Mindfulness as a Workplace Possibility to Relieve Difficulty and Increase Capability
Methods of Medication Delivery in Assisted Living Residences - Pt. I of II
Presenters: Jeanne Donohoe, North East Pharmacy Services & Lori Tetreault, NH Board of Nursing
ALRs must ensure that residents received medications as ordered by a licensed provider. Medication services are determined based on the level of care required and functional ability. This presentation will provide information and clarity to assist moving forward with medication services that will be carried out in compliance with both He-P 804 & 805 rules as well as the rules of the NH Board of Nursing.
During this session, presenters will review the methods in which residents may receive their medications. The role of the Medication Certified Licensed Nursing Assistant (LNA-MC) and Personal Care Assistant (PCA) when assisting residents with medication services will be discussed. Nursing delegation will be identified with methods that require assistance to ensure residents receive their medications as ordered.
Time has been allotted at the end of the program for questions from the audience.
Participants will learn:
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To define “Administer” in relation to medication delivery as defined in He-P 804.03(c) & 804.03(c).
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To describe the four methods in which residents receive their medications in an ALR.
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The role of the licensed nurse utilizing nursing delegation as described in RSA 326-B:28 and Nur 404.03-404.10.
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The difference between the role of an LNA-MC and a PCA.
Jeanne Donohoe, RN has been the nurse consultant for North East Pharmacy Services (NEPS) since May 2013. NEPS is a specialty pharmacy dedicated to meeting the needs of assisted living providers. As their nurse consultant, Jeanne performs medication administration record audits and pre-survey reviews per facility request. She brings the perspective of having been an Assisted Living Executive Director of two homes and as the Licensing Supervisor for the Health Facility Licensing Unit. She brings extensive knowledge of He-P 804 & 805 regulations and RSA 151 statute to her current position. She is also able to draw upon her experiences in geropsych, home care, quality assurance, and utilization review.Jeanne was the Licensing Supervisor for DHHS Health Facility Licensing Unit from 2007-13. She is a past Executive Director for Maplewood Assisted Living and Prospect Place Assisted Living. She has served on the NHARCH Board of Directors in the past and currently is an advisor to that Board.
Lori Tetreault, RN has been the LNA Program Specialist at The NH Board of Nursing since 2009. Her nursing experience has been directly focused on the practice and education of the LNA in several educational and healthcare settings. Lori has influenced the education of Nursing Assistants in the classroom and clinical settings resulting in enhanced patient care. Lori holds a BSN and has held nursing leadership positions in healthcare inclding in ALRs for over 20 years.
Presenter: Margaret Fletcher, Center for Health Promotion,
Concord Hospital
Many of us by now have seen the term "mindfulness" in the news. Why so much attention? There's a growing body of research around cultivating the simple capacity to attend to your lived experience, moment by moment. Training the mind has been shown to help people shed unconscious patterns of stress and enliven previously untapped inner resources of intelligence and energy. Find out why businesses as diverse as Google, the U.S. Marines and Harvard Pilgrim Healthcare are using mindfulness at work to great effect. We'll look at some of the recent science and most importantly, we'll practice some mindfulness exercises you can use to give yourself what researcher Chris Liddy calls the "human mind 2.0 upgrade."
Participants will:
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Practice experientially and reflect together on mindfulness meditation and its’ effect on moment-by-moment well-being
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Understand the research basis illustrating the benefits of mindfulness practice in the workplace
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Identify ways to apply mindfulness practices learned to their own workplace situations
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Become familiar with how to contact local mindfulness teachers about further mindfulness study and practice
Margaret Fletcher teaches mindfulness for the Center for Health Promotion at Concord Hospital in NH, and as an adjunct faculty member at NHTI in Concord. She received her certification to teach from the University of Massachusetts Medical School’s Center for Mindfulness in 2013. She is a founding member of the NH Professional Mindfulness Community. Margaret was invited in 2008 by Norman Scrimshaw to teach meditation through White Mountain Sangha, which she now leads as Guiding Teacher. She achieved her 200-hour RYT certification in Ashtanga Yoga. Prior to teaching mindfulness, Margaret enjoyed a 20+ year career in financial services management.
Presenter: Kris Mastrangelo, Harmony Healthcare International
This program provides a comprehensive training on the rules and regulations allowing Medicare Part A and Medicare Part B coverage during a Skilled Nursing Facility stay. This forum will provide the audience with current regulatory updates. This course provides insight into key elements of the Final Rule as they relate to changes in skilling criteria for both nursing and rehabilitation. Overview of Medicare entitlement, eligibility and coverage criteria leading into samples and examples of supporting and non-supporting skilled nursing and therapy documentation.
Participants will learn about:
Medicare Entitlement & Eligibility.
Medicare Coverage Criteria.
Skilled Care.
Skilled Care Terminology.
Kris Mastrangelo is President and CEO of Harmony Healthcare International (HHI), an industry leader in Long Term Care consulting. Kris brings her long term care expertise with more than 20 plus years experience in this industry as an Occupational Therapist, Licensed Nursing Home Administrator and a Masters in Business Administration. Kris’ leadership and vision have helped HHI become one of the most recognized and trusted consulting companies for Reimbursement and Compliance in the Long Term Care industry. Currently, HHI provides services in over 25 states. Kris single handedly developed a unique approach to optimize Reimbursement, while simultaneously protecting the facility from Governmental Medical Record reviews resulting in refunding Revenue to the Intermediary. Kris devised the HHI process aimed at positively impacting the facility’s Reimbursement, Patient Care and Operational Systems.
Presenters: Rhonda Siegel, MSEd, NH Falls Risk Reduction Task Force, NH DHHS, Division of Public Health Services; Judith Cote & Nicole Bush, R.N. New London Hospital/Clough Extended Care Center
Falls among long term care residents occur frequently and repeatedly. They are a leading cause of permanent disability and reduced quality of life for those who survive. This session will focus on the latest in evidence informed practice with respect to falls risk reduction in long term care. Participants will also hear about a successful program in a New Hampshire facility, including the “must haves” and the “these could have been avoided”. The session will also focus on the importance of a restorative program on falls risk reduction including gaining administrative support.
Participants will learn:
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The latest research in falls risk reduction in long term care and how that applies to their organization.
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At least three essential components of a falls risk reduction program in a long term care setting.
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At least three barriers to effectively implementing a falls risk reduction program in a long term care setting.
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About restorative programs and their integration as an essential piece of falls risk reduction.
As the Injury Prevention Program Manager with the State of New Hampshire, Rhonda Siegel works with collaborators on best practice program development, implementation, and evaluation with regards to injury prevention. Ms. Siegel has over 25 years in field of public health. The New Hampshire Falls Risk Reduction Task Force, which Ms. Siegel co-chairs, is a statewide coalition, made up of professionals from a variety of disciplines, all working with older adults and all sharing a commitment to reducing the risk and numbers of falls among New Hampshire’s older adult population. The Task Force over the years has been involved with many projects, including, but not limited to, an annual professional conference, trainings on best practice for acute, long-term care, and community based settings, an evidence based team project, development of a curricula for older adults on falls risk reduction and a health communication campaign “You CAN Reduce Your Risk of Falls”. The Task Force is a member of the national Falls Free Coalition facilitated by the National Council on Aging and has presented on falls statewide, nationally, and internationally.
Judy Cote has been in the rehabilitative field for over 30 years, all of them at New London Hospital. She currently is the Clinical Coordinator of Rehabilitative Services for the Hospital as well as the Clough Extended Care Center. Ms. Cote served on the Physical Therapy Advisory Committee to the New Hampshire Board of Medicine prior to the establishment of the Physical Therapy Governing Board. She also served on the Physical Therapy Governing Board for several terms and has been a member of the national American Physical Therapy Association since 1987. Ms. Cote is an active member of the New Hampshire Falls Risk Reduction Task Force representing New London Hospital and the Clough Extended Care Center.
Top 10 Missed Opportunities in the SNF
