Forum Messages
 inservice ideas needed - karen em - 11/13/2011 04:32 PM
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 in-services - hillview- 11/14/2011 04:49 AM
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inservice ideas - karen em- 11/14/2011 07:40 PM
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overcharting - lo- 11/15/2011 05:51 PM
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in-service ideas - hillview- 11/16/2011 04:51 AM
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karen em Registered: 11/13/11 |
Posted 11/13/2011 04:32 PM
I need to do an all-staff inservice and desperately need ideas! In the past I have covered the importance of activities, respect, and resident rights. We have no turn-over so I don't want to repeat. Thanks for suggestions! |
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hillview
Registered: 10/22/09 |
Posted 11/14/2011 04:49 AM
How about doing something on 1:1's? Regs states that anyone can do an activity , right? Well, the nurses and the aids and everyone else does thing every day with the residents that can be counted as a one on one and we don't know what they all have done. Some of the employees sing songs with them, hold conversation, show them pictures of families, etc. These can all be counted as a one on one. We just need to know who they sang or talked with, etc so that we can count it. There is so much that goes on with the residents by other staff members and we just don't know what it is. If they could just report it to activities so that it can be charted it would be great and a big help to us. |
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karen em
Registered: 11/13/11 |
Posted 11/14/2011 07:40 PM
How about doing something on 1:1's? Regs states that anyone can do an activity , right? Well, the nurses and the aids and everyone else does thing every day with the residents that can be counted as a one on one and we don't know what they all have done. Some of the employees sing songs with them, hold conversation, show them pictures of families, etc. These can all be counted as a one on one. We just need to know who they sang or talked with, etc so that we can count it. There is so much that goes on with the residents by other staff members and we just don't know what it is. If they could just report it to activities so that it can be charted it would be great and a big help to us. - hillview That's a GREAT idea! You are so right. My CNA's even do make-up, nails, etc. sometimes. And one guy sings to them all the time! I'd never thought about that. Thank you.- karens
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lo
Registered: 05/11/09 |
Posted 11/15/2011 05:51 PM
I absolutely agree. There is so much that goes on that WE in the Recreation Dept. are not always privy to. Meaningful and engaging moments ( spontaneous or planned), I believe, do not have to be captured in documentation. Nor should all staff feel that there is one more thing they have to report on or write down. This notion that "if it is not written it never happened" is archaic and unrealistic. When the new guidelines came out about "all staff" are responsible for activities, many in our field scrambled to get forms for everyone to check off. The momentum to do so worked for awhile in my orbit but then slowly faded away. At the end of the day, it was just another "yet again" piece of paper that required time and tedium. I just don't think we need this excessive proof and "take credit" mind set. When survey comes, I think surveyors pick up instinctively through interviews, observations and a certain "osmosis" or tone that defines the "tempurature" of the buiding, relative to activities. But, yes, when writing a progress note, it would be nice to incorporate into that note some of the things that other staff do with a resident. My feeling would be that if you are doing an inservice on this very worthwhile topic, just don't hand them, "yet again", another form they could fill out or check off. |
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hillview
Registered: 10/22/09 |
Posted 11/16/2011 04:51 AM
Lo, I totally agree! Nursing is not going to want another paper to fill out and I don't think they should have one more form to fill out---that would make even more of a paper trail for us and I know you and I don't want or need it. I know that is out of the question at my facility. But, if you as a director or person in charge of providing a one on one, then by all means you should know about it and it should be charted. I don't know about everyone else and the amount of 1:1's that need to be provided, but sometimes there just isn't enough time in the course of a day to do them all due to unexpected everyday things that do come up. I also don't think it is something that activities should schedule for a non-activity person to do with a resident either. Everyone already has enough on their plates. I am just talking about the everyday small activity that a staff (example) CNA already do with a resident while getting them ready to get up and dressed for the day that we may not know about---conversation, doing their nails, singing with them, etc --it could be absolutely anything --even the spontaneous. We have cna's and nurses that go into other cna's sections and sing to residents or just have conversation or even gather staff together for a surprise of some kind with a resident all the time. Even our CEO visits some of the residents for friendly conversation or even a game of checkers, that I don't schedule. that all can be counted as a one on one (simple check mark by activity staff on our daily participation sheet , then I chart it in my notes. It is all about communication to help us with our everyday jobs. |
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