Thursday, May 11, 2017

AHS investigation discovers serious problems at Lacombe long-term care facility---Comments Post # 2 ----------According to the documents, the investigation uncovered: • Inconsistently updated care plans and patient charting; • Incomplete fall risk assessments, dietary assessments, vital signs monitoring and wound care interventions; • Deficient training for staff in infection control, medication management, dementia care, CPR, use of restraints, fall prevention and choking response; • Improper security of private client information; • Presence of expired aseptic supplies such as wound care products and catheters; • Dirty products stored with sterile products; • Used client razors left unattended, and tubs found to be dirty; • Soiled linen and garbage found to be overflowing into hallways; • Unsafe medication practices, including a client administering his own insulin when it was unclear if he was competent to do so; • Medication rooms left unlocked; • Poor documentation around whether clients had received required tooth brushing and bathing; • Inconsistent practices to ensure safe water temperatures for bathing; • High infection rates and antibiotic use.-------



http://edmontonjournal.com/health/seniors/ahs-investigation-discovers-serious-problems-at-lacombe-long-term-care-facility


AHS investigation discovers serious problems at Lacombe long-term care facility

Published on: May 9, 2017 | Last Updated: May 9, 2017 9:22 PM MDT
Lacombe Hospital
The Lacombe Hospital and Health Centre BRICE ROY/LACOMBE GLOBE/QMI AGENCY / POSTMEDIA
Three staff members at a Lacombe long-term care facility have been placed on leave after an internal Alberta Health Services investigation discovered training deficiencies, unsanitary conditions and a lack of safety around medications.
The health authority said Tuesday the Lacombe Hospital and Health Centre has been thoroughly cleaned. Education sessions have also begun for staff “to ensure they understand health service and accommodation standards for continuing care.”
A total of 75 residents live in the long-term care portion of the health centre, all of whom have been re-assessed.
AHS initiated a review and audit only after nursing students completing their practicums at the site came forward with problems they had witnessed.     
“We take these concerns very seriously and we responded quickly with our investigation and audits with support from Alberta Health,” Brenda Huband, chief health operations officer for central and southern Alberta, said in a written statement Tuesday.
The statement was released shortly after the Wildrose Party highlighted the issue during question period in the legislature and released leaked documents from the audit.
According to the documents, the investigation uncovered:
• Inconsistently updated care plans and patient charting;
• Incomplete fall risk assessments, dietary assessments, vital signs monitoring and wound care interventions;
• Deficient training for staff in infection control, medication management, dementia care, CPR, use of restraints, fall prevention and choking response;
• Improper security of private client information;
• Presence of expired aseptic supplies such as wound care products and catheters;
• Dirty products stored with sterile products;
• Used client razors left unattended, and tubs found to be dirty;
• Soiled linen and garbage found to be overflowing into hallways;
• Unsafe medication practices, including a client administering his own insulin when it was unclear if he was competent to do so;
• Medication rooms left unlocked;
• Poor documentation around whether clients had received required tooth brushing and bathing;
• Inconsistent practices to ensure safe water temperatures for bathing;
• High infection rates and antibiotic use.
kgerein@postmedia.com
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According to the documents, the investigation uncovered soiled linen and garbage found to be overflowing into hallways. And much, much more.
Three staff members at a Lacombe long-term care facility have been placed on leave after an internal Alberta Health Services investigation...
EDMONTONJOURNAL.COM
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Laurie Georgie Ferguson I despise hearing how AHS is underfunded. Do you know how much some of these people's salaries are? Take a look at the CEO and the entire administrative structure and you will see where the money really goes. Where does each resident's money go in every AHS facility in Alberta? It lines pockets of ever paid beaurocrats! And do all staff truly care about each and every resident or is it really about how much they are paid? Come on, do you think people would really work in those places without being shown the money? It HAS to change! These are our grandparents, mothers, father's our beloved pioneers of this province! This should never happen. It's so sad that it took students to discover this.
Linda Feland-Swityk Under this government those executives have had their pay reduced.
Terry Jones Flewelling Laurie, to many of "those" staff these facilities are their first home with a large extended family whom they see on an almost daily basis. I say first home as they spend more time with this family than they do with their actual families. They come to love and care for each and every granny or gramps as if they were their own. To hear that it took some students to finally bring up some deficiencies after years of staff having to do with what they had is appalling.
Laurie Georgie Ferguson That is why we should keep a closer eye on these facilities so we can protect the vulnerable.
Cheryl Metzger Totally agree Management is overpaid and save$$on staffing to stay within budget for their yearly bonus Greed is management who have lost any nursing skills they may of had OR a reflection of what kind of nurse they once were ??
Nicole Glimm Your implication that nurses are overpaid or wouldn't work in such places without being "shown the money" is ludacis. I have been in healthcare for over 20 years and I do it because I love it not because it's making me rich. Walk a mile in a nurses shoes and then you may rethink your statement
Lynn Sangster Thiessen First of all management is the problem I worked for over 20 years in long term care and without good management your staff is going to slack off There is no reason for dirty linen and garbage in the same room as sterile things or clean linen I know sta...See More
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Yesterday at 4:19pmEdited
Christina Sefton Hmmm a long term care center still in alberta, under attack by ahs....are they building a private structure across the street? Why would an organization publically attack itself, instead of cleaning up its act? Also are the managers former nurses who know what the job is or people who want to be leaders? If it looks like a duck....
Linda Maschmeyer Precisely.
Stephanie Trotter Yeah, and does anyone know exactly how much cookies had to be shipped to Alberta for that one Director?
Julie Ali Linda Feland-Swityk These salaries are still pretty darn high. And why do we have two health authorities with two bureaucracies?
Lynne Kowalchuk Thanks for saying that so well..that was exactly my point..over paid government top dogs in every department. Cut wages..put the money where its needed!
Darlene Eby anyone working in this field does so because they have a heart and care for others.can you share hat your job is ? why did you chose the feild your working in?
Julie Ali I agree with Laurie that the pay for the executive staff at AHS and Covenant Health is too high. The salaries of the minister of health, the deputy health minister and the assorted health bureaucrats is also over compensation for the work they do. We are paying for ordinary folks to do work that is being done poorly and yet they are still getting big bucks. Why? I imagine this sort of over compensation occurs because of the PC legacy of paying everyone and their dog too much cash for very little deliverables. I had hoped the NDP would end this sort of excess but there is NO decline in the sponging off the public. Very poor performance by the NDP folks.
Reply35 minsEdited
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Sandra Lynn There are a lot of comments that blame the staff on here. Staff does need to be held accountable, but (and there are a couple of HUGE 'buts')... 

I can't help wondering what their staffing levels were like? That's too much going wrong for even the 
most incompetent healthcare team...and I wonder why AHS doesn't mention staffing levels at all? 

I worked for a few years in Edmonton on an acute care surgical unit, and I saw the condition some long term care residents were in. Horrifying on more than one occassion. At first I felt entirely justified in blaming the nurses at their LTC facilities... BUT.

I also knew a couple of our NA's that had second jobs in long term care and heard what their work load was like (12 - 16 folks to get up, dressed, medicated, and out to the dining room before 8 for breakfast - ALONE - many of whome were total care and/or suffering from dementia). I also worked in long term care when I came home - front line at first, then supervisory - and I can tell you that policies & standards of practice are there for a reason and must be adhered to...BUT.

The most well designed and well intentioned policies, procedures, and standards becomes nigh on impossible to follow without adequate staffing levels. Period. No matter how good you are at your job, no matter how passionate you are about excellence, no matter how much overtime you donate for free. I have been priviledged to work with some amazing nurses and some amazing teams and I can attest with 100% confidence that even the best of the best can only do so much. 

In my humble little opinion this explains - pretty much all by itself - why all levels of nursing have such a burn-out problem. This problem isn't going away, and I'd confidently bet money that this facility is far from the only one having these problems. More nursing assistants, LPN's, and RN's are needed...BUT it doesn't stop there. Facilities also need more therapy assistants, dietary aids, housekeepers, PT's, OT's, etc. etc. etc. 

Until there are more resources...more people...more equipment...more MONEY (taxes people, taxes...be willing to pay 'em, gov't be willing to promote transparency in the spending of 'em) we will continue to have little choice but to fall short of the mark. 

For crying out loud people - stop blaming the front line and take a harder look at those at the top of our chain of command...and at how much we are willing to spend on healthcare.
Sarrah Russell English speaking and English writing staff are low in alot of facility. Poor hygiene practise and very litle training are a few things Ive seen working in the healthcare facility and lets just say when a group are doing it on the same shift, they all dont care.
Andrea Santerini Very well said! You should send a copy of it to our minister Sarah Hoffman
Bonnie McRobb You nailed it!
Linda Maschmeyer Very well explained Sandra. BUT we must insist that AHS needs to spend less on bureaucracy and more on direct services. The sitting government reps need to be pushed IN WRITING to fix this!
Julie Ali We have blamed the government of Alberta for these problems and nothing has changed. What is required is sustained pressure from the public.

In my opinion, the problems you have cited are not solely due to budget problems leading to poor staff:reside
nt ratios although this is a major issue. Continuing care is underfunded but there are other problems that need addressing such as the training of the staff and the ongoing lack of oversight by AHS and Alberta Health. 

These are leadership issues and indicate to me that the leadership is not interested in the major issues of continuing care which are underfunding, poor staff:resident ratios, inadequate training, lack of integrated care teams, lack of support for staff continuing education, lack of consequences for on the job failures and certainly a complete lack of transparency about the auditing results that would better inform the public of the problems and get them activated to get government to do the job in the continuing care system that it has abdicated since the beginning of the PC error. Now we have the NDP error and the same problems continue. 
Cash is needed, intelligent planning is needed and when there are failures that persist, government needs to have penalties not placebo solutions that do not work. 

Increasing taxes will not happen because we are already not getting value for the taxes we give.Why should we pay more taxes to see the top tier of these organizations, AHS, Covenant Health and the bureaucracy at the GOA get more pay? It's not trickling down to the front line staff and the residents. Until we get the deliverables we're not willing to pay more taxes for the elite who are already over compensated for the poor work they do.
Denise Scherrer That was right on! Like your comment!
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