Wednesday, September 4, 2013

Online Inservices


Director of nursing doing QA auditMore and more long term care facilities and home health care agencies are turning to online inservices for comprehensive coverage of inservice topics and the convenience of online learning.
Online CNA inservices allow the learner to move at his or her own pace. Graphics and sound enhance the learning experience, making it more pleasurable to learn material.
Packages designed for facilities or agencies make online CNA inservices a bargain, and there are a variety of purchase options to suit every need.
Pedagogy, Inc., a national provider of online continuing education and training courses in the health care professions is very pleased to announce that LTCS Books, a nationally recognized provider of Nursing Care plans, Certified Nurse Aide training, Home Health Care education, and MDS 3.0 Coding has joined forces.
Speaking of the new partnership with LTCS Books, Capra Dalton, Pedagogy’s CEO states “This is really exciting for Pedagogy. LTCS Books has provided nursing care plan books and staff development to over a third of the long term care facilities in the nation. We are very happy to now offer LTCS’s expertise in an online format.
Facilities will now be able to offer online education through any device with an internet connection, any time of day or night, freeing staff from the costly and time consuming burden of providing staff training, orientation and inservice education in the traditional classroom setting. Pedagogy’s online Learning Management System will also allow complete education management in a paperless, convenient format.”

Sunday, July 21, 2013

Nursing Assistant Lifting Injuries are Common

Nursing Assistant Lifting Resident Long Term Care Inservices

Nursing Assistants experience an average of 4.5 injuries per person per year, according to a report published by RTI International, and one main cause of injuries is lifting devices not being available. 
Lack of training is another cause of injury cited by the study, with more than one third of nursing assistants reporting that their initial training left them unprepared to work safely. 
Nursing assistants new to direct care or new to a facility (40% of all nursing assistants, due to high turnover) are at a much higher risk of injury, states the report. 
Working overtime, low wages, and feeling rushed at work are other factors associated with lifting injuries cited by the study. 

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. 

Wednesday, May 29, 2013

Nursing Assistant Safety and Long Term Care Inservices

Kaiser Health News Article

Nursing Assistant Lifting ResidentThink dangerous jobs, and a police officer entering a dark hallway or a firefighter running into a burning building might come to mind. But even more risky? Nursing assistants, who have an occupation with the nation’s second highest rate of work-related injuries or illness.

Nursing aides and other health care workers can slip or fall or strain themselves trying to lift people or equipment. They also face unique hazards such as workplace violence, exposure to “bloodborne pathogens,” infectious diseases such as tuberculosis or dangerous chemicals and drugs.

The U.S. Department of Labor’s Occupational Safety and Health Administration wants to do something to make the jobs safer.


Online CNA Inservice for  Behavior Problems and Workplace Violence - Describes behavior problems common to elderly populations. Causes, risk factors, potential problems, goals, and interventions are outlined for the behavior problems of wandering, lack of smoking safety awareness, manipulative behaviors, socially inappropriate behaviors, and abusive behaviors. Safety instructions are given to protect residents, clients, and staff members from workplace violence and injury. 

Preventing Back Injuries

Nursing Assistant Lifting Resident Long Term Care Inservices

OSHA has detailed guidelines on preventing back injuries in long term care facilities.

To develop the guidelines OSHA reviewed existing ergonomics practices and programs, state OSHA programs, as well as available scientific information.

OSHA also met with stakeholders to gather information on the ergonomic problems present in the nursing home environment and the practices that have been used successfully in the industry.


Online Nursing Assistant Inservice for Safe Transfers and Lifts – This inservice gives instruction for safe transfer and lifting practices. Causes of back injuries are explained, and practices are described for safe lifting and transfers. Procedures draw on comprehensive care plans for bed mobility and transfers. Details are given for the safe use of assistive transfer and lift devices.