Long-Term Care Survey Alert
If Your Facility Uses Feeding Assistants, Make Sure You Don't Do This
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Avoid this recipe for IJ. Feeding assistants can improve a resident's nutritional status and quality of life. But make sure to screen residents carefully before assigning them a feeding assistant. Survey consultant Diana Waugh, RN, BSN, is seeing IJ citations in Ohio where feeding assistants are feeding residents who have a history of choking episodes documented in their clinical records. What the F373 surveyor guidance says: Feeding assistants can only feed residents who don't have complicated feeding problems, which include difficulty swallowing, recurrent lung aspiration, and tube or parenteral/IV feedings. Avoid this temptation: "Facilities are shying away from using feeding assistants due to fear of IJ citations," says Waugh, principal of Waugh Consulting in Waterville, Ohio. But if facilities follow the rules, they won't end up with problems, she adds.
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