Consistent Assignments The Leadership Role. By: Bobbie Banach, RN, DON St. Anne’s Salvatorian Campus Milwaukee, Wisconsin . Objectives. Why implement this change? How did we convince leadership to start? How do we promote this?. Why do this?. * Staff Retention
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Bobbie Banach, RN, DON
St. Anne’s Salvatorian Campus
* Staff Retention
1. Staff KNOW what their routine will be.
2. Staff are prepared for the next day, look
forward to and know what the day
3. Staff enjoy getting to “bond” with not
only the residents, but their families.
4. Staff know the likes & dislikes of each resident.
5. Staff become “protective” of their group and take on a new “ownership” of their duties, cares, and mission towards quality care.
6. Staff get to KNOW WHO the resident is, not just know the name and a face or room number.
Families get to know each caregiver on a more personal, familiar basis. They begin to TRUST the caregiver at a different level.
Family & Resident Surveys have proven to be more satisfied & happier, with more productive outcomes.
Surveyors “family talks” have shown to be more positive, as concerns and problems are addressed more rapidly, and handled more personally & productively.
Surveyors have commented “boy, your staff really know their residents…”
(said by a resident who is not on a consistent assignment wing)
A. “ The residents know my face.”
B. “They look for you every morning.”
C. “ It’s a feeling of being secure vs. insecure…
I like knowing what to do when I come in”
D. “ I know them…. We develop a routine…”
Actually, there is less burnout and stress because of what you know to expect every day. There is a comfort zone on the unit and in the cares provided. Stress & Burnout come from the fear of anticipating the unknown as well…. There is no fear here….
Occurs….but staff now wouldn’t change the unit that they are on for the world!
The burnout of caring for the same individuals was a fear, but that was all it was…. A fear….
Didn’t happen…. Even on the Dementia unit.
Although training needed to occur and you need to hire staff or train staff to be dementia certified.
Spend some time talking with them about
the plan, and the outcomes.
G of the MDS. Figure out the acuity and place those residents on the assignments so that there is a fairness . Have CNA’s provide that input as well.