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Rounds by Nurses in Senior Homes Looked at Closely

By Daniel @ LivingSenior - June 26, 2013

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Nursing rounds and senior homes and assisted living care facilities are usually more frequent than in a normal hospital. In fact, nursing rounds tend to have a certified nursing assistant performing rounds every hour to two hours and a licensed practical nurse performing rounds at least two times per shift. This means that the registered nurse is the one who is called on when certain issues arise. However, due to neglect issues in many senior communities recently the rounds by nurses and senior communities are being looked at more closely.

Ideally a certified nursing assistant will handle the majority of the rounds for senior residents. During the rounds they are supposed to check for hygiene care, wound care, bedroom hygiene and check for any issues that may occur. They may also handle denture care and other care depending on the resident’s particular needs. This means that during a normal shift a certified nursing assistant may see a residence up to six or more times during that timeframe. This does not include mealtime, vital checks or shower and bath hygiene. On days when shower and bath hygiene is necessary the frequency of rounds may be more. It is during these rounds that's the most eclectic occurring. The problem is the neglect is not necessarily occurring with the certified nursing assistant.

In fact, in many investigations of rounds by nurses and senior homes, investigators are finding that certified nursing assistants are doing their job to the best of their ability. However, due to guidelines in the nursing facilities, senior communities and assisted living communities the certified nursing assistant may be very limited. For example, a certified nursing assistant knows how to do with changing and knows how to do various healthcare tasks. However, many guidelines in these facilities may say that the certified nursing assistant is not allowed to do these. For example, in some facilities a certified nursing assistant may have to notify their licensed practical or registered nurse in order to have a wound care treated. When this is done ideally, a nurse will immediately go or as quickly as possible go to the residence room and handle the wound. However under investigations, many investigators are finding that this is not the case.

In fact, many investigators have found that the procedures that are handled by the licensed practical and registered nursing staffs are not being handled in the manner they should be. For example, wound care, various hygiene care, injections, medical medicine management and other issues may go hours or wait to the next shift before they are done. This means that neglectful issues may arise from the lack of care or from the care being put off too long. The investigations have led to many changes in nursing homes that are positive changes for not only the staff but also for the residents. These changes are being implemented across the country and have slow implementation processes due to administration at several profit and nonprofit senior communities. However these changes are catching on especially with the health care Reform Act of new guidelines required by that act.