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Nursing Inservices

Nursing Leadership and Staffing

We offer inservices to fit every employee in your facility – from Managers to Aides – everyone is important and everyone has a role and a responsibility in the care of the resident!

• Director of Nursing
  • Leadership
  • Various job descriptions—how many hats?
• Charge Nurses
  • Duties of the charge nurse
  • Importance of being a leader
• Empowering the Nursing Assistant
  • Importance of the Nursing Assistant as a vital part of the team
  • New protocols with the Nursing Assistant and how their care impacts the resident/survey process
• Staff Competency / Evaluations
  • Importance of doing staff competency evaluations
  • When to do them
• Staff Development
  • What is staff development
  • Importance of staff development  
• Abuse Regulations

  • New survey regulations reviewed

  • Survey Task 5G on abuse

 Dietary and Nutrition

• Dietary Regulations
  • Regulations affecting the dietary department
  • New survey protocols
  • Documentation needed to prevent deficiency and to ensure proper nutritional needs for residents.
• Weight loss / Dehydration / Nutritional Risks

  • New survey protocols including the WHP group (weight loss, hydration, pressure sores)

  • Residents at nutritional risk

  • Documentation and care that should be provided

• Hydration

  • Risk factors

  • Documentation needed

  • Compliance hints

• Dining Room Experience

  • New survey protocols

  • How to set up a dining room enhancement committee to meet the residents’ needs

Environmental Services

• Maintenance Department

  • Regulations affecting the maintenance department

  • Documentation needed to fly through surveys

• Housekeeping Department

  • Regulations affecting the housekeeping department

  • Documentation needed to soar through surveys

• Infection Control                       

  • Infection Control regulations

  • Documentation needed to ensure proper infection control techniques are being followed in the facility  

• Safety / Restraints - Chemical & Physical

  • Review restraint regulations

  • Review the importance of assessments and documentation in restrain use in affording residents the proper care.

Surviving A Survey

Know what to expect and how to prepare for a State and Federal Survey.  

• “Mock” Survey - for Hospital, Swing Bed, Nursing Home (NF or SNF), Assisted Living  
• Our qualified consultants look at all areas of your facility and make an assessment in terms of compliance to the regulations and give you a report of the results, along with recommendations on how to correct problem areas. 
• Survey for "Critical Access Hospital" designation
  • We can take you through the steps of preparing for your Critical Access Hospital survey.
• The New Survey Process for Long Term Care
  • Investigation Protocols of the new survey process, including:  Abuse, Weight Loss, Dining Room, Pressure Sores, Hydration, Staffing, and Adverse Drug Reactions.
  • Surveyors are mandated to review Quality Indicators over 75% as well.
• The Seven Survey Tasks:
1. Off-Site Survey Preparation
2. Entrance conference - on site
3. Initial Tour
4. Sample Selection
5. Information Gathering
6. Information Analysis for deficiency determination
7. Exit Conference
• Sentinel Events  
  • The three Sentinel events:  pressure sores, fecal impaction, dehydration
  • How to ensure events don’t occur and if they do, the documentation needed and care provided.  
• Quality Indicators links Care

  • Review the 24 quality indicators and how their use can impact resident care

  • Review how the quality indicators impact the survey process  

• Complaint / EMTALA :  Emergency Medical Treatment Active Labor Act

  • EMTALA regulations

  • How to comply  

• Risk Management

  • Regulations for Kansas or Nebraska

  • Help in setting up your program

  • Setting policies for your facility

  • Documentation needed

  • Reporting requirements 

Know the Regulations… and how to comply!

We have experts who can help your employees have a better understanding in each of these areas with the result of a better quality of care to your residents.

• Activities
  • Activities regulations
  • Documentation needed
  • How to assess residents’ Activity needs
  • Activities' role in MDS / Resident Care
• Consumer Satisfaction

  • Importance of consumer satisfaction

  • Techniques for achieving greater consumer satisfaction

• Documentation

  • The importance of documentation in the liability of the facility.

  • How documentation should support the care given.

• HIPAA Implementation Education & Tool

  • The importance of compliance with regulations.

  • What steps to take to implement HIPAA within your facility.

• MDS/RAPs/Care Planning         

  • Importance of the accuracy of RAI process

  • Importance of documentation as a corporate compliance issue

• Medications

  • Adverse Drug Reactions / Medications Administration Review

  • The Beers List and documentation needed to support use of medication on the list

  • How surveyors are reviewing medication administration and medication errors.

  • Medication Aide Responsibility

• Pain Management

  • How to set up a program

  • Documentation needed

• Pressure Sores

  • New Survey protocols

  • Review regulations concerning pressure sores

  • Documentation needed

  • Interventions to prevent pressure sores

  • Description of avoidable and unavoidable pressure sores

• Quality Assurance

  • Review Quality Assurance regulations

  • The role committee plays in facility

• Restorative Nursing: Bowel / Bladder, Dining Room, ADL’s

  • Review regulations, clinical indicators and how surveyors review this process

  • What restorative nursing can offer

• Skilled Nursing Facility Implementation

  • Skilled Nursing Facility regulations

  • Documentation needed to ensure skilled services are warranted

  • How to bill for Skilled Nursing Services to Medicare Part A and Medicare Part B

• Social Services

  • Social service regulations

  • Documentation needed to ensure the psychosocial needs of the resident are being met.

  • Social Service’s role in MDS / Care.

• Swing Bed Regulations and Documentation

  • Who qualifies

  • Documentation needed

• The Three D’s: Delirium, Depression, Dementia

  • How to assess and differentiate between the D’s

  • Review care and how to care plan for the D’s

• Understanding Dementia Care

  • Discuss the seven stages of dementia

  • Review care plans and behavior management for each stage

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