Facility policies serve as the backbone of consistent, safe, and compliant operations. Nursing homes rely on well-developed policies to guide staff, protect residents, and maintain compliance of care delivery that must follow state and federal regulations. The director of nursing services (DNS) plays a vital role in ensuring that facility …
Respiratory illness season is rapidly approaching once again, posing significant health concerns for vulnerable residents. The director of nursing services (DNS) must ensure facility staff can identify, manage, and help prevent these infections. Whether it’s influenza, pneumonia, respiratory syncytial virus (RSV), or COVID-19, early recognition, prompt intervention, and strong infection …
When caring for patients suffering from a stroke, staff often focus on physical issues, yet post-stroke patients often have emotional or behavioral changes as well. It is important for staff of home health agencies to understand how a stroke can affect patients’ psychosocial well-being. By recognizing the multi-faceted impacts of …
The director of nursing services (DNS) is preparing for her first annual survey. She wants to take a proactive approach regarding facility residents with enteral feedings. However, as a relatively new DNS, she is unsure where to begin. Sound familiar? This article will provide a process to assist the DNS …
Sensory impairments, such as loss of vision, hearing, taste, smell, or touch, are common among older adults, and significantly affect their quality of life. These impairments often go unnoticed or may be mistaken for cognitive decline, leading to missed opportunities for interventions, or worse, a decline in function. Residents with …
The nurse leader plays an integral role in the disciplinary process in a home health agency. Managing employee performance can be challenging, but it is necessary. Failure to address employees’ negative behaviors and actions can destroy morale among the staff. Knowing when and how to discipline is key. However, the …
The staffing crisis is an ongoing dilemma for home care. To combat its effects, nurse leaders in home health agencies may be asked to find creative solutions. These professionals often focus on the lack of potential candidates and the difficulties related to hiring. But staff turnover is a large part …
The director of nursing services (DNS) received a call in the middle of the night that a resident with a diagnosis of dementia had eloped, and it appeared she had been missing for several hours—a conversation no DNS wants to have. She immediately enacted the missing resident protocol. Luckily, staff …
Many residents take opioids to relieve pain, and each of these residents is at risk for overmedication, overdose, or even death. According to the University of California, Los Angeles (UCLA), by 2021, 1 in 370 senior deaths stemmed from overdoses. Seventy-five percent of senior overdose deaths involved opioids, and this …
Fall is here, and respiratory virus season is around the corner. Nursing leaders must take proactive steps to protect residents from these viruses, which carry the potential for serious illness and can lead to hospitalization. This article will spotlight areas to focus on for respiratory virus prevention and control, as …
