Table of Contents
ORGANIZATION
Introduction 1
Job Description for the Director of Nursing 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
Medical Supply List 17
STAFFING
Recruitment 26
Wage and Benefit Comparison Chart 27
Labor Laws 28
Hiring and Orientation 29
Orientation Checklist 30
Staffing Laws 31
Staffing Information Posting Form 32
Nursing Assistant Education and Certification 33
Nursing Assistant Training Regulations 34
Scheduling 35
Glossary of Scheduling Terms 36
Nursing Hours Utilization Report 37
Retention 38
Tracking Turnover 40
Turnover Tracking 41
Staff Development 42
Inservice Regulations 43
Inservice Attendance Record 44
Inservice Record, Employee 45
Staff Health and Safety 46
Employee Counseling 47
Employee Evaluation 48
Employee Evaluation Form 49
RESIDENT CARE
Standards of Care 51
Policy and Procedure Manual 52
Reports 53
Walking Rounds and Nurses’ Meetings 54
Promoting a Therapeutic Environment 55
Resident Rights 57
Resident Rights Glossary 58
Resident Rights Regulations 59
Admissions, Transfers, and Discharges 67
Admissions, Transfers, and Discharges Regulations 68
Abuse Regulations 71
Dealing with Emergencies 74
Emergency Equipment Checklist 75
Care Plans 76
Care Plan Sample 78
Interdisciplinary Care Plan Team 79
Care Conference Signatures and Notes 80
Care Conference Format 81
Basics on the RAPs 82
The MDS Department 84
MDS Glossary 86
MDS Assessment Tracker 89
MDS Reports 90
Utilization Review 92
Medicare UR Census 93
RUG Score Information 94
Increasing Reimbursement 95
Medicare Assessment Tracker 96
Assessment Regulations 97
Physician Services and Medical Director 100
Physician Services Regulations 102
Pharmacy Services and Medication Administration 103
Pharmacy Services Regulations 105
Laboratory 106
Therapy Department 107
Restorative Nursing 108
Restorative Nursing Regulations 109
Dietary Department 112
Feeding Assistants 112
Social Services 114
Medical Records 115
Medical Records Regulations 116
Chart Checklist 117
Dentist, Podiatrist, Optometrist, Audiologist 118
Activities, Housekeeping, and Laundry 119
QUALITY ASSURANCE
QA Program 121
QA Plan of Correction 123
QA Plan of Correction Sample 124
Quality Indicators 125
Quality Measures 128
Preventing Avoidable Declines 131
Quality of Care Regulations 132
Skin Breakdown 133
Pressure Ulcer Report 134
Restraints 135
Restraint Checklist 136
Pain 138
Incidents 139
Incident Audit 140
Incident Documentation Audit 141
Falls 142
Medications 144
Medications Audit 147
Psychotropic Medication Audit 148
Documentation 149
ADL Plan of Care 150
Surveys 151
CMS-802, Roster/Sample Matrix 152
CMS-672, Resident Census and Conditions of Residents 153
Resident Room Audit 155
Meal Audit 156
Infection Control 157
Infection Report 159
Infection Tracking 160
Immunization, Vaccination, and PPD Record 161
INDEX AND REFERENCES
Index of Topics i
Index of Regulations x
Index of Forms xi
References xii
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