De-briefing Meeting minutes

• Most were excited
• Liked the quietness, no paging system, carpeting, no behaviors with residents meaning bad ones
• The behaviors handled with close proximity staff ready for it everyone dealt with issues together and able to help at all times
• When walking through the front door decorations were warm and inviting
• The Mount gave a nice motel feeling not nursing home feeling
• Liked all the options for residents
• First impression was "this place is huge how do they keep from getting lost?"
• Not hugeness feeling in care areas
• Got smallness feeling in neighborhoods
• Had really personalized environment
• Staff loved tile work, art work,etc
• Liked how issues were handled (resident)
• Concerned about having dementia residents in with the rest of population
• Mount has wonder guard system
• The Mount has a slight page with resident exiting
• Had designated pages to rescue lost resident
• There were no problems with other residents going into different rooms
• Wondering what the intervention to prevent residents from going into other rooms
• Atmosphere felt warm and fuzzy
• Residents have choice what to do
• They had a bizarre was made by auxiliary staff
• Crafts made by residents and auxiliary staff
• Their employees bring pets to work
• It was nice to see animals around the big dogs visiting each patient
• The primary nurse has a lot of help with decision making
• The housekeepers, hosts, primary nurse all help with residents (3 way interaction with resident)
• Did not here "that is not my job"
• Certified Nurses Assistants are called Resident Aides
• Everything that needed to be done is right there
• Everyone has food service permit
• Everyone takes ownership
• Primary nurse has paper day
• Everyone involved with residents involved in care plans
• They change care plan every day  with everyone involved
• Feeling of ownership
• Deliver care easily because each own all tasks
• Primary nurse puts all information into computer system
• Aides give report to each other
• Part of way of communicating is structured alert charting system
• Alert charting system in play
• Seen in a heart beat what needed to be done
• Aides carry in  pocket, chart information for residents
• Dietary host also has what information was given from report
• Awesome computer system
• Computer kicks out 30 day evaluation for residents
• Information is generated through computer so its not missed
• The Resident Aides use charting by exception
• Nurses only sign in 5 places
• All in one place
• Don ‘t document everything just initial that that type of care was received.  Dietary just initialed not having to take amount of what was taken in
• Care according to care plan
• Mood and behavior sheets
• Validation tool is mood and behavior sheet
• Quality Improvements have 500 residents 2 stage 2 acute
• One thing on survey somebody did lab draw when they were there
• Resident assistants are involved in showing where something is wrong with residents
• Everyone takes ownership
• Impressed with fact that they are not Certified Nursing Assistants but RESIDENT ASSISTANTS
• Resident Aides are at the top of the line
• Decrease charting
• Routine protocols
• Barrier for us is amount of paperwork
• Resources
• Spiritual resources
• How to get community resources
• Volunteer group is amazing all aide trained there to help anyway and anywhere they can
• Utilizing the school board
• Fountain
• Big lighting
• Stencils
• Artwork
• Lots of variety
• Everyone with food handlers
• 2 time a month food handlers class on campus
• Empowered more to do things
• Turn over rate was 7%
• Doctor goes to resident aides for information on residents
• Knew resident aides felt important
• Best place to work
• Treated well
• Teamwork
• Couldn’t care for resident cause she was feeding yet she was caring for resident by feeding
• If weren’t willing to change just made it difficult for them
• Included everyone everyone treated equally
• Committed to doing it then do it
• Just do it
• Daughter was there volunteering
• All nurses do what Margaret does
• Paperwork was cut a lot
• We kill to many trees it’s a waste repetitious
• Repeated many times and places as far as charting
• No one will lose job with this responsibilities will just change
• People here will leave for their choice not ours
• Everyone has more responsibilities then here
• Less people there on staff with less paperwork
• Paperwork  needs changed here
• Need new computer system to eliminate paperwork
• We can get tools to do job
• Need a high level of commitment
• Never saw utility buckets roaming down the halls
• Personal laundry on each neighborhood
• Physical details need down here
• Identify charting, food handlers, CNA classes
• Housekeepers are not RA but can assist the RA’s
• Offer opportunity to take classes for improvement  (Food handlers)
• Lighting system and one ding for call light (sconces on wall)
• Sconces dim when resident calls
• Prepare two entrees
• Food committee to get complaints and compliments out staffed with residents dietary etc
• Each table had water pitcher with glasses so residents could get themselves or ask for assistance
• No pitchers in rooms
• Menus on table
• Daily menus on table with plexi-glass frames
• Several different areas where residents could choose to eat
• Residents had control over what they were eating
• Had control over when and what they eat
• Have breakfast nook where they can have coffee
• Have many options where to go their room, neighborhood, or publicly
• Didn’t put whole meal in front of them only one part at a time
• Had choice with that too
• Breakfast, coffee, and visiting
• If someone on special diet if they want it and the resident knows chances they can have
• 3 supervising engineers 7 maintenance
• Many things contracted out
• Community could come in and participate at dining areas
• Ruff (Bud's dog barked)
• They allow families to bring in food
• Centralize on patient choice
• Focus on choice
• Even with meds, if patient does not want them they really don’t have to
• Didn’t get residents up and they could have breakfast when they wanted to
• More accessible areas to plant things
• People could plant their own too
• Fresh fruit stand for fresh produce
• We have least space so we may be limited
• Decorate as sections
• Everything is fair game
• Liked seeing tables and chairs in hallways every so often
• Mosaic tile beautiful
• Outsides looked homey not institutionalized
• Plants hanging on ceiling door
• I liked door bells and mailboxes
• Lots of ivy
• Lots of plants
• Charting under desk
• Architects wants a skylight but put in pretend one
• Lighting very nice and not so bright
• Impressive
• Skylight had leaves on it
• Ruff (Bud's dog again)
• Very much at home
• Residents treated well and respected
• RA’s were willing to take less money cause they felt so respected
• Residents trust RA’s a lot
• No one afraid to speak out
• Voice concerns
• Weren’t afraid of being retaliated against