As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
2024 Edition for MDS v1.19.1. 21 Complete Inservices: Abuse, Activities of Daily Living, Catheter Care and UTIs, Cognitive Impairment, Constipation, Falls, Feeding, Infectious Diseases, Nutrition and Hydration, Pain Care, Range of Motion, Resident Rights, Restraints, Sensory and Communication Impairments, Sexual Harassment and Professional Communication, Skin Care, Standard Precautions, Transfers and Lifts, Urinary Incontinence, Wandering, Workplace Violence. For the Nursing Instructor: Objectives and Outline, Lesson Notes and Handouts, Pre-test, Post-test, and Answer Key. Each topic packet includes everything needed to give an entire long term care inservice. Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes. The Long Term Care Inservices book gives all of the basic information needed to fulfill the requirements of the Staff Development position in a long term care facility for nursing assistant training. Long term care inservice forms to facilitate scheduling, planning, assessment, and evaluation of inservices are included. The twenty-one long term care inservice topics include the basic inservices given yearly at most long term care facilities for nursing assistant training. The long term care inservices material is focused on the learning needs of nursing assistants, and uses the language of the Minimum Data Set MDS 3.0 and Nursing Care Plan, encouraging consistency in the long term care health care team approach. Quality Assurance expectations are reflected in the lessons, making quality of care a priority as well as meeting regulatory expectations. Each Long Term Care Inservice topic section contains all of the instructor’s material and all of the handouts, so each inservice could be duplicated or printed from the CD.
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
2024 Edition for MDS v1.19.1. 75 Comprehensive Nursing Policy and Procedure Forms on Easy to Edit Templates. The policies are operational, organized by department and outline step by step how a task should be completed and by which staff member. Major steps and staff members are bolded for easier location of information. Includes 22 Skilled Charting Guidelines for Medicare Nursing Documentation, Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes, Abuse, Activities of Daily Living, ADLs, Admissions, Advance Directives, Airborne Precautions, Ambulation, Blood Glucose Monitoring, Bowel Movement Protocol, Care Area Assessments, Care Plan Completion, Care Plan Conferences, Contact Precautions, Covid-19 Virus Prevention, Dental Care, Director of Nursing Job Description, Discharges, Droplet Precautions, Fall Prevention Program, Falls, Post-Fall Protocol, Feeding Residents, Feeding Tubes, Glasses, Hearing Aids, Hydration, Incident Reports, Incontinence Care, Infection Control Nurse Job Description, Influenza Immunization, Informed Consent, Intravenous Therapy, Laboratory Services, Linens, MDS Coordinator Job Description, Meals and Dining Room, Medication Administration, Medication Errors, Medication Orders, Medication Storage and Handling, Medications: Adverse Consequences, Narcotics, Pharmacy Consultant, Psychotropics, Self-administration. Needles and Sharps, Nursing Documentation, Nursing Reports, Nursing Staff, Oxygen, Pain Care, Physician Services and Medical Director, Pneumonia Vaccine, Pressure Ulcers, Professional Communication and Sexual Harassment, Quality Assurance Director Job Description, Range of Motion, Resident Assessments, Resident Rights, Restorative Nurse Job Description, Restraints Program, Skin Care, Smoking, Staff Development Director Job Description, Standard Precautions, Suctioning, Therapeutic Environment, Toileting Programs, Tracheostomy Care, Transfers and Lifts, Tuberculosis Testing, Turning and Positioning, Urinary Catheter Care, Urinary Catheter Insertion, Wandering, Weight Loss, Workplace Violence. The seventy-five nursing policies and procedures in this manual are based on current standards of nursing practice and federal regulations and guidelines from the Centers for Medicare and Medicaid Services, the Center for Disease Control, and the Occupational Health and Safety Administration. The Director of Nursing can review and update the manual annually. Some facilities have a policy and procedure committee that meets to review and consider changes to policies. The form at the top of each policy and procedure has spaces for the date the policy and procedure was approved by the DON and the date of any addendums or changes. Updates can be made when applicable due to changes in regulations or nursing standards of practice. Other appropriate additions to the manual would be manufacturer guidelines and instructions for new equipment and devices. Some facilities include with the policy and procedure manual master copies of forms, and this can help to ensure uniform documentation throughout the facility. Each of the policies and procedures in this book are also included on the CD so they may be easily edited on a word processor for desired updates and changes.
This manual provides an operational framework for long-term care foodservice operations to meet state & federal licensure requirements & promote greater efficiency. It includes detailed policies & procedures for use in dietetics, addressing every phase of the department operation from procurement & storage to nutrition assessment & charting. It also includes lesson plans that are adaptable to meet inservice requirements of various regulatory agencies.
194 pages and CD. Includes FREE 2019 MDS Assessment Scheduling Calendar. Current with all RAI Manual Updates, PDPM updates, Surveyor Guidelines and Federal Regulatory Changes. Comprehensive manual for the new or experienced Director of NursingAll the essential information on Staffing, Resident Care, Quality Assurance, MDS Essentials, Nursing Policy and Procedure, Long Term Care Regulations, Survey Protocols. Forms in the Director of Nursing book and on the CD for Nursing budget, Staffing, Scheduling, Employee records, Staff education, Quality assurance audits, Infection control. Includes 23 Skilled Charting Guidelines. This Director of Nursing book aims to give all of the basic information a long term care Director of Nursing needs today. For the experienced Director of Nursing it provides a good reference for long term care regulations, standards, and laws. The forms included in the Director of Nursing book can greatly expedite job performance. Information is given on organizing the job, managing resident care, staffing, and quality assurance issues.For the new Director of Nursing, or the nurse aspiring to that position, the book outlines all of the major responsibilities of the job. Applicable federal regulations are quoted in each chapter, and forms are throughout the book. Forms and care plans have been updated to ensure compliance with the change to MDS 3.0 and with all of the federal regulations and guidelines updated during the past year.All of the forms and nursing care plans in the Director of Nursing book are included on the CD so they can be saved to a computer whenever needed. By adding or deleting entries, the forms and care plans can be made resident specific.
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Standards to guide the design and construction of nursing homes, assisted living facilities, independent living settings, and related outbased service facilities, including adult day care
