123 Flash Chat > Chat Rooms > Live Chat - Open Discussion > Message History
DateTimeFromToMessage
2019-09-19 06:34:01 PM pattym I like doing initial assessments Kathy I want to do them to learn and truly know my Resident
2019-09-19 06:34:02 PM kristen17 i have one that says to others that she wants to be a director but her attitude and work ethic would not allow her to be a good director
2019-09-19 06:34:06 PM suzannehewitt66 i took over for one that was there for 10 years and was burnt out just wants to do activities now and wont help at all with paperwork and never helped me learn the new comp program
2019-09-19 06:34:31 PM pattym it woud be bad agree Kathy
2019-09-19 06:34:34 PM kathyhughes Well that is great Patty, but as the Director you also need your staff to know the residents
2019-09-19 06:34:35 PM jpitrone i enjoy doing the assessments
2019-09-19 06:34:43 PM jpitrone Thats how i learn about my residents
2019-09-19 06:34:48 PM pattym Oh they do...I ensure they do
2019-09-19 06:35:05 PM kathyhughes You can delegate that task and then meet once a week with your staff and go over the assessments with the whole staff
2019-09-19 06:35:11 PM pattym from day one Kathy we welcome them assist them and learn all we care
2019-09-19 06:35:12 PM kathyhughes and keep a copy in your office
2019-09-19 06:35:22 PM pattym thats good Kathy
2019-09-19 06:35:23 PM pattym true
2019-09-19 06:35:54 PM pattym I keep all copies
2019-09-19 06:35:57 PM kathyhughes You have to teach your staff...if you could not be there for a month who would do the paperwork
2019-09-19 06:36:12 PM virginiamooney Good point.
2019-09-19 06:36:12 PM suzannehewitt66 my staff are cna so when we have a call in they take them and then i have to run activities and do my own work
2019-09-19 06:36:36 PM pattym I have one that is somewhat capable and MDS helps me...she is good
2019-09-19 06:36:50 PM pattym I see your point Kathy and agree
2019-09-19 06:37:03 PM kristen17 all my staff was trained on paperwork and i also have a binder that has how to instructions with step by step photos to complete paperwork
2019-09-19 06:37:24 PM kathyhughes So Suzanne,,,you are out for a month and there will not be any activities, no paperwork completed and the staff is complaing so the Admininstrator hires someone else
2019-09-19 06:37:33 PM pattym me too Kristen
2019-09-19 06:38:16 PM pattym Training starts tomorrow
2019-09-19 06:38:18 PM kathyhughes I would be in the Administrators office letting them know that that deficiency will be on nursing
2019-09-19 06:38:25 PM virginiamooney When my boss retired, I was interim and the ADON as well as MDS did all of my mds, progress notes, etc.
2019-09-19 06:38:36 PM suzannehewitt66 thats how i got hired lol because the other activity director walked out in february and i started in june nothing was done
2019-09-19 06:38:54 PM virginiamooney After I was made director, then they taught me how to do it.
2019-09-19 06:39:00 PM kathyhughes Then it is time to chnage things
2019-09-19 06:39:04 PM rebeccarodriguez This might be a bit out there but what about putting together a "training manual" about how to do the paper work. It's a lot of work but it can also help it setting a standard. Again, just an idea.
2019-09-19 06:39:06 PM pattym in a similar situation suzanne
2019-09-19 06:39:16 PM ljohnson hard roll to fall into huh lol
2019-09-19 06:39:17 PM suzannehewitt66 the one that just retired didnt step into do the mds or anything i had to catch up
2019-09-19 06:39:18 PM pattym cleaning up a mess and was hired I think to clean house
2019-09-19 06:39:35 PM pattym YES KATHY YES
2019-09-19 06:39:41 PM suzannehewitt66 me too and i am slowly cleaning
2019-09-19 06:39:51 PM pattym from your lips to God's ears...change is needed
2019-09-19 06:39:58 PM kathyhughes There should have been no catch up...you should have started from the day that you got hired
2019-09-19 06:40:44 PM mteague there is always cleanup. Never have I been able to just start the day I was hired.
2019-09-19 06:40:44 PM suzannehewitt66 no care plans had been done and the dietary had done some of the mds but it was a big mess
2019-09-19 06:40:47 PM kathyhughes I resigned from my facility and was called back to work 18 months later after the person took my place got 5 deficiencies
2019-09-19 06:40:54 PM pattym I did and it is all going well now...When I do any kind of assessment I am revieiwing and udating everything, re interviewing preferences and interests choices constant
2019-09-19 06:41:06 PM kristen17 Even when i was a rec aide myself and the other aides had our own paperwork to do for a certain unit in the building
2019-09-19 06:41:06 PM kathyhughes I started the paperwork from the day I came back
2019-09-19 06:41:13 PM virginiamooney My boss knew from the get go that director was my goal. She was more interested in socializing and refused to show me anything. Then poof, gone with no backup plan. Trial by fire.
2019-09-19 06:41:17 PM suzannehewitt66 we had mock survey this week and activities got a 50
2019-09-19 06:41:41 PM kathyhughes So that was???
2019-09-19 06:41:51 PM kathyhughes 50%
2019-09-19 06:41:57 PM kathyhughes ?????
2019-09-19 06:42:11 PM kathyhughes Not sure what that means
2019-09-19 06:42:22 PM julielynnmincek i feel out of place here. haha i am just an assisntant that works really hard and have been through 3 activity directors. haha
2019-09-19 06:42:40 PM suzannehewitt66 terrible i have had to do lots of catch up they had careplans not up to date and mds not done
2019-09-19 06:42:47 PM kathyhughes Well Julie thinnk about this convo when you become an AD
2019-09-19 06:42:51 PM pattym oye vey julie why dont you take the director position then?
2019-09-19 06:42:56 PM kristen17 my facility just completed out annual survery last week and we had a deficiency free survery...but after going through the survery just make sure PAR records are completed and residnet council minutes are up to date
2019-09-19 06:43:18 PM jpitrone How many night programs do you technically need
2019-09-19 06:43:24 PM kathyhughes So they complained that your paperwork wasn't done, however, your staff has to be aides each day
2019-09-19 06:43:42 PM julielynnmincek they always said i had to be certified. & yess kathy i am definately reading & taking everything in
2019-09-19 06:43:45 PM kathyhughes You have to look at your state regulations for evening programs
2019-09-19 06:43:56 PM suzannehewitt66 resident council was done in april and yes
2019-09-19 06:44:03 PM pattym right each state is different
2019-09-19 06:44:05 PM kristen17 I think that varies by state jpitrone. I know PA i think requires 2 / week but i do three
2019-09-19 06:44:08 PM jpitrone oh okay
2019-09-19 06:44:25 PM suzannehewitt66 ours is 3 evening after 630 which i dont have
2019-09-19 06:44:28 PM kathyhughes Kristen where did you read that and which regulation was it???
2019-09-19 06:44:30 PM pattym I d three also Kristen Resident choice they want it
2019-09-19 06:44:48 PM kristen17 Suzanne what do you mean resident council was done in april? don't you do it once a month
2019-09-19 06:45:14 PM pattym oh goodness
2019-09-19 06:45:20 PM suzannehewitt66 the last time before i started in july they had it in april
2019-09-19 06:45:26 PM ljohnson ours is once a month
2019-09-19 06:45:38 PM pattym mine too ljohnson
2019-09-19 06:45:39 PM suzannehewitt66 yes now once a month
2019-09-19 06:45:48 PM azhia1 our resident council meeting is every month.
2019-09-19 06:45:52 PM ljohnson wow thats crazy
2019-09-19 06:45:57 PM virginiamooney Once a month
2019-09-19 06:45:59 PM kristen17 oh wow.. yes we do resident council once a month. Do you have department heads in your resident council
2019-09-19 06:46:06 PM kathyhughes The resident council can meet whenever they want it could be once a month it could be quartertly it could be never
2019-09-19 06:46:20 PM pattym Yes Kristen Residents want that...they request it
2019-09-19 06:46:48 PM kristen17 really Kathy becasue when the state walked in our building last week they requested our last three months of resident council minutes
2019-09-19 06:46:48 PM pattym In all states Kathy?
2019-09-19 06:46:51 PM suzannehewitt66 when they were asked why we didnt have it the residents said they asked and were not allowed
2019-09-19 06:47:03 PM kathyhughes It is a Federal regulation
2019-09-19 06:47:12 PM virginiamooney Just 3 months Kristen?
2019-09-19 06:47:13 PM ljohnson yes it is
2019-09-19 06:47:21 PM pattym so then why do they ask for the minutes first thing?
2019-09-19 06:47:25 PM virginiamooney They wanted 12 months of mine.
2019-09-19 06:47:34 PM kathyhughes Because they assume that everyone has one
2019-09-19 06:47:47 PM pattym and if I asid no?
2019-09-19 06:48:15 PM kathyhughes and they don't look at the regulations...so if your residents choose not to have a REsident Council there should be documentation somewhere stating that
2019-09-19 06:48:32 PM kathyhughes and I would make sure that once a month I asked and documented
2019-09-19 06:48:48 PM jpitrone i have a question, have any of you ever heard of CNA's delievering newspapers in the morning for one of their daily tasks?
2019-09-19 06:48:49 PM kristen17 yes every state survery i have gone through they ask for the last three months and then they meeting with a group of residents who come to the monthly meetigs
2019-09-19 06:49:05 PM suzannehewitt66 well in my case it was staff that wouldnt have it because they didnt have the time
2019-09-19 06:49:08 PM pattym mmmm very intersting.. but mine ask for it, Im afraid I am stuck lol they really go at it
2019-09-19 06:49:25 PM kathyhughes That is great Jessica, I had residents who would deliver the newspaper
2019-09-19 06:49:49 PM pattym one of my residents delivers too
2019-09-19 06:49:51 PM suzannehewitt66 i have a mail wagon that i deliver papers and mail in
2019-09-19 06:49:57 PM pattym he likes the chores or duties
2019-09-19 06:49:59 PM kathyhughes Not your problem Suzanne, you can only take responsibility from the day you started
2019-09-19 06:49:59 PM kristen17 my staff deliver the newspapers every morning to our day rooms on eac floor and then certain long term residents get a paper
2019-09-19 06:50:06 PM ljohnson yes our resident/volenteers do
2019-09-19 06:50:33 PM suzannehewitt66 thank you Kathy good to know for when state comes in for real
2019-09-19 06:51:04 PM kristen17 It is important to have everythign documented
2019-09-19 06:51:12 PM kathyhughes You cannot be held responsible for anything that happened before you got there including paperwork
2019-09-19 06:51:13 PM suzannehewitt66 yes it is
2019-09-19 06:51:18 PM pattym I document everything
2019-09-19 06:51:18 PM ljohnson yes it is
2019-09-19 06:51:46 PM suzannehewitt66 good to know because they seem to be holding me accountable
2019-09-19 06:51:48 PM pattym documentation covers you!!
2019-09-19 06:51:53 PM virginiamooney (y)
2019-09-19 06:51:56 PM kristen17 we lucked out with our survery with having things documented for multiple departments because they couldn't find anything to cite us on
2019-09-19 06:52:02 PM kathyhughes You are not
2019-09-19 06:52:35 PM ljohnson at allll
2019-09-19 06:52:36 PM kathyhughes OK..for those who did not receive a deficiency for any department ...great job and too bad!
2019-09-19 06:52:41 PM pattym right documentation must all link together and make sense
2019-09-19 06:52:53 PM suzannehewitt66 thankyou thanyou these chats are good
2019-09-19 06:52:57 PM kathyhughes The next survey you will have the Federal regulators in
2019-09-19 06:53:21 PM kathyhughes The Federeal govt does not believe in a survey without problems
2019-09-19 06:53:25 PM jpitrone so what are the major things that need to be in order for state
2019-09-19 06:53:29 PM jpitrone just a brief description lol
2019-09-19 06:53:34 PM pattym right I found that exactly Kathy when we had a perfect state survey they sent in the Feds
2019-09-19 06:53:37 PM kathyhughes 1. Documentation
2019-09-19 06:53:45 PM kathyhughes 2. Person Centered Activities
2019-09-19 06:54:02 PM kathyhughes 3. Doing what the residents want
2019-09-19 06:54:06 PM ljohnson true
2019-09-19 06:54:09 PM pattym Participation...one to one visits
2019-09-19 06:54:11 PM kathyhughes 4. Activities are engaging
2019-09-19 06:54:13 PM virginiamooney So true
2019-09-19 06:54:26 PM kathyhughes 5. 1-1 activities are visable
2019-09-19 06:54:30 PM pattym meaningful and according to ability levels
2019-09-19 06:54:31 PM kristen17 actvities that were geared towards all function leveles
2019-09-19 06:54:36 PM kathyhughes 6. Resident Council minutes
2019-09-19 06:54:51 PM kathyhughes 7. Do NOT shoot yourself in the foot!!!!!
2019-09-19 06:55:28 PM kathyhughes Do not have your attendance sheets on the medical chart....no one cares and it causes a red flag
2019-09-19 06:55:40 PM kristen17 They look a lot at resident council, the programs offered, how you ask your residents to programs, if programs are engaging and geared towards the correct cognitive level
2019-09-19 06:55:46 PM pattym mine are paper and they have asked for them
2019-09-19 06:55:53 PM kathyhughes Do NOT give them a calendar that has activities scribbled out
2019-09-19 06:56:14 PM pattym right they ask for calendars sometimes too
2019-09-19 06:56:25 PM kathyhughes Any other questions that I missed tonight???
2019-09-19 06:56:41 PM ljohnson no its been a good chat
2019-09-19 06:56:41 PM pattym no Im satisfied
2019-09-19 06:56:44 PM kathyhughes There are several reasons why you have the readings that you have this course
2019-09-19 06:56:46 PM suzannehewitt66 not that i can think of thank you for all the info
2019-09-19 06:56:48 PM virginiamooney No, I'm good thanks
2019-09-19 06:56:49 PM kathyhughes Think about them
2019-09-19 06:56:56 PM jpitrone yes, i liked the chat tonight !, Thanks
2019-09-19 06:57:02 PM pattym agreed ljhnson
2019-09-19 06:57:06 PM kristen17 no i don't have any more
2019-09-19 06:57:16 PM kathyhughes Have a good week all and thanks for joining me
2019-09-19 06:57:18 PM pattym I know Kathy, Im trying..
2019-09-19 06:57:22 PM jpitrone Goodnight!
2019-09-19 06:57:24 PM jpitrone left the chat room
2019-09-19 06:57:25 PM suzannehewitt66 thank you
2019-09-19 06:57:29 PM azhia1 have a good night!!
2019-09-19 06:57:30 PM ljohnson goodnite all
2019-09-19 06:57:31 PM pattym thajks Kathy hanve a great week
2019-09-19 06:57:32 PM azhia1 left the chat room
2019-09-19 06:57:36 PM rebeccarodriguez thank you
2019-09-19 06:57:37 PM virginiamooney Thanks, you too! Goodnight everyone. (})
2019-09-19 06:57:37 PM kristen17 left the chat room
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2019-09-19 06:57:41 PM pattym good night everyone
2019-09-19 06:57:44 PM rebeccarodriguez left the chat room
2019-09-19 06:57:48 PM kathyhughes Good Night All
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