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jules1971

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Everything posted by jules1971
 
 
  1. I don't go by per resident, I go by census and a monthly budget. I am a 107 bed facility, but we are down beds. So Lets say I am at 97 beds, my budget has been $400 a month for supplies, food/cooking, etc and $100 a month for entertainment. Hope this might help a little bit (???).
  2. We are doing a beer tasting and an apple tasting (taking all the different flavors/types of apples and they get taste) and same goes with the beer. (BTW, the tasting is not on the same days... )
  3. Ohhhh... I cannot wait for more people to respond to this. VERY interesting and I have wondered that myself. I know if you look in the federal guidelines (F-Tags) it says something like you must have so many hours of direct contact time with the residents per week, and I know it isn't 100% direct contact time. Another thing (speaking as the AD) make sure you take credit for everything you do, for example: even the task of passing out mail can be an activity on the calendar..not every activity has to be or should be a large group setting. I currently have 6 activities m-f and 2 to 4 on weekends. as the AD, I take care of all the paperwork and other tasks listed above and help in activities when I can, its been a system that has worked well for us... I am fulltime (salary) and I have 4 parttime staff which all work a total of 60 hours a week then add my 40 a week. We are a 100 bed facility also- on 2 floors (total of 5 units/wings).
  4. We've done a Ladies Tea every year for about 13 years now. We have had themes of: Black and White, Pink, Hats, Aprons, To The Nines (dress up fancy), Victorian Tea, Birthstones, Flowers, to name a few. Have FUN!!!!
  5. I am just getting more and more frustrated and I am not sure if others are going thru the same issues so I thought I would express myself and see if anyone has any thoughts. My background is in OT for 15 years and for 10 as AD. Lately, some staff, like OTR and RN's act as if the Activity Department is supposed to be the personal assistant to every resident. By personal assistant I mean this (for example): Fathers Day Party for male residents only. Party has ended, and we are cleaning up and putting away the food and beer we served... along comes OT and asks us to serve one of the LADIES on OT caseload with the food and beer we have (i.e. stop what you are doing, take out the food we putaway and make these lady residents a plate of food that we just served to the men). One of these ladies OT is "concerned" about because the resident doesn't want to do anything all day- and refuses invitations to group activities.... but can't we find SOMETHING for this lady to do? (Resident is alert and oriented and has always been non-motivated or social). Then, OT says "Have you ever planted a garden here before?" I say "Yes, but it didn't go over well with the up keep, no one waters the plants etc and that is just one more thing for activities to do, when we are already short staffed." OT: "Oh, don't worry, I will get a resident to take care of it, the residents have been telling me in OT that they REALLY want a garden." OK, so we plant a garden, and just as predicted- NO ONE has taken care of the garden or have even asked about how the plants are doing. Now, OT wants one of their residents to have laundry brought to them so the resident can help fold. Good in theory, but yet again, it is pushed onto Activities, to make sure the resident gets the laundry to fold (again, all parttime activity staff and limited staff at that). We have 100 residents and 1 to 2 part time activity staff per day...how is it possible to give each resident their own "special treatment" and meet all the demands of residents seperately? When a resident is in OT it is easier for that department to give the resident a little extra TLC, special attention, one on one attention, special treatement (and NOT that there is anything wrong with that) BUT in activities we have less staff, more residents, and more things going on at one time, we just cannot cater to these demands. I have also been asked to provide different CD for numerous residents. (i.e. one needs a German speaking CD, one needs German music, one needs classic country, one needs big band, one needs bagpipe....etc..."Do you have in your department any CD's like these that you could give the residents"... If ONLY we could just give the resident their ever desire, wish, want. Where do you draw the line to providing personal use items???) I think that OT has some pretty good ideas and I know they mean well and have the best of intentions, but it almost makes me feel like the Activity Department is inadequate, uninvolved and not encouraging. I have always felt confident in my department and felt like we provide A LOT of meaningful activity and developed bonds equally with all residents, and now I am beginning to doubt my confidence. Anyone else feeling like me? (sorry so long,,, I am just frustrated today because it is getting out of hand.)
  6. We've done "Dad Bingo" and have had grilling out and fishing parties, but this year I am going to do a "Pinewood Derby/soapbox Derby" where the men (much like boy scouts) will create their pinewood cars, paint them, race them against the other male residents and then have Sub Sandwiches for lunch. I will let you know how successful we become, or if anyone has done this before and have words of wisdom, let me know.
  7. We've had a "ladies tea" for years (we call it ladies tea, because some ladies were never mothers), always with a different theme. This year was "All Dolled Up" in which we took many era's of dolls and used them as centerpieces. We've done 'black and white' and decorated and wore only black and white, "pretty in pink" , "Aprons", " Hats", "Flowers", "Victorian","Purses", (whatever the theme, we decorate and dress to that theme, I even try to get the invites to match). We pass out door prizes to residents and their family that may attend. Its always a lot of work, but fun.
  8. make sure you also put in their careplan that the resident: "Participates in Activities with Purpose- without compensation". this way it keeps you out of trouble with the surveyors.
  9. No real responce here, other than your title of this post cracked me up (the misspelled memory word... cracked me up....) thanks for than- I am sure it was unintended- but yet it made me smile.
  10. If you merge things together only one group can get the credit... you know what I mean? So if you normally had a fun & fit group that was a morning activity and now you have a fitness class WITH restorative YOU can only count/document/ take credit for the residents who aren't members of restorative. So lets say you have a total of 20 residents in the exercise group BUT 15 of those people (who normally came to your exercise group) are a part of restorative, you cannot count those 15 people as attending an "activity" you can only count the 5 residents who aren't a part of the restorative group. Do I make sense? Since I had to cut back on staffing and hours we now run our fun & fit group with the resorative people and take credit for the ones who are not in restorative. When we did seperate groups (one fun & fit and restorative did an exercise group as well) WE, activity staff, logged into the restorative book to mark who was at OUR fun & fit. It helps to go to other facilities and see how they run their restorative program and to see how much invovlement activity staff takes into account. If run correctly, it is a wonderful program.
  11. Gosh, I can't remember when, but I know I posted something on here last summer because we were going thru the same thing.... and as much as I was 100% in agreement with the program, I had to fight to make it NOT an activity job. We help the restorative aides when ever possible- but usually with the LARGE exercise group- mid morning. That group started with about 8 residents now the group is so big that we have about 30 residents (and of course, you need one staff person for every 4 residents). Its working out well. But I still believe that activities should be activities and restorative should be therapy- to maintain continuity with who is an activity staff and who come is the restorative aide- makes for less confusion for the residents. Good luck. Its a wonderful program, if done right and has 100% support from all staff AND ALL SHIFTS. (I say that outloud, because this program should not be just a daytime thing, it should be happening througout the 24 hours in a day.)
  12. Dear Turtle, urhpairohtp0r85rfrhaoprhpa (THAT is what my jaw did when it hit the keyboard while I read your answers) You are so fortunate. WOW....I am envious. What state do you live in? WOW...I am still in shock.
  13. Hello Fellow Activity People, I am just trying to get some idea out there on how staffing is at your Skilled Nursing Facilities. Could you please take a quick second to answer a few questions for me? I am asking because we recently had to do some dreaded cuts in staff/hours in the Activity Department and I just wanted to see if I am on the right track with other SNF. How many Bed Facility are you? Do you currently have any unfilled/open beds? How many hours per week does your activity staff work (total)? How long does the last activity staff stay? What are your hours scheduled for weekends? Is your Activity Director full-time or how many hours worked (not included in above)? Incase you are wondering.... here are my answers: How many bed facility: 107 bed How many open beds: 17 How many hours a week in activities (not including director):118 (cut to 64) How long does last activity person stay: 7:30 pm on mon and thurs Weekends: sat 8am to 3 pm (every sat) and every other sunday for 2 hours Activity director status: full time (35 to 40 hours a week) Thanks for your help.
  14. Thank you for your input. We already do most of these things already with the exception of the newsletter...that is a good idea. I think our issue is recruiting NEW people and actually CALLING/CONTACTING current volunteers...rather than them contacting us when they are available. We just need our coordinator to put forth a little more effort. We do throw events in their honor, as well as thank them when they are here and show much appreciation, however, most of our volunteers are advancing in age and have their own health issues and limitations. Thank you for the suggesstion of the news letter....we just may need to try that.
  15. Hello All. I am wondering if anyone has any tried and true ways to recruit and retain volunteers. I have a volunteer coordinator at my 100 bed SNF and we have the same 4 "routine" volunteers (i.e. come a few times a week) and a few that come 1x per week and MANY that come once a year(if that) and some that never show up again. Other than posting posters thru-out the community stating that we really are in need of volunteers, does anyone have any other suggesstions that I can relay back to my volunteer coordinator who has been on the job for 5 years? I would really appreciate some insight on what works for you. Thanks so much.
  16. However, (and I am speaking from experience, because this happened to me) if you mark too many people as "some" and not enough of little or most- this sends a red flag to CMS that you are classifying all as "some" so that you can avoid having RAPS that would trigger on the "Most" or "Little". A few years ago that was brought up at my facility (by the careplanning team) but I also indicated that on the QI I had a variety of "most" and "little"- that I take it resident by resident- quarter by quarter. If they are watching TV in the lounge- I count that as time (independent)- they might catch a cat nap in there- but so might Gerty who is in her room doing her crosswords.... its hard to know what all residents are doing all of the time, but if you are taking it on good faith that Gerty is doing her puzzles and not getting much needed shut-eye....then chart what you observe. I should also mention that in "MOST" on the residents RAP: I do state that the reason why they attend most is by the residents choice, and how they like to keep busy and they take a highly active role in being as independent/busy as they can/want to be. Hope my post helps some of you......sure wish I would have had this forum years ago....
  17. This is how I think of it: When someone isn't involved in eating, ADLS or therapy or hair appointments, or Dr. (etc, etc, etc) there is typically 6 hours of "free time" in a residents day. Activities also mean independent activities (family visits, on the phone, craft, puzzle- you know). So in that 6 hours a day of "free time" are they in a group or independent activity? "Most" = more than 4+ hours (of the 6 hours ) a day in a group/independent activity "Some"= from 2 to 4 hours a day (of the 6) in a " " "Little"= Less than 2 hours a day (of the 6) in a " " "None"= spends NO time (of the 6) in a " " I have been using this philsophy for 10 years now... I remember reading in somewhere- with the 6 hour "free time" criteria. If I am all wrong, someone please correct me, but that is how I have been looking at it. I find that I have a lot in the "Some", quite a few in the "most", a handful in the "Little" and very rarely have any in the "None".
  18. I am the Activity Director at my Nursing Home and we have done a "Giving Tree" for about 6 years. It was a nice thing...but last year was the worst. We had staff take names off the tree and never bring in the gift, or brought it in on the morning of the party/gift opening. When you have over 100 residents, its hard to keep track and make things fair for each resident. Whom ever didn't have their name picked, we used donations of new items. Then some residents would get new clothes and the resident next to them the staff person bought them a toothbrush....kinda unfair. I tried to make things as easy as possible, like writing who is diabetic or who shouldn't have food, and it is like people didn't pay attenion to it. So this year, we are changing it up. NO names to pick off a tree, instead people bring in unwrapped gifts, we'll get a group together and wrap and then have the gift opening. I will let you all know how this works for us.
  19. I am curious if any other Nursing Home Activity Departments are being effected by the recent changes in the Nutrition and Sanitary Conditions F-Tags. When Activity Staff and residents are involved in cooking groups, do activity staff AND residents wear hair nets and gloves? Have you banned having staff bring food items made at home, and brought into the facility for residents to enjoy also (i.e. homemade pickles...etc)? Right now, if activity staff is serving food, gloves are worn. Also, when cooking in activities , staff and residents wear gloves, but hairnets...wow....that is getting to be a bit overboard. (Afterall, our cooking group does not make enough to serve the whole facility...just those who attend the activity). If anyone has any insight on what your facility does, I would be interested in hearing. Thanks
  20. I am the Therapeutic Rec Director (in WI) and recently we added restorative nursing at our facility. Does anyone have any insight on the regulations/role activities plays in the restorative nursing program? Specifically I would like information on having an exercise group (I know 1 staff to every 4 residents on restorative), but can you have other "non-restorative" residents participate, as long as those non-members aren't taking too much of your time for assisting them etc. We've got a great exercise program that the residents love, but we mostly have the residents who aren't a part of the restorative that enjoy the group more than the members. Everyone is welcome, of course, but now I am being told that we can only have resorative candidates in this exercise program in order for it to "count as restorative". Can anyone help me? Its such a great exercise program, I'd hate to exclude people and only have it "members only". Thank you for any help or pointing me in a direction.....
  21. jules1971

    Wii

    I understand your concern about the Wii controller. We too have the same issues, and no matter if the resident is one of our "higher functioning" remembering to press and release the button and move your arm forward is almost like too many steps. Plus, if we are looking for a therapeutic exercise, I think our residents get more from other exercise groups, rather than the shoulder flexion from bowling two times and then watching the next players go. Baseball, tennis, well....virtually impossible for ME to do those to games, and I am a healthy 30 something. I just feel that, although the concept is wonderful and more benefitial for rehab patients, I think that some of the Wii games cause more frustration for the players, because they "just can't do it" and there isn't any type of instant success. Personally, I find it addicting....but again, more for rehab candidates working on standing balance, ROM, etc. I have taken some suggestions of other games from the posts, and see if we couldn't rent or try these. I also think that now that Wii Fit is out, that TOO would be good for rehab.
  22. Hey, could you please send me a copy of the template too? Thanks frieda4@sbcglobal.net
 
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