Occupational Exposure to COVID-19; OSHA Emergency Temporary Standard Interim Final Rule (6/21)

AGENCY: Occupational Safety and Health Administration (OSHA), Department of Labor. ACTION: Interim final rule; request for comments. SUMMARY: The Occupational Safety and Health Administration (OSHA) is issuing an emergency temporary standard (ETS) to protect healthcare and healthcare support service workers from occupational exposure to COVID-19 in settings where people with …

Q&A: Is a physician order needed for a restorative passive range of motion (PROM) program?

Question: Is a physician order needed for a restorative passive range of motion (PROM) program? Answer from Kim Steele, RN, WCC, RAC-CT, RAC-CTA: No, a physician order is not required for nursing restorative programs, but it must be care planned and the provision of the PROM documented. Want to read …

Nationwide, Only 723 Nursing Homes Have Met 75% Staff Vaccination Goal

COVID-19 Vaccination As part of CMS’ commitment to protecting nursing home residents, nursing homes are now required to report vaccinations of residents and staff.  More information about these requirements and guidelines can be found here. High staff vaccination rates are critical to keeping rates of COVID-19 cases low. In fact, nursing homes …

Basics of Care for the Resident Who Has Urinary Incontinence – Nursing Assistant In-Service Education

Incontinence is a common issue for many of our residents. In fact, almost 50% of residents in a nursing home present with some type of incontinence. This education will discuss urinary incontinence along with the care and treatment that is an integral part of the care certified nursing assistants (CNAs) …

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 …

Discharge AMA Requires More Than ‘Good-bye and Good Luck’

“Against medical advice” (AMA) is a term that nursing homes use to describe a resident unexpectedly leaving the facility in a self- or representative-initiated discharge that is inconsistent with their identified care needs. “Some providers do an excellent job with discharges against medical advice. Others have the attitude, ‘The resident …

TIP: New Tool to Assist With PPE Tracking

The Agency for Healthcare Research and Quality (AHRQ) has developed a new PPE tracking tool along with a user’s guide to assist facilities in identifying performance patterns and to target improvement areas regarding PPE use.The tracking tool assists facility leaders to: Assess PPE compliance at the individual, department, unit, and …

ACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile Infections (6/21)

The June issue of The American Journal of Gastroenterology includes the following new guidelines: ACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile InfectionsKelly, et al. New ACG Guidelines were authored to address C. difficile infection, bacteria that often causes diarrhea and is more likely to occur in those who are taking antibiotics, of advanced …

Q&A: What training is required for nurse aides to work with residents in a Restorative Program?

Question: What training is required for nurse aides to work with residents in a Restorative Program? I have reviewed Chapter 3, Section O0500 (page O-43) in the RAI User’s Manual but wondered, other than the training mentioned in this section, is there any additional training required to bill under Medicare …