A comment-as a result of our most recent
survey the unit supervisors now meet with their aides every two weeks and all
resident specific/requested routines etc are care planned. While the
survey team was here they observed the night shift give a resident the bedpan
and the day shift remove it 1 hour later and the resident complained.
Needless to say they were all over that like white on rice. However,
investigation revealed that was her regular routine and the problem was that
the aide who was a float had removed the bedpan “10 minutes late”
because she “didn’t know the routine”. The end result
was not a care issue but a care planning one r/t “individual routines outside
the facility routine/normal care practices”. As a result of this experience
I would say that almost anything within reason is probably okay as long as there
is documentation to support the resident “request”, it is care planned
and the care plan is followed.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of mdsc
Sent: Friday, December 05, 2003
10:46 PM
To: [EMAIL PROTECTED]
Subject: Re: recliner versus bed
----- Original Message -----
Sent: Tuesday,
December 02, 2003 10:06 AM
Subject: Re:
recliner versus bed
What I do in this situation is to
address it in the ADLs/Mobility care plan. I will include a statement
with the problem statement that resident prefers to sleep in recliner and has
requested bed to be removed. Then, I would include with the goals that resident
remain free from any complications associated with use of recliner rather than
a bed. Approaches would include observing for any sleep disturbance, other
complications or issues which could be related to the chair vs bed.
----- Original Message -----
Sent: Monday,
December 01, 2003 9:43 PM
Subject: Re:
recliner versus bed
Care Planning
is not my strong suit...when a resident has a particular like how do you 'care
plan' it....would this be a problem? what would be a reasonable goal?
----- Original Message -----
Sent: Tuesday,
November 25, 2003 12:58 PM
Subject: RE:
recliner versus bed
In MD
you can also allow the resident to sleep in the recliner as described. We
had a resident who slept in a recliner for years. We documented on
admission, as well as careplanned that this was her wish. We never
got cited by surveyers.
Melissa
Melissa Hixenbaugh RN,RAC-C
"You must always see with the heart. And after, you will live forever in
the stars"
"You only see the important things with the heart...not the eyes. Or the
head"
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]
Sent: Thursday, November 20, 2003 5:26 PM
To: [EMAIL PROTECTED]
Subject: Re: recliner versus bed
In the maryland code of regulations 10.07.02.28 D
1) each patient shall be provided with his own bed which shall be at least 36
inches wide, be substantially constructed and in good repair. Rollaway type
beds, cots or folding beds may not be used.
2) each bed shall be provided with satisfactory type springs in good repair,
and a clean comfortable mattress, standard size for the bed.
I think the second item might be a problem if your state has similar
regulations
darlene
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The Case Mix Discussion Group is a free service of the
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment
Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News
and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
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