Mobility Decline Prevention
::
::
::
::
::
::
::
::
::
::
::
::
|
|
Modules - Mobility Decline Prevention
LACK OF STAFF CAN HAMPER IMPLEMENTATION
Having reviewed Step 1 (Identify the problem, the solution), Step 2 (Provide incontinence care), and Step 3 (Offer exercise), you are now in a position to make informed decisions about how to deploy the one resource that can make or break the FIT program: your staff.
Lack of staff time is THE biggest barrier to implementing the FIT program. How big? We estimate that in a nursing home with a staffing ratio of 10 residents to one certified nurse aide (CNA), the CNAs would need 60 minutes of every daytime hour to provide FIT to all eligible incontinent residents. In other words, they wouldn't have time for any other duties. Given that this resident-to-CNA ratio is typical of the industry, FIT clearly is not going to work in the majority of facilities without modification.
Below, we offer two suggestions. The first will make the biggest difference in nursing homes with staffing levels that approach an ideal: five residents to one CNA. This first suggestion will also help in lower-staffed facilities, where the daytime ratio reaches seven or more residents to one CNA, but is unlikely to be sufficient. In these facilities, consider also the more drastic change outlined in our second suggestion.
(prev | next)
|
|
|
