Ask the Nursing Expert about … documentation for new survey regulations
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Feb 08, 2018
For years I have referred to the State Operations Manual (SOM) Appendix P for guidance on the survey process. But the Centers for Medicare & Medicaid Services recently announced that Appendix P will be...
Ask the Nursing Expert about … staff competencies
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Nov 06, 2017
Is it true that during new survey process, surveyors will ask staff nurses and nursing assistants about their competencies, with questions such as, “Do you receive periodic evaluations on your skills,...
Ask the Nursing Expert about … the Facility-Wide Assessment
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Dec 06, 2017
My administrator has asked me to lead the effort to prepare our Facility-Wide Assessment (FWA). What does this mean for me, as the director of nursing?
Ask the Nursing Expert about … behavioral difficulties
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Oct 06, 2017
I heard that nursing homes can get cited for causing residents to have behavioral difficulties. Can you explain?
Ask the Nursing Expert about … culturally competent care requirements
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Jun 08, 2018
I thought culturally competent care requirements weren’t effective until Nov. 28, 2019, the Phase 3 deadline. Why are facilities getting cited now?
Ask the Nursing Expert about … managing a nursing budget
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Mar 08, 2018
I’m hearing about facilities going bankrupt and closing. As a director of nursing, what can I do to help manage my department’s budget without degrading quality of care?
Ask the Nursing Expert about … EHR transitions
By
Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT
Apr 08, 2018
My company just announced the purchase of a new electronic health record system. As the director of nursing, how can I smooth the nursing department’s transition to it?