Largesse

Congradulations on the new job! Only give them what they ask for. Have these copied and ready to give Monthly calendar, Resident's council notes and all forms that you use, new ones. The Resident log should never be grouped with other Resident for keeping track of daily involment in grp participation. The state will ask you about CP, Asssesment, MDS and Daily logs of Resident's Activities. The daily log is how we measure a care plan to see if we have accomplished the goal or will continue the approach another 90 day period. HIPPA Laws. Policy and Procedures in your Home They will ask about "what is Abuse and Neglect" Resident's council notes, where are the state signs located for the Family and Resdient's if wanting to contact the State Department, who are your "bed bound" Resident's, Who is diabetic and on thick-it. If you do not know the answer or question from previous state visit go ask the Department Heads. The state will realize you are new and will give advice durning the exit meeting of what needs to take palce, if your Department is sited. You should be at the exit when full book is done. You can only change what is in your control at this time. You can do nothing from the past except correct it. I have worked as the AD, Abuse COR. Plan of corrections, Fire safety and Adm staff all at the same time. You will learn as you go and already know a lot when you where the Assistant AD. Read the chart, not just your section. Care plans have time limits and sometime Department heads can only share so much information. If you do not know all the family members call them, Have a meeting for the famlies to introduce your self without the Residents. I stay at home. I soon will be going back to work when my daughter is 5. I love working as a AD. I worked at the same place for almost 12 years. If you have any question e-mail me. Good Luck, Shelly Turman mturman@austin.rr.com

Idea!!!! Next time you have a small group activity provide each nurses station and DON and ADON with whom you would like to attend. Post it in the nurse book and for the CNA'S to see the day before. Choose two Resident's from each wing. Give out a small prize and post a group photo of the staff and tell why they are be honored. Encourage postive Team work. One on Ones are hard. The state will write your department up for not meeting their needs. Provide a In-service on One on One activities. The staff is always short and we must remeber communication and always treat all staff with the up most respect. Try this for three months. The Don and Adon should be aware of how many In-rooms from your MDS and care plans. No one should be "Bed bound" Yes, Resident have skin breakdown It is very rare for A resident to be in bed all day. I have only know of Two per family request. Read all the charts and Doctor's orders when resident return from the Hospital and during care plan meetings. You can get them while they are waitng for bath or before they get weighed.Finding the time is hard. Build a volunteer program and choose the right person for each Resident for One on One Activities. You do not want to loose a Volunteer becuase you did not match the right person for your One On ONe Resident This will be hard if you do not have the man power outside your home. Good Luck. I know what you are dealing with.