicate clearly and falls asleep during the meetings. All of our other officers have passed away in the last year or so. The other residents either do not want to hold a position or are unable to do so. Any suggestions on how we can restructure our resident council?
  8. turtle

    1:1 Time

    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.
  9. Missy-the best advice I can offer is to be sure the notes are individualized. I try to write mine so that a complete stranger could get an accurate picture of what that resident likes to do. Things I include in my notes are group activity participation, response to 1:1 visits, independent activities, does the resident need reminders of scheduled programs or assistance with particular activities, hearing loss, vision problems and a review of the activity care plan goals. I try to be specific as much as possible, including favorite television programs, times of day they are more active, etc. Hope this helps! Good luck!
  10. All of our long term care residents have a routine schedule for getting their hair done. For example, Mrs. Jones may get hers done the first Monday of the month, Mrs. Smith gets hers washed every Friday, etc. Our CNAs know their schedules and assist them with getting to the shop on the right days. Our contracted beautician sets up the schedule for the short term residents to fit around the set schedules. As for billing, if the funds do not come out of their resident accounts, the family must pay for services prior to the appointment. Good luck!
  11. We play bingo 5-6 times a week and give change for prizes the residents spend at the snack machines or accumulate and add to their resident accounts for shopping trips. I have a staff member who does shopping 2x a month for those who cannot get out to shop. I have been here for five surveys, one of them a federal one, and have never had a problem with the number of times we play bingo. I do have five other activities scheduled daily and maybe that is what has kept there from being any problems because we are still offering such a variety of activities.
  12. Jules-I live in Florida and am actually in a pretty rural area. We are a privately owned facility with an owner who is very supportive of what our department does.
  13. I am going to respond but my answers will probably make some of you envious. I am fortunate to work in a facility that is very supportive of activities and currently has no plans to cut hours. That could all change in a heartbeat but for now I will count my blessings. I have a staff of nine besides myself. How many Bed Facility are you? 180 Do you currently have any unfilled/open beds? about 8 How many hours per week does your activity staff work (total)? 276 not including mine How long does the last activity staff stay? between 8:30 and 9:00 Monday-Friday What are your hours scheduled for weekends? Saturday and Sunday, 2 people scheduled, 1 does 7:00-3:30 and then other 9:00-5:30 Is your Activity Director full-time or how many hours worked (not included in above)? 40 hours, full time
  14. I am willing to share the one that I wrote for our facility. I am currently in the process of redoing parts of it but could share the one I did two years ago. It would at least be a place to start. E-mail me at heather_yager@yahoo.com if interested.
  15. I guess we are fortunate here at our facility. Bingo was in place long before I arrived and that was the one thing I was informed that I could not change. We play for money during our 4-5 bingo games weekly. Regular bingo is 30 cents, picture frame is 50 cents and coverall is one dollar. We pay out 4.20 for each day we play. Multiple winners in a round, split the prize. We do other things for special bingo games. We are a private facility and the bingo prize money is just included in the annual budget for activities. I would not choose to pay for all the bingo games but this is one thing the admin wanted to remain the same. Actually, I guess turned into a good thing for me because I do not have to fight that fight!
  16. We rearranged our activity program to accomadate this. We have a local pastor who leads devotions at 8:30 several days a week. On other mornings, we do a news program or our Sunshine Club (which is just a clever name for whatever we want to do). Before and after dinner, we do games and puzzles in the common area. I just altered my staff's schedules so that we have someone in the building from 7:00AM to 9:00PM. It's all about meeting the residents' needs.
  17. We also have a beauty shop and the activity department does the nails. Our CNAs are responsible for cleaning, clipping and filing the nails, we just paint them. Most of my staff, including myself, are certified as CNAs and we do jump in and help out when needed, especially when a resident wants to attend an activity and is waiting to be assisted with tolieting, etc. I have never had a problem with the CNA's taking advantage of this and have actually found that they are more helpful with getting the residents to activities when they see that we are willing to help them out when needed. We are all overwhelmed with paperwork and planning but, to me, the bottom line is the residents. This is their home and it is our responsibility, no matter our position, to see that their needs are met.
  18. We invite the children of staff members to visit on the 31st for a costume contest. They also pose for a picture and receive treats from residents stationed throughout the building. We have this going on for two hours. The residents then look at all the pictures, chose their favorite costumes in various categories. We then post the pictures on the bulletin with the winners highlighted for everyone to see the next morning. We live in a rural area so we also post the winners in the local newspaper. We have a great turn out every year. We also do a raffle for the employees who bring their children. One entry for each child they bring. This encourages more participation.
  19. We simply call ours "Sensations."
  20. Living in Florida, we have had a lot of practice in the last few years and are even now preparing for the possibility of Hurricane Ike. We are in a rural area with a building built to withstand a category five so are not likely to have to evacute (thank goodness!) Before the storm hits,everyone works together to get the building and the resident prepared. During the storm all staff, including activities, who are scheduled are required to be in the building. We keep as many of the residents as possible in their rooms during the storm so we don't have group activities but we do 1:1 and work to keep the residents calm. We also assist with meals, etc as we are all also CNAs. Afterwards, we help with clean-up, etc. We focus on whatever the residents need and for many of them it is a comfort to have a familiar friendly face to sit with them while the storm is raging. We have been fortunate so far to have only sustained minor flooding during the storms of the past few years. Our prayers are with everyone who is the path of any of these storms.
  21. The soda glasses look great! We had a sock hop for Nursing Home Week. We also used soda glasses for decorations. We filled them with Epsom salts (very simple to color with a few drops of food coloring). We topped that with a small ball wrapped with white tissue paper and added a red pom pom for the cherry. We then added long handled spoons (6 for a dollar ) at Walmart. Just another idea....
  22. turtle


    A Cricut is absolutely worth the investment. We did not purchase one for the facility but my mom and sister each have one that we borrow. Depending on which cartridges you purchase, you can do some pretty cool stuff, even used it when making handmade wedding invitations.
  23. We made "Facility Bucks" that the men used. They all started with random amounts and placed their bets as they chose. Whatever "money" they had at the end was used in a Prize Auction. They enjoyed it because it was like two big activities in one. Have fun!
  24. All of my residents who sit out front or in the lobby do not want to do anything else. We put a game table and a puzzle table and they stay busy doing those things or watching tv while in the lobby. Those who sit outside after lunch have done so for years, since way before they were part of our community. I have care planned that they prefer to sit and enjoy the sun. This stopped the pressure from admin. to "do" something with them. I also think that having residents in these areas helps the place look more like a "home".
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