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Id tif i d R i iIdentifying and Repairing
Communication Gaps
E L E A N O R F E L D M A N B A R B E R A P H D
Communication Gaps
E L E A N O R F E L D M A N B A R B E R A , P H D
MyBetterNursingHome.com
Main Roles
Resident
StaffFamily
MyBetterNursingHome.com
“Staff”
Consultant Clinics/Lab
Nursing
Consultant
s
Clinics/Lab
s
Social
Work
Rehab
Day,
Evening
Hospital
RecreationDietary
Evening,
Night
MyBetterNursingHome.com
Problems
Rehospitalizationsp
Staff turnover
Poor coordination of care
MyBetterNursingHome.com
Residents/Families
Often the only consistent team membery
Educate them about their job
Free!
MyBetterNursingHome.com
How do we educate residents & families?
Info in the lobby/libraryy y
Savvy Resident’s Guide
Orientation about how to advocate for
themselves/loved ones
Resident council/Family council
Welcoming committee of experienced, trained
residents/families
Resident/family workshops on various topics
Referrals to community organizations
Train staff to listen to residents and families
MyBetterNursingHome.com
Marshmallow Peep
MyBetterNursingHome.com
Communication between staff members
Paging systems
EMR
Common challenges:
Between facilities
Shift changes
Medical follow-upsp
Solution:
Checklists
Eden Alternative (group office, neighborhood
director)
MyBetterNursingHome.com
Death
Related to turnover of new employeesp y
Address death during orientation
Provide senior staff support
Hospice/Palliative Care
Educate staff in generalEducate staff in general
Trained point people
Policies/Procedures
MyBetterNursingHome.com
Takeaway
Resident/Family involvementy
Breaking down departmental silos (Eden Alternative)
Addressing deathg
Using checklists in areas of complexity
MyBetterNursingHome.com
Eleanor Feldman Barbera, PhD
MyBetterNursingHome.comy g
Twitter: @DrEl
DrEl@mybetternursinghome.com@ y g
Available on Amazon:
MyBetterNursingHome.com

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