DateTimeFromToMessage
2019-05-14 04:55:20 PM stephaniet enter the chat room
2019-05-14 04:57:02 PM stephaniet hello!
2019-05-14 05:18:26 PM stephaniet left the chat room
2019-05-15 05:54:43 PM ruthiesister enter the chat room
2019-05-15 06:05:19 PM suzanne enter the chat room
2019-05-15 06:05:45 PM ruthiesister hello
2019-05-15 06:05:51 PM suzanne Hello. Is this the specialty live chat starting?
2019-05-15 06:05:59 PM ruthiesister yes it is ..
2019-05-15 06:06:05 PM ruthiesister how are you tonight
2019-05-15 06:06:28 PM suzanne I'm doing well how are you all?
2019-05-15 06:06:36 PM suzanne left the chat room
2019-05-15 06:06:55 PM ruthiesister good i think the storm passed and i still have power sooo i'm good,, lol .
2019-05-15 06:07:01 PM ruthiesister where are you from
2019-05-15 06:07:08 PM suzanne enter the chat room
2019-05-15 06:07:26 PM suzanne Boulder, CO. You?
2019-05-15 06:07:49 PM ruthiesister i live in the catskills mountains in NY
2019-05-15 06:08:53 PM suzanne Nice. I don't have any real knowledge of the mountains in NY, mostly just CO
2019-05-15 06:08:57 PM ruthiesister So what kind of faciltiy do you work in
2019-05-15 06:09:21 PM ruthiesister lol,, i live in a very rural town ,
2019-05-15 06:09:41 PM suzanne I have been the director for a LTC and rehab facility for the past 3 years. We have 150 beds and 5 halls.
2019-05-15 06:10:03 PM ruthiesister how do you like it
2019-05-15 06:11:19 PM suzanne It's very hard work but rewarding. I have an amazing management team and great administrator support which really helps. The family and community participation is amazing too.
2019-05-15 06:11:50 PM ruthiesister wow that awesome you are one of the lucky ones ,
2019-05-15 06:12:25 PM suzanne I am coming to realize that to be true. What kind of facility do you and did you work in?
2019-05-15 06:12:33 PM ruthiesister i work in a small hospital , of 16 beds i have been thier act dir for 7 yrs in their swingbed program ,
2019-05-15 06:12:55 PM ruthiesister i use to work a ltc for 10 yrs before that
2019-05-15 06:13:05 PM ruthiesister with 199 beds
2019-05-15 06:13:12 PM suzanne How do you like it? And I'm sorry but I don't know what a swingbed program is.
2019-05-15 06:13:24 PM ruthiesister soo i went from a very large places to a very small one
2019-05-15 06:13:55 PM suzanne It sounds like it. Do you have a preference for one or the other?
2019-05-15 06:14:01 PM ruthiesister it took me a bit to get use too , but i love it ,i get a more 1;1 relationship with my patients
2019-05-15 06:14:44 PM ruthiesister and get to do anything they like to do and not have to worry about make 40 other people happy with the choice
2019-05-15 06:14:45 PM suzanne I love that benefit. What is a swingbed program?
2019-05-15 06:16:01 PM ruthiesister swingbed was set up for small rural hospital as a help to help with cost and to better servere the community
2019-05-15 06:17:31 PM suzanne So is it a program or way you run the activities program? I'm confused.
2019-05-15 06:17:32 PM ruthiesister i do enjoy it , we follow the same gguidlines as ltc . but we get to take patient that have been in the hospital as a acute patient and swing them over with out having to send them out to a nursing hm
2019-05-15 06:18:04 PM suzanne So along the lines of rehab?
2019-05-15 06:18:36 PM ruthiesister yes but still have all the benifits of a hosp setting
2019-05-15 06:18:45 PM ruthiesister sorry having a hard time typing tonight
2019-05-15 06:19:00 PM suzanne Oh so the patients are only there temporily?
2019-05-15 06:19:42 PM ruthiesister yes,, it is a goal driven program set up by medicare and caid
2019-05-15 06:20:11 PM ruthiesister so we have many ,many kind of patients some are there for a month or more some a few days
2019-05-15 06:20:37 PM suzanne Nice. What is the average stay?
2019-05-15 06:20:38 PM ruthiesister how in nursing home week at your place busy i'm sure
2019-05-15 06:21:24 PM ruthiesister you still have all the technology and specialty services
2019-05-15 06:22:03 PM ruthiesister wound vacs , IV antibac . things like that with doc on the floor 24hr .
2019-05-15 06:22:20 PM suzanne Well we are always busy!! Today we catered in meals for all of our shifts with Illegal Petes.
2019-05-15 06:22:41 PM ruthiesister so if things go wrong you are in the right place .. tht and you don't have to go to a nursing home or to another place for therapy ,
2019-05-15 06:23:12 PM ruthiesister i don't know what that is
2019-05-15 06:23:18 PM suzanne We have all of the therapies here in house as well as 24 hour nursing staff and doctors on site.
2019-05-15 06:24:54 PM suzanne We run programs 7 days per week, 4 programs each day. Today our staff was recognized for nursing home week by catering us lunch.
2019-05-15 06:25:01 PM ruthiesister and we don't have nursing homes that are close or rehab centers , so this is a way to keep people close to home and not a lot of trauma to them
2019-05-15 06:25:25 PM ruthiesister oo thats cool .
2019-05-15 06:25:41 PM suzanne So you have room for 16 patients? Walk me through a typical day for you and your residents.
2019-05-15 06:26:00 PM ruthiesister i do sometime miss the big programs ,, i use to enjoy them ,
2019-05-15 06:26:22 PM suzanne What does your day typically consist of?
2019-05-15 06:26:46 PM ruthiesister yea the most we can have for swingbed , 12 because we have to leave beds for the ER ..
2019-05-15 06:27:11 PM suzanne What types of activities do you do with them?
2019-05-15 06:28:41 PM ruthiesister it really depends on the kind of patients i have ,, this week i'm doing a lot of 1;1 because my patients are very old 98 ,,some have dementia , and one still pretty sick and has dementia ,, so i do a lot of things in there room
2019-05-15 06:29:01 PM ruthiesister today we painted rocks for our rock garden we do every yr
2019-05-15 06:29:26 PM suzanne Are you able to plan in advance and do a montlhy calendar?
2019-05-15 06:30:29 PM ruthiesister i like that i get to see families a talk with them about each patient ,and really get to know them
2019-05-15 06:30:49 PM suzanne Do they end up staying very long?
2019-05-15 06:30:49 PM ruthiesister i do make a calendar , but it is verygeneric .
2019-05-15 06:31:19 PM ruthiesister and i post on the bottem that all act are subject to change to patient likes and needs
2019-05-15 06:31:22 PM suzanne Ugh, that must be hard to put in time and energy and it not go as planned.
2019-05-15 06:32:11 PM ruthiesister i'm very use to it ,, i kinda like just changing thing i have things that i have found that work great with on going changes all the time
2019-05-15 06:33:19 PM suzanne WHat made you decide to do the swingbed specialty talk for activity director network?
2019-05-15 06:33:33 PM ruthiesister we have been work on a local history book that patient and i do patient will talk about where they lived or work or went to school , and we look things up and talk about it and print it off and put it in the book or some patient writer their own story and add it ,
2019-05-15 06:35:01 PM ruthiesister they asked me about 7 yrs ago , to talk with student about what i do and to help with other student rehab programs on idea's
2019-05-15 06:35:30 PM suzanne Do you like working for them?
2019-05-15 06:35:42 PM ruthiesister yes i do .
2019-05-15 06:36:19 PM ruthiesister this is not how my class would go normally . but seeing as it just me and you ,
2019-05-15 06:36:40 PM ruthiesister i don't feel i need to get all crazy we can talk about what ever you'd like
2019-05-15 06:37:15 PM suzanne I thougt it would be different. I thought it would be more of a lecture type c lass.
2019-05-15 06:38:22 PM ruthiesister my biggest goal is to teach and remind that your swingbed people are going back to the community ,so help them learn to get back involved with their community know matter what they have gone thought
2019-05-15 06:39:10 PM ruthiesister i work a lot with my community on teaching my patient that they can help in many ways
2019-05-15 06:40:07 PM ruthiesister everyone has a talent or a gift they can share to help someone else
2019-05-15 06:40:29 PM suzanne I hear that. Does the swingbed community type of model exisit everywhere? Since I haven't heard of it I was wondering if it is only available in specific states.
2019-05-15 06:41:19 PM ruthiesister it is national wide like i said earlier is was set up for rural area's .
2019-05-15 06:42:15 PM ruthiesister put all rehabs on based on a short term stay so in a way it's works under the same principle
2019-05-15 06:42:19 PM ruthiesister but
2019-05-15 06:42:26 PM ruthiesister not put
2019-05-15 06:43:04 PM suzanne Yes, I remember you saying that. I believe you said you are state funded and accept medicaid, medicare? If so, do you have to abide by state regulations and have a yearly survey?
2019-05-15 06:43:57 PM ruthiesister we have state regs and joint commission ,survey
2019-05-15 06:44:40 PM suzanne Are you the one tasked with all of the day to day documentation?
2019-05-15 06:45:15 PM ruthiesister yea i have to chart eveyday one each patient , someday it tough ,
2019-05-15 06:45:39 PM ruthiesister i have to do assessments ,and careplans
2019-05-15 06:45:51 PM suzanne Do you have staff?
2019-05-15 06:46:01 PM ruthiesister i am a dept of 1 ,
2019-05-15 06:47:01 PM ruthiesister i am also the patient advocate , so go with patients if they have a appointment with a specialty doctor
2019-05-15 06:47:20 PM suzanne Wow! Well you must work very hard to keep everything up to date and in order. I plan to look up swingbed programs in my state and see what we have here in Colorado.
2019-05-15 06:47:47 PM ruthiesister cool , and pls let me know what you find out
2019-05-15 06:48:24 PM ruthiesister what class are you in i want to make sure you get credit , i need your start date and mep
2019-05-15 06:49:06 PM suzanne I will. Do you normally have a higher turnout for these speciiality classes?
2019-05-15 06:49:22 PM suzanne I am in MEPAP2 050719
2019-05-15 06:49:40 PM ruthiesister it depends , i wasn;t sure how this week would go with nursing hm wk
2019-05-15 06:50:05 PM ruthiesister wow and you've never been in on one of my chats
2019-05-15 06:50:56 PM suzanne Well I appreciate you being online and giving me the opportunity to get these 50 points. With my work schedule it is going to be hard for me to attend the THursday night lectures.
2019-05-15 06:51:47 PM ruthiesister oo ok . well i'm glad you came , i hope you enjoyed it , i'm sorry there wasn;t more people
2019-05-15 06:52:15 PM suzanne No worries. Thank you for being willing to chat with just me.
2019-05-15 06:52:16 PM ruthiesister and if you have any question about anything pls email me
2019-05-15 06:52:37 PM suzanne I will. Thank yo so much.
2019-05-15 06:52:51 PM ruthiesister you are wlecome and have a good night
2019-05-15 06:52:59 PM suzanne You too.
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2019-05-22 06:02:50 PM suzanne enter the chat room
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2019-05-23 06:26:22 AM suzanne enter the chat room
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