Aged Care Royal Commission and its negative effect on the industry

[Puddy]

Closing wards?

They have the psychotropic register for behavoural issues.
One has options, choices.

There should be no violence.

Nursing homes are closing wards due to not being able to staff them.

Violence is not unusual in aged care. The push to take patients off any medications in favour of other strategies which don't work has exasperated this situation.

 

[campbell]

Nursing homes are closing wards due to not being able to staff them.

Violence is not unusual in aged care. The push to take patients off any medications in favour of other strategies which don't work has exasperated this situation.

I dont know of any places closing, thats a stretch imo.

If a resident needs medication, they are given it.
It just needs to be reported monthly to DOH.
Not a big issue.

Resident and staff safety is paramount.

 

[Puddy]

I dont know of any places closing, thats a stretch imo.

If a resident needs medication, they are given it.
It just needs to be reported monthly to DOH.
Not a big issue.

Resident and staff safety is paramount.

It's not a stretch, it's reality. Not just rural, but RACFs in capital cities are closing due to staffing issues.

Care minuets are a joke, other staff are being sacked and PCWs are undertaking their duties to get care minuets up.

Doctors are unable to prescribe appropriate sedation.

Residents and staff are assaulted every day. It's just not reported

 

[campbell]

It's not a stretch, it's reality. Not just rural, but RACFs in capital cities are closing due to staffing issues.

Care minuets are a joke, other staff are being sacked and PCWs are undertaking their duties to get care minuets up.

Doctors are unable to prescribe appropriate sedation.

Residents and staff are assaulted every day. It's just not reported

mmm. agree to disagree.

Medical Practitioners do prescribe. NFI where you work, it sounds atrocious.

or.

 

[Puddy]

mmm. agree to disagree.

Medical Practitioners do prescribe. NFI where you work, it sounds atrocious.

or.

Medical Practitioners are reluctant to prescribe sedatives to chemically restrain violent or disruptive patients. Everyone is terrified of a crazy family suing them.

It's a cycle. Someone is violent in a RACF, due to anti restraint legislation there are limitations on what they can do to keep everyone safe, so an ambulance is called, the patient is taken to hospital, physically and chemically restrained, and sent back.

Rinse and repeat.

 

[campbell]

Medical Practitioners are reluctant to prescribe sedatives to chemically restrain violent or disruptive patients. Everyone is terrified of a crazy family suing them.

It's a cycle. Someone is violent in a RACF, due to anti restraint legislation there are limitations on what they can do to keep everyone safe, so an ambulance is called, the patient is taken to hospital, physically and chemically restrained, and sent back.

Rinse and repeat.

untrue.

 

[Puddy]

untrue.

This is exactly what is happening.

It's ridiculous how far we have gone with the anti restraint lunacy. We can't even use seatbelts on wheelchairs which are designed for safety because it's considered a restraint.

 

[campbell]

This is exactly what is happening.

It's ridiculous how far we have gone with the anti restraint lunacy. We can't even use seatbelts on wheelchairs which are designed for safety because it's considered a restraint.

This is exactly what is happening.

It's ridiculous how far we have gone with the anti restraint lunacy. We can't even use seatbelts on wheelchairs which are designed for safety because it's considered a restraint.

I dont think you understand the actual restrictive practice policy.

Medication if needed can and is used.There is a process and reporting structure in place. Easy to follow.

It is in place due to dodgy facilities. It needs to be in place.

 

[aj1992]

I dont know of any places closing, thats a stretch imo.

If a resident needs medication, they are given it.
It just needs to be reported monthly to DOH.
Not a big issue.

Resident and staff safety is paramount.

Well you clearly have NFI what your talking about then.

Aged care closures: Around 1 per month - Inside Ageing

Aged care industry news Australia

insideageing.com.au

 

[campbell]

Well you clearly have NFI what your talking about then.

Aged care closures: Around 1 per month - Inside Ageing

Aged care industry news Australia

insideageing.com.au

Care minutes are neccessary.
Residents should have clinical care, by Registered staff.

Not shortcuts with Enrolled or Assistant nurses.

Closures are due to businesses not wanting to provide optimum care.

ffs, these residentts pay a premium, they dont deserve shoddy care.

Their clinical safety should be whats required.

Not shortcuts with Assistants giving medications.

 

[Puddy]

Care minutes are neccessary.
Residents should have clinical care, by Registered staff.

Not shortcuts with Enrolled or Assistant nurses.

Closures are due to businesses not wanting to provide optimum care.

ffs, these residentts pay a premium, they dont deserve shoddy care.

Their clinical safety should be whats required.

Not shortcuts with Assistants giving medications.

Kitchen staff are being sacked, pcws are being given extra duties outside actual care to boost 'care' minutes.

The current environment is pushing for RNs doing excess paperwork and med comp pcws giving medications. There is nothing wrong with RNs overseeing the floor and doing DDAs, ENs giving meds and PCWs doing the bulk of the physical work. Unfortunately this is a thing of the past and patients are suffering because of it.

The current government has no idea how to fix the problems and are actively making it worse.

 

[campbell]

Kitchen staff are being sacked, pcws are being given extra duties outside actual care to boost 'care' minutes.

The current environment is pushing for RNs doing excess paperwork and med comp pcws giving medications. There is nothing wrong with RNs overseeing the floor and doing DDAs, ENs giving meds and PCWs doing the bulk of the physical work. Unfortunately this is a thing of the past and patients are suffering because of it.

The current government has no idea how to fix the problems and are actively making it worse.

Years ago,

there were no PCW, just En and Rn.

and there is absolutely no way in hell a PCW should be giving medications.

Disgusting.

 

[Puddy]

Years ago,

there were no PCW, just En and Rn.

and there is absolutely no way in hell a PCW should be giving medications.

Disgusting.

It's what's the norm now. Care is suffering as a result.

 

[campbell]

It's what's the norm now. Care is suffering as a result.

maybe it shouldnt be.
Profits before good clinical care never ends well, for the profiteer or resident.

Care minutes,in part, aims to make facilities accountable for good clinical care.
Beggars belief that anyone thinks a person after 3 months online course could give residents medication.

No knowledge or care really, by all concerned.

 

[Puddy]

maybe it shouldnt be.
Profits before good clinical care never ends well, for the profiteer or resident.

Care minutes,in part, aims to make facilities accountable for good clinical care.
Beggars belief that anyone thinks a person after 3 months online course could give residents medication.

No knowledge or care really, by all concerned.

Care minutes is a excuse. So governments can say that they are doing something by doing nothing.

Patient ratios is the only way to to. Unfortunately the workers simply don't exist. This has been a disaster 20 years in the making and we have completely ignored it until now.

 

[campbell]

Care minutes is a excuse. So governments can say that they are doing something by doing nothing.

Patient ratios is the only way to to. Unfortunately the workers simply don't exist. This has been a disaster 20 years in the making and we have completely ignored it until now.

The workers are there.
They dont like the conditions.

much like child care industry.

 

[Puddy]

The workers are there.
They dont like the conditions.

much like child care industry.

The anti restraint brigade have a lot to answer for. The only way this will change will be if criminal charges are laid for what they have done

 

[campbell]

The anti restraint brigade have a lot to answer for. The only way this will change will be if criminal charges are laid for what they have done

The anti restraint brigade have a lot to answer for. The only way this will change will be if criminal charges are laid for what they have done

Goodness.
Get a grip.

Restrictive Practice needs to stay.
It is easy to follow and implement.

Surely you see that?

Do you actually understand the policy or reporting mechanism?

 

[Puddy]

Goodness.
Get a grip.

Restrictive Practice needs to stay.
It is easy to follow and implement.

Surely you see that?

Do you actually understand the policy or reporting mechanism?

Do you have any actual idea about what's happening on the floor?

We report any resident aggression and we get blamed for it.

The behavioural 'experts' blame us for their own incompetence.

Residents are murdering each other in RACFs because they are not being appropriately restrained. In one case, one patient beat another to death with their walking frame.

 

[campbell]

Do you have any actual idea about what's happening on the floor?

We report any resident aggression and we get blamed for it.

The behavioural 'experts' blame us for their own incompetence.

Residents are murdering each other in RACFs because they are not being appropriately restrained. In one case, one patient beat another to death with their walking frame.

Yep, sure do.

Are you ok.

Murdering is a very emotive term.

 

[Puddy]

Yep, sure do.

Are you ok.

Murdering is a very emotive term.

Not really. It's the reality of the situation that we are in.

Too bad the suits we have to deal with don't live in the same reality as us

 

[greyhound punter]

Not really. It's the reality of the situation that we are in.

Too bad the suits we have to deal with don't live in the same reality as us

100%

The people arguing that any aggression is symptomatic of "unmet needs" - as is the inclination these days - most of these types have been in academia for years.

Most have never had to work in inpatient psychiatric wards or on a dementia ward, or in a supported independent living house as a disability support worker.

 

[Puddy]

100%

The people arguing that any aggression is symptomatic of "unmet needs" - as is the inclination these days - most of these types have been in academia for years.

Most have never had to work in inpatient psychiatric wards or on a dementia ward, or in a supported independent living house as a disability support worker.

That's one of the biggest reasons we are in the mess we are in.

We have these academic idiots who have no experience on the floor (thus no real qualifications) telling us how to do deal with these people.

The result is patients attacking staff, crazy families who have been fed lies by these 'experts' abusing staff, patients assaulting and murdering each other.

 

[campbell]

That's one of the biggest reasons we are in the mess we are in.

We have these academic idiots who have no experience on the floor (thus no real qualifications) telling us how to do deal with these people.

The result is patients attacking staff, crazy families who have been fed lies by these 'experts' abusing staff, patients assaulting and murdering each other.

Can I ask what real qualifications you feel would be needed?

Do you have some sort of solution ?

 

[Puddy]

Can I ask what real qualifications you feel would be needed?

Do you have some sort of solution ?

Minimum of 5 years of direct care experience on the floor in a dementia ward should be a bare minimum.

This isn't something you can learn out of a book, or study without hands on experience.