In a message dated 1/12/04 8:39:01 AM Eastern Standard Time, [EMAIL PROTECTED] writes:
we had a "consultant" come in, and someone from "corporate"  say that "other facilities only have one RNAC for 99 residents"  so that was what it was based on.  She was part time,  16 hours a week. 

[EMAIL PROTECTED] wrote:
That is so not fair.  Let them try and wear all the hats that most RNACs wear and keep up with all the assessments and keep the RUGs up as well.  Our facility is not a typical nsg home with fairly stable elderly who don't change drastically from one quarter to the next.  We have tons of turnover and behavior dual diagnosed residents as well.  With 220 beds, we are lucky to stay on top of things with 4 RNACs.  We average about 210 residents and 8-10 Medicare.  Our charge nurses on the units do nothing with the MDS or care plans.  We do it all.  They also do not do the ancillary assessments such as foot, pain, braden, dental,ect.  We do.  And they don't attend care conferences.  Someone should write a book about how to conduct a care conference, in detail, and who all should ideally be there.  Maybe I'll try it.  There are so many differences and opinions out there that it would be nice to have some kind of general standard. 
 
Sherri

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