Nursing SymposiumSunday, October 13, 2019Welcome to New Orleans!

2019 Outstanding PACE Nurse of the Year

This Year’s Nominees Are…• Henry Hart, RN, Senior Life Reading, Reading, PA• Kathleen Downey, BS, RN, Element Care, Lynn, MA• Sara Brickey, BS, RN, Valir PACE, Oklahoma City, OK• Sarah Faulks, RN, Prisma Health SeniorCare PACE, Columbia, SC• Stacy Peatross, RN, Piedmont Health SeniorCare, Burlington, NC• Stephanie Castillo, BSN, RN, Upham's PACE, Boston, MA

• And the Winner is…

Sara Brickey, RN, BSValir PACEOklahoma City, OK

Roundtable Discussions• What types of specialty nursing care is offered i.e.: hospice, wound

specialist, stoma nurse, etc.;

• Bed bugs and how sites are handling;

• Bullying in the Center by participants;

• How to get the word to participants and families – Newsletters/Social Platform/Flyers;

• Care Planning for Participants or Staff (Best practices) How much content should or needs to be included. Care planning and Participant evolvement (Best practices);

• Defining Service delivery requests to meet CMS requirements;

• PACE clinical orders tracking (best practices);

• PACE End of life discussion;

• Transportation use of internal vs external challenges and solutions;

• Meeting the needs in their home of the participant with Cognitive diagnosis;

• Adjusting the care plan;

• Providers and assistance with meals, housekeeping and ADL’s;

• Nursing Care Plans;

• Nursing versus Home Care Assessments;

• Participant Compliance regarding falls & medications (including medication errors).

Roundtable Discussionsand

Report Out

Census vs Staff and Clinic Staff

Tina Stallings, RN, BSN, Manager of Quality, PACE Baton Rouge, Baton Rouge, LATracey Cook, Center Manager, PACE Lafayette, Lafayette, LA

PACE Baton Rouge

PACE Baton Rouge

• PACE Baton Rouge • Established 2008• Part of the Franciscan Missionaries of Our Lady Health System• Started as an Adult Day Center• 196 Participants• 79 Employees• Current Long Term Care - 22

BR Staffing

• 196 participants as of October 1 2019• 1 Primary Care Physician• 2 Nurse Practitioners • 6 RN Case Managers

• Participants divided into panels (33 to 34 participants)• 2 PRN RN Case Managers• Long Term Care – RN assigned panel (22)• LPN (2) 1 - Medicine Nurse 1 assists with Acute Visits/Wound Care/Treatments

BR Clinic

• Clinic• ACA who coordinates care in Clinic• ACA – assists in Clinic and is also a Phlebotomist• Pharmacy Tech – helps coordinate medications

PACE Lafayette

PACE Lafayette

• PACE Lafayette• Established 2015• Part of the Franciscan Missionaries of Our Lady Health System• 104 Participants as of October 1, 2019• Average daily attendance - 72• 37 Employees• Current Long Term Care - 2

Lafayette Staffing Model

• 1 Primary Care Physician• 2 Nurse Practitioners • RN Case Managers (2)

• Assigned panel of participants (52)• RN Panel with Clinical Staff

• LPN - assigned• Social Worker - assigned• Home Care Coordinator - assigned• OT• PT

Lafayette Staffing

• LPN (3) 1 - Medicine Nurse 2 assigned to the RN Panel

• Clinic• ACA who coordinates care in Clinic

Questions

Thanks!

• Tracey Cook – tracey.cook@fmolhs.org• Tina Stallings – tina.stallings@fmolhs.org

Closing Acknowledgements

Nursing Symposium & Awards Committee• Angela Anderson, LPN, Midland Care PACE• Christine Sisil, BSN, RN, PHN, CalOptima • Donna White, MS, RN, PACE CNY• Nadine Streleski-Flanders, MBA-HCM, MSN, BSN, RN, Life Program• Rebecca Hille, RN, Community Care, Inc.• Sheila Rogers, MA, BSN, RN-BC, ElderOne• Tina Stallings, RN, PACE Baton Rouge• Tracy Rine-Cole, RN, BSN, CHPN, Senior Care Partners PACE

Tina Stallings, RN, PACE Baton Rouge

Thank You!

House Keeping Items

• Sign-In Sheet – Please see me and sign the attendance sheet;

• Roundtable Discussions Report Out;• Whova App – Nursing Symposium Evaluation Form

Online;• Extra Nursing Symposium Folders.