Appendix PP of the State Operations Manual states that every resident must receive treatment and care to promote the highest practicable physical, mental, and psychosocial well-being. This optimal treatment and care requires collaboration. When the nursing department involves therapy in discussions about changes in residents’ conditions, they can improve resident …
In this podcast, Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, and Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, discuss facility culture—what it is, why it’s important, and how listeners can assess and implement strategies to improve their culture. Additional …
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AGENCY: Office for Civil Rights, Office of the Secretary, Department of Health and Human Services; Centers for Medicare & Medicaid Services, Department of Health and Human Services. ACTION: Final rule and interpretation. SUMMARY: The Department of Health and Human Services (HHS or the Department) is issuing this final rule regarding …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Colleen Oakley, OTR/L NHA RAC-CT, senior director of operations for Rehab America and treasurer and member of the AAPACN Board of Directors, discuss ways that the occupational therapist (OT) can collaborate with the …
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When an abuse situation occurs, staff must know how to respond and must do so in a timely manner. Opportunities to practice enable staff to sharpen their responses to these events. AAPACN’s Mock Abuse Drill Toolkit will assist nurse leaders in setting up a mock drill, through which they can …
The director of nursing services (DNS) in a nursing home often is presented with a newly hired nurse practitioner (NP) or other advanced practice registered nurse (APRN) as a fait accompli (i.e., a done deal), but no matter who is hiring the NP, the DNS should get involved and ask …
Increasingly, nurse practitioners (NPs) and clinical nurse specialists (CNSs), also known as advanced practice registered nurses (APRNs), work either directly for or closely with nursing homes to improve resident care outcomes—as do physician assistants (PAs). That growth may accelerate as providers transition to more value-based payment models amid the ongoing …
A resident-to-resident incident occurred on the dementia unit, resulting in an injury to one resident. The altercation surprised the staff, so their response to the situation was not immediate. Additionally, when they intervened, they did not de-escalate the situation well. Does this sound familiar? When an abuse situation occurs, it …
The role of the director of nursing services (DNS) in a skilled nursing facility (SNF) can be stressful due to the number of competing priorities in each day. Delegation, when done properly, can help relieve some stressors while ensuring tasks are completed. In contrast, failure to delegate can lead to …
Nursing homes are required to establish a surveillance system (i.e., “the routine, ongoing, and systematic collection, analysis, interpretation, and dissemination of surveillance data”) as part of their infection prevention and control program (IPCP) under F-tag 880 (Infection Prevention and Control) in Appendix PP of the State Operations Manual. This surveillance …
