Q&A: Is overseeing the Therapy department within the scope of the DNS position?

Question: I am a relatively new DNS and my job description includes overseeing the Therapy Department. Is this within my scope? Answer: In most SNFs, the therapy department usually has its own director/manager, with ultimate oversight by the administrator. But in smaller facilities, such as yours, sometimes those oversight roles are shared. …

Nurse Assessment: Acute Changes in Condition – Nursing In-service Education

Participants will learn to describe normal age-related changes, differentiate chronic versus acute conditions, recognize symptoms and changes in vital signs, physical function, and body condition that could indicate acute conditions, and apply the assessment phase of the nursing process as it relates to managing an acute change in condition. Download …

Death and Dying Education Bundle for Nurses – Nursing In-service Education

Participants will learn to recognize symptoms of imminent death and select appropriate nursing interventions that meet the physiological needs of a resident who is dying. Download now. For permission to use or reproduce this tool in full or in part, please complete a permissions form. 

Combatting Failure to Thrive in Adults – Nursing Assistant In-service Education

Participants will learn to understand what failure to thrive is, recognize signs of failure to thrive, and apply knowledge to combat failure to thrive. Download now. For permission to use or reproduce this tool in full or in part, please complete a permissions form. 

Investigation Checklist Tool

Investigations are a necessary component of a facility’s operations. They aid the nurse leader by establishing the facts of the situation, identifying opportunities to improve care and services, and mitigating further safety, legal, and compliance risks. Topics that warrant an investigation include allegations or suspicions of abuse, neglect, exploitation, or …

Q&A: Does anyone have an ‘International Dysphagia Diet Standardization Initiative’ policy?

Question: Does anyone have an ‘International Dysphagia Diet Standardization Initiative’ policy? Answer: The IDDSI framework has many resources and guidance on how to implement the framework. https://iddsi.org/framework/  Consider convening a meeting with the dietitian, ST, dietary manager, and the rep from your food service company to discuss use and implementation. …

3 Simple Ways Nurse Assessment Coordinators (NACs) Can Help Support Staff Retention

By Jessica Kunkler, MA Staff turnover is everyone’s problem, and in facilities across the United States, it’s a big one. One in four  nursing assistants and one in five home health aides report that they are actively looking for another job, according to the Recruitment and Retention Guide For Employers by …

Get Back to Nursing Basics to Determine Skilled Services

With the rush to understand the Patient-Driven Payment Model (PDPM) under the Skilled Nursing Facility Prospective Payment System (SNF PPS), it’s easy to get caught up in meeting the technical criteria for payment—and not pay enough attention to the clinical criteria for meeting a Medicare skilled level of care, says …