Effective training is a good return on your investment

It is always a constant balance between money and training.  For an audit, all the boxes have to be ticked but how effective is the training you are getting using this method? 

While free training is always a bonus sometimes it is better to pay for the training and get something that is relevant to your workplace and your clients/residents. 

I was talking to a colleague the other day, who also does training and we have both found that some training is missing the mark.  Targeted relevant training, to your workplace is a good investment.  It comes back to you in good care which gets referrals.  Many situations are assessed accurately by caregivers, and in these forums, this information is often uncovered but somehow, in the normal run of the mill day,it doesnt get passed on to the RN's or Managers. 

We have both come to the same conclusion, the basic, grass roots stuff is being overlooked and the losers are the residents and the staff too.  While clinical training is important, the basic day to day, practical information is not getting across. By having a skilled person who has knowledge of the industry in the workplace, real life examples can be used to manage some of the problems experienced.

An examples of this is a person who was vomiting and unable to eat.  This person was sent off for a variety of very expensive tests and they couldn't find out what was causing the sickness.  In the end one of the caregivers pointed out the the person rocked a lot and that it could be motion sickness.  

Another example is with difficult behaviours.  When a person's behaviour is discussed, in a group, and facilitated by an outsider, it was found that the major problem with the behaviour was exacerbated or caused by the caregiver rather than the person being the problem. One facility has reported back to me, they found this session so valuable, they talked about it for week. 

Yet another example is talking about eating & weight loss and the discovery of a person who frequently turned her food away, not feeling hungry. It was discover that she was a long way from the Kitchen and couldn't smell the food cooking.  Her taste buds were not able to prepare her for her meal.  No-body understood the changes that happen to taste buds as a person ages.

In a paper written by Professor Tim Wilkinson, Christchurch Geriatrician, he  estimates that between 10 & 80% of people in residential care suffer from under-nutrition.  Caregivers don't know what they don't know.  It is up to RN's to teach them what to look for and what to report. The Aging Process & Nutrition & Hydration are in-house training I offer that covers this topic.

So when thinking about the cost of training, try thinking of the cost of not doing the training.  It may be more expensive for you in the long run.


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