What are some tips for keeping a new ostomy in place?
By
Sherrie Dornberger
Oct 01, 2012
First of all, congratulations for getting her back to her pre-hospital activities! Now that the activities have increased, chances are the appliance that was fit for the resident at the hospital will not...
Ask the care expert: Can you suggest a bowel and bladder training program?
By
Sherrie Dornberger
Sep 01, 2012
One of facilities’ first mistakes is when they attempt to train one floor or wing at one time. You can’t expect to take 20 to 30 beds and do successful training at one time.
Ask the care expert: Can we limit med passes to three times a day?
By
Sherrie Dornberger
Aug 01, 2012
This answer is directly from Centers for Medicare & Medicaid Services: “We have no regulation that requires medications to be ordered for specific clock times. Our surveyors check to see if staff...
Ask the care expert: Where can I learn more about OBRA 87?
By
Sherrie Dornberger
Jun 06, 2012
Having been a director of nursing before, during and after OBRA, I can tell you, “We have come a long way, baby.” The best document I have found is from the Henry J. Kaiser Family Foundation.
How are SNFs handling residents who use e-cigarettes?
By
Sherrie Dornberger
May 01, 2012
In speaking with a dozen or more facilities, the e-cigarette seems to be handled in an individual facility- or corporate-wide policy. Many facilities are not allowing it at all; others allow it after the...
Ask the care expert: What are pertinent details to include in pain journals?
By
Sherrie Dornberger
Apr 02, 2012
Pain journals are a great way for anyone who may be experiencing pain to track it and take a record to the healthcare practitioner’s office for visits.
Ask the care expert: When is isolation required for C. diff, and when can a resident be taken out of...
By
Sherrie Dornberger
Mar 01, 2012
Residents should be placed on contact precautions while they are experiencing diarrhea. Wait to discontinue precautions until the diarrhea resolves.
Ask the care expert: If the flu shot is the same for two consecutive years, does it still need to be...