I am a Social Services Director for a LTC facility. Part of my job description charges me to be the advocate for our residents in addition to handling grievances. I love my job. I love my residents. I speak up for them. As a result, I have been told to stay in my lane a couple times. I am professional. I am respectful. In this role, I feel if my residents are not receiving the expected standard of care, I am supposed to speak up. Would love to see y’all’s thoughts

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I used to be in that role for many years. Assuming it is nursing telling you that... I would just be cautious of telling them how to do something medical when that isn't your background. We learn alot about nursing in that role and may be correct but I refrain from telling them exactly how to help the person. I would just communicate clearly what the concern is and ask for help finding a solution. To be collaborative with other disciplines. As a SW you can also add value of providing perspective and other factors medical staff may not think of (like this person has anxiety and when her call light isn't answered she feels abandoned etc etc).

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You’re right. It is with nursing, mostly. I’ve been methodically walking that line ever since I came on board. Over the last six months, I’ve patiently observed, taken notes and tried to clean up where I can. With that knowledge now, along with the rapport I’ve built with the multidisciplinary team, I am now making my slight moves. It’s never about telling them how to do their job, it’s more so me letting them know when I realize missteps taken. (Not properly documenting a fall, the med tech not administering newly prescribed antibiotics, a CNA ignoring a call light for over an hour, vitals not being taken on schedule, etc…) I always approach it as an ask for clarification. No matter how carefully I put it though, it seems I’m making some nervous that, well, I’m actually doing my job. If I can make this breakthrough though, it could potentially turn the entire facility around. I appreciate your feedback

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I recently had a meeting with an LTC team to advocate for a family member… I am an LMSW with 25 years in health care. Some of the same observations you made in your role, I made as an outsider. The meeting was not to cast blame or threaten reporting to department of health, but to simply say I see this, how can we make it better. Your role likely has in it’s job description that you need to uphold regulatory standards and quality. You are simply doing your job when you recognize those standards are not being met. Your facility likely has conditions of participation in order to be funded or payed by insurance sources, if the payers are informed that the facility is not meeting their conditions, then your facility is then at financial risk. If your staff sees the mistakes, know darn well that there is a family member, visitor or even a resident that WILL report it without giving the team an opportunity to improve first. Ask those who are telling you to stay in your lane if they actually enjoy the ability to own a car and drive to work…

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Additional Posts in Social Workers & Therapists

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