Wednesday, June 26, 2013

Long Term Care Inservice Regulations

Nursing Inservice Long Term Care Inservices

Regulations governing mandatory long term care inservices come from a variety of agencies that regulate long term care practices, enforce compliance, and make recommendations on employee education.
CMS mandates that facilities must complete a performance review of every nursing assistant at least once every 12 months, and must provide regular inservice education based on the outcome of these reviews, and that the inservice training must:
Be no less than 12 hours per year
Address areas of weakness as determined in nurse aides’ performance reviews, and for nurse aides providing services to individuals with cognitive impairments, also address the care of the cognitively impaired.
OSHA, the CDC, and the NFPA also mandate certain long term care inservices. 
Generally, a long term care staff development department will provide an inservice at least once per year on each of the following topics: Abuse Prevention, Activities of Daily Living, Catheter Care and Urinary Tract Infections, Cognitive Impairment, Constipation, Dementia Management, Falls, Feeding Residents, Infectious Diseases, Nutrition and Hydration, Pain Care, Range of Motion, Resident Rights, Restraints, Sensory and Communication Impairments, Sexual Harassment and Professional Communication, Skin Care and Pressure Ulcer Prevention, Standard Precautions, Toileting Programs, Transfers and Lifts, Urinary Incontinence, Wandering and Elopement Risk, and Workplace Violence. 

Tuesday, June 11, 2013

Resident-to-Staff Aggression is a Common Problem


Director of Nursing BookResident verbal and physical aggression is most common during morning care, says a recent article in the Journal of General Internal Medicine.
The article concludes that since resident-to- staff aggression has such a negative impact on job performance and staff satisfaction, much more research is needed to develop interventions to decrease resident aggression.