Read on Twitter
Time for a new Twitter series because I've rotated onto nursing home visits for unwell residents and I thought I'd tweet how we're doing out there. So far... 1/6
1. Palliative care specialist nursing doing visits to train staff up in recognising deteriorating residents and in equipment use, this was great to see.
2. Really hard to find staff on the floor but this is because they are busy doing work. Across the board they need more nursing trained in medication (either EN+med training or RN) - frequently see the situation of no second RN to sign out S8 (restricted) drugs).
3. No standardisation of PPE use right now - they've got the *right* PPE but the processes for where and when to use is different at every single nursing home. Places that have had outbreaks doing a lot better - would recommend places that haven't visiting and looking at setup.
4. Confusing messaging coming out of the DHHS re masks right now. Now that I've seen their management structure (available in the About section on their website), have realised there is no clear chain of command and public health and medicine barely feature. Explains a lot.
5. Total inconsistency in terms of systems used across the board. Different computer systems, different med charts, half on paper, half on computer. Can't find anyone to get into it. Needs an EMR with e-prescribing that is standardised across all of residential care. The end.
