FACILITY PROJECT

SHANNON OBRIAN
WHAT IS NHC FARRAGUT?
NHC Farragut is an assisted living and rehabilitation center, mainly working with
elderly patients.
WHAT IS THE FACILITY PROJECT ABOUT?

After working in our facilities for the entirety of our clinical program, we have
learned a lot about where we were stationed. For our last project we went and
asked our mentors questions about these facilities to see how it really works and
how they feel about their job. I also asked my mother, a former nurse at NHC, to
get another opinion and see how much has changed since she has worked there.
The people who answered these questions were Teresa, Mariann, and Krista, as well
as a few answers from myself as I have seen how many things work in this facility.
In order to distinguish between everyone the asnwers from Teresa, Mariann, and
myself will be in red and the answers from Krista will be in black.
WHAT IS THE APPROPRIATE WAY TO
INTERACT/COMMUNICATE WITH PATIENTS, STAFF,
AND SUPERVISORS?

With patients: Calmly and with special considerations for people with
hearing or speaking problems (like talking slowly, a little louder, or taking
the time to listen). With Staff: Professional when dealing with patient
problems but at other times it can be very casual and friendly. With
supervisors: it is also very professional most of the time but sometimes
they still act very friendly to each other.
Always be professional. Patient: they come first. Staff: Work together as a
team. Supervisor: Follow their lead and complete any request and you can
always go to them for any situation.
WHAT IS THE EXPECTATION IF A PATIENT
SPEAKS ANOTHER LANGUAGE?

They need to have a translator or family member who understands both

languages in order to understand and be understood. In order for
effective communication to be reached this language barrier has to be
taken down somehow.
Always make sure you have a facility on hand at the time when you need
to speak with the patient or a family member who can communicate with
you who speaks that language.
WHAT IS THE APPROPRIATE WAY TO DEAL
WITH PRAISE AND CONSTRUCTIVE
CRITICISM?

Take the criticism professionally and with an open mind. Learn from any mistakes
made and listen to what is being said so that you and your patient can work well
and efficiently together.
Take it at hand, learn from what people are telling you and learn to
exceed to the best of your potential.
WHAT PROFESSIONAL DEVELOPMENT
OPPORTUNITIES ARE AVAILABLE TO STAFF?

The staff are paid to take continued education courses, in-service with other
departments, and always ask each other questions to learn.
Online courses are provided monthly and are expected to be completed to
keep on top of new and old procedures, policies, OSHA, HIPPA, etc.
HOW IS PATIENT QUALITY ASSURED?

Patients are able to give interviews and fill out surveys to rate their care at NHC so
that the staff knows what is going right and what can be revised.
The patient always comes first, exceed to do what you can for that
patients needs.
ON YOUR OWN RESEARCH ONLINE: PATIENT QUALITY AWARDS
AND INDICATORS. ARE THERE AWARDS FOR PATIENT QUALITY?
HOW IS PATIENT QUALITY MEASURED AND AWARDED?

There are awards given throughout the company, not just in the therapy section,
for patient care. Through these surveys and interviews they are able to judge
patient care and award those who achieved it accordingly.
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HOW IS A STAFF MEETING STRUCTURED
AND MANAGED?

The meetings are led by Terry (the director). A piece of paper is posted on the door
to specify when and where the meeting is happening and the therapists and nurses
spread the word to make sure everyone makes it to the meeting. The director
directs the meeting for about an hour-an hour and a half about once every month.
Informing you of the new procedures and laws that the facility expects
and at each shift change each RN explains to the new staff coming in what
is happening with each patient so they can take care of them for the next
shift.
HOW ARE PATIENT RECORDS MANAGED: ARE THEY ELECTRONIC,
PAPER CHARTING, OR BOTH? IS THERE TRAINING TO MANAGE AN
ELECTRONIC CHARTING SYSTEM. HOW DO THEY FEEL ABOUT THEIR
CHARTING METHOD?

They are charted on computers and an online filing system. The charts are set up to
have already typed notes with portions to fill in as patient care goes on. It works
very well as everyone seems to know how everything about the charting works and
how to accurately fill things out. Occasionally there will be a miscommunication but
it is usually taken care of quickly.
I used to do it with paper and computers. Yes, there is training. I feel it
should all be electronic at this point.
WHAT DOES PROFESSIONALISM MEAN TO THEM?
WHAT DOES IT LOOK LIKE TO EXHIBIT
PROFESSIONALISM?

Professionalism means getting the patient the best care possible in order to send
them home in a safe and effective manner. Show up to work on time, do what you
came to do, get the patient ready to go home on time.
The patient always comes first, you should always do what is best for the
patient and if you cant find someone who can. Always come in with a
smile, never come in with negativity, the patient is always in need and
you must always do your best for them.
LOOK ONLINE ABOUT DISCRIMINATION? DEFINE DISCRIMINATION?
ARE FACILITIES ALLOWED TO DISCRIMINATE? WHAT IS THE
CONSEQUENCE IF A FACILITY DISCRIMINATES AGAINST A PATIENT?

Definition of Discrimination: the unjust or prejudicial treatment of different

categories of people or things, especially on the grounds of race, age, or sex.
There are rules and laws that say facilities are not allowed to discriminate against
anyone but these rules can be sadly broken.
Patients can request to be moved or ask for a different therapist if they arent
comfortable . (They didnt know exactly what the punishment would be) Their
scores in their interviews and surveys could be bad.
You would be written up, talked to by the staff, and there would be
training on how to deal with it.