Utilizing the Wound Nurse Role to Champion Skin Integrity

Imagine if the infection preventionist’s sole responsibility were to treat residents who have an infection. This suggestion seems odd because it ignores the scope and breadth of activities necessary to control and prevent infections for all residents. Yet when considering the wound nurse’s role, this professional’s time is often consumed …

In-Service Education Improvements for Regulatory Compliance and Staff Competency

An effective in-service program not only ensures competency and meets regulatory requirements, but also incorporates many learning styles and fosters the enjoyment of learning. Given the resources that a facility must dedicate to its in-service education program, it’s important that nurse leaders review their program regularly. Ask the following questions: …

Creating a Process for Compliance with F947, Required In-Service Training for Nurse Aides

Appendix PP of the State Operations Manual details the requirements for F947 (Required in-service training for nurse aides). To comply with this regulation, a facility’s nurse aide in-service training program must: Ensure competence of all nurse aides and address areas of weakness as determined in the nurse aide’s performance review …

Applying the Four Keys of Trauma-Informed Care to Care Planning

F699 of the State Operations Manual (SOM) requires facilities to ensure that residents who have experienced trauma receive culturally competent, trauma-informed care (TIC) to eliminate or mitigate triggers that may cause re-traumatization of the resident. This care must be based upon the resident’s preferences and experiences and align with their …

Conflict Resolution: Achieving the Win-Win

Conflict is a daily reality, yet many of us do our best to avoid it, dreading the time when we will have to navigate interpersonal disputes. Many nurse leaders are similarly uncomfortable with or do not feel competent to manage conflict. Unfortunately, avoidance typically compounds the problem, further complicating matters …

Hiring for Character and Talent: 4 Tips for Interviewing

Nursing school does not prepare nurse leaders to interview job applicants, so figuring out the process to find the right candidate is often a challenge. Leaders want to find the best fit for the position—someone who is reliable, has the right talent and skills, and possesses the qualities necessary for …

The Nurse Leader’s Clinical Toolbox: Urinary Incontinence

Urinary incontinence (UI), defined as any involuntary leakage of urine, affects over half the population living in post-acute long-term care (PALTC) and costs an estimated 5.5 billion annually, according to the Society for Post-Acute and Long-Term Care Physicians. Moreover, nurses care for residents who express embarrassment in losing control of …

How to Leverage Positive Peer Pressure to Improve Hand Hygiene

Hand hygiene has always been a primary focus of infection prevention, but due to the COVID-19 pandemic, it is under intense scrutiny. Even though the skill of hand hygiene is straightforward and easy to learn, consistent compliance has been difficult to achieve in healthcare settings, including post-acute long-term care (PALTC). …

Why Nurses Eat Their Young and How to Stop This Damaging Practice

There is a phenomenon of hostility among nurses and certified nursing assistants (CNAs), commonly referred to as “nurses eating their young.” This incivility is pervasive, often seen as a rite of passage, and directed at both peers and those at different levels in the organization. Those who demonstrate this hostility …