Staffing Data Submission

Posted by LTCS on June 1, 2016

Long Term Care Nursing PolicyLong term care facilities will be required to electronically submit staffing information based on payroll to CMS beginning July 1, 2016. CMS will use the data to monitor staffing levels and employee turnover and tenure, which can impact the quality of care delivered. 

Facility staffing information will be posted on the CMS Nursing Home Compare website used in the Nursing Home Five Star Quality Rating System. 

CMS Staffing Data Submission Source Documents and Training Materials

Nursing Assessment and Care Plan Problems, Goals, and Interventions

Posted by LTCS on May 4, 2016

How to write a nursing care planNursing care plans are usually arranged into the three parts of Care Plan Problem, Care Plan Goal, and Care Plan Interventions.

Problem statements are traditionally based on a nursing diagnosis. The nursing diagnosis is a problem that nurses can identify and treat. Medical diagnoses can be part of the nursing care plan problem statement, but not the actual problem itself. The most commonly used nursing diagnoses are the ones approved by NANDA, the North American Nursing Diagnosis Association, and are grouped by functional health patterns.

The goal can be to prevent a potential problem from occurring, to maintain a present status or level of functional ability, or to resolve a currently existing problem. Goals are usually stated in terms of an action the resident will perform.

Interventions describe specific actions taken by the staff to achieve the stated goal, and are based on standards of clinical practice. Like the goals of nursing care plans , interventions need to be specific, measurable, appropriate, and realistic. Interventions are worded in terms of what the staff will do to assist the resident to meet the stated goals for the problem.

Evaluation is an ongoing activity that examines the problem itself, the goals, and the interventions to determine if they are still applicable or if changes to the care plan need to be made.

See how these principles are applied by viewing these sample care plans:

Communication Nursing Care Plan

Vision Nursing Care Plan

2016 MDS OBRA Assessment Scheduling Calendar

Posted by LTCS on May 3, 2016

Director of Nursing Book

The 2016 MDS OBRA Assessment Scheduling Calendar is ready. Receive this valuable tool Free with your book purchase. 

Call 812-606-7882 for information about Volume Discounts.

Nursing Assessment and Problem Statements

Posted by LTCS on May 2, 2016

How to Write a Care PlanThe problem statement sums up assessment information into a specific functional category. No federal regulation specifies the exact wording or structure of the problem statement, but the MDS 3.0 RAI Users Manual states that problems should be written in functional or behavioral terms. 

Elements often included are:

Whether the problem is actual or potential

What the problem is related to, such as medical diagnosis

Objective signs and symptoms of the problem, such as physical assessments and observations

Subjective data, such as the resident’s complaints and nonverbal messages 

The first part of the problem statement describes the resident’s actual or potential functional deficit:

Activity Intolerance 

Medical diagnoses can be added to the statement with the words “related to”:

Activity Intolerance related to COPD 

Objective and subjective data can be specified in the form of the words “as evidenced by”:

Activity Intolerance related to COPD

As evidenced by:

Shortness of breath

Resident verbalizes fatigue when walking in corridor 

Federal regulations are specific that the facility is responsible for addressing all needs and strengths of residents regardless of whether the issue is included in the MDS or Care Area Assessments (CAAs).

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