Table of Contents
ORGANIZATION
Introduction 1
Job Description 2
Experience, Background, Education 4
Internet Resources 5
Tips to Manage Time and Reduce Stress 7
Management Styles 9
Structure of the Nursing Department 10
Committees and Meetings 11
Report to the Administrator 12
Monthly Report to Administrator 13
The Nursing Budget 14
Nursing Budget Report 15
Inventory of Supplies 16
STAFFING
Recruitment 17
Wage and Benefit Comparison Chart 18
Labor Laws 19
Hiring and Orientation 20
Orientation Checklist 21
Staffing Laws 22
Staffing Information Posting Form 23
Nursing Assistant Education and Certification 24
Nursing Assistant Training Regulations 25
Scheduling 26
Glossary of Scheduling Terms 27
Nursing Hours Utilization Report 28
Retention 29
Tracking Turnover 31
Turnover Tracking 32
Staff Development 33
Inservice Attendance Record 35
Inservice Record, Employee 36
Staff Health and Safety 37
Employee Counseling 38
Employee Evaluations 39
Employee Evaluation Form 40
RESIDENT CARE
Standards of Care 42
Policy and Procedure Manual 43
Reports 44
Walking Rounds and Nurses’ Meetings 45
Culture Change and Promoting a Therapeutic Environment 46
Resident Rights 48
Resident Rights Glossary 49
Resident Rights Regulations 50
Admissions, Transfers, and Discharges 57
Admission, Transfer, and Discharge Regulations 58
Abuse 62
Dealing with Emergencies 66
Emergency Equipment Checklist 67
Care Plan Basics 68
Care Plan Sample 70
The Care Plan Conference 71
Care Conference Notes and Signatures 73
Care Area Triggers (CATs) 74
The MDS Department 78
MDS Glossary 80
MDS Assessment Tracker 83
MDS Reports 84
Utilization Review 86
Medicare UR Census 87
RUG Score Information 88
RUG IV Categories 89
Increasing Reimbursement 93
Medicare Assessment Tracker 94
Assessment Regulations 95
Physician Services and Medical Director 99
Pharmacy Services and Medication Administration 102
Laboratory Services 105
Therapy Department 106
Restorative Nursing 107
Dietary Department 110
Social Services 112
Medical Records 114
Chart Checklist 116
Activities, Housekeeping, and Laundry 117
QUALITY ASSURANCE
Quality Assurance Program 118
QA Plan of Correction 120
QA Plan of Correction Sample 121
About Quality Indicators 122
Quality Indicators 123
Quality Measures 125
Revised QI/QM Reports 126
Preventing Avoidable Declines 128
Skin Breakdown 130
Skin Breakdown Audit 132
Restraints 133
Restraint Audit 135
Pain 136
Incidents 137
Incident Audit 138
Incident Documentation Audit 139
Falls 140
Medications 143
Medications Pass and Storage Audit 147
Psychotropic Medication Audit 148
Documentation 149
ADL Plan of Care 150
Surveys 151
CMS-802, Roster/Sample Matrix 154
CMS-672, Resident Census and Conditions of Residents 155
Resident Room Audit 157
Meal Service Audit 158
Infection Control Program 159
Infection Control Nurse Job Description 161
References
CD-ROM back of manual