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SB 1857 Training Follow-up

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SB 1857 Training Follow-up Grace White Director of Nursing MHMR of Tarrant County Where are we now??? Trainings occurred January 1, 2012 deadline for HCS ... – PowerPoint PPT presentation

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Title: SB 1857 Training Follow-up


1
SB 1857 Training Follow-up
  • Grace White
  • Director of Nursing
  • MHMR of Tarrant County

2
Where are we now???
  • Trainings occurred
  • January 1, 2012 deadline for HCS
  • Implementation plans
  • LVNs must have RN supervisor
  • Written plan for comprehensive nursing
    assessments by 9/1/2012
  • Provider advocate committee
  • March 1, 2012
  • LVN on call pilot begins

3
Why these issues?
  • Change really isnt because of SB 1857, but
    because traditionally providers and DADS werent
    following the TAC rules mandated by the BON
  • Allows providers to continue to use unlicensed
    staff to give medication
  • Allows providers to continue to use LVNs on call

4
Comprehensive assessments
  • Nursing process toolkit
  • http//www.dads.state.tx.us/providers/nschanges/in
    dex.html
  • Nursing comprehensive assessment and nursing care
    plan
  • RN delegation worksheet
  • Nursing supervision form
  • Nursing special needs form for Unlicensed
    Assistive Personnel

5
Comprehensive assessment
  • DADS doesnt mandate the form, just the elements
    in the form
  • This is Nursing 101
  • 9/1/2012 DADS - plan reasonable to your program
  • Initial comprehensive assessment/ annual update
    dont re-do the entire assessment each time
  • Reassess for significant change
  • Define significant change -

6
Nursing service plan
  • Nursing care plan IS the nursing service plan
  • An example of a completed nursing service plan is
    in the training materials at the end of the
    presentations
  • The nursing service plan is the IP for HCS
  • What the RN uses to guide care, also specific
    details in the plan are required for LVN on call
    pilot

7
PAC as the CRA
  • Provider advocate committee acting as the Client
    Responsible Adult
  • Develop as part of implementation plan
  • Nurse/service coordinator/CEO designee
  • Mandated form on DADS website

8
ICF changes
  • RNs must do initial and annual comprehensive
    assessments
  • RNs must do IDT meetings pertaining to above
    assessments and nursing service plans
  • Quarterly nursing physical exams
  • LVN supervision
  • Training of individuals and staff by nurses
  • Different timeframe for assessments

9
Training
  • RN responsible for medication training of
    unlicensed staff
  • RN responsible for competency of unlicensed staff
    to give medications under SB1857
  • RN responsible for ongoing oversight and training
    and competency of the staff
  • Re-do SAMS training - Example Medication
    Management Training
  • Policies update!!!

10
LVN pilot
  • March 1, 2012
  • Everyone must participate in data collection
    component
  • March data entered into CARE April 30, 2012
  • Listing of what should be in place by March 1 to
    start pilot

11
Questions???
  • More Information letters are coming out for ICF
  • The FAQs and the notebooks for the training are
    good things to review for answers
  • DADS is gathering answers to questions submitted
    and will be getting those to us
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