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| No. 20 | 
Apr 05, 2007, 09:04 PM
 Re: MDS Coordinators/ RN or LPN Assessment Coordinators
I have a question for everyone out there. What are everyone's medicaid and medicare average case mix scores? And what type of building is it?
 | | Advertisement Sponsored Links | | | | No. 21 |
Apr 18, 2007, 06:55 PM
Updated
Apr 18, 2007 at 06:59 PM by nursy711
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
hello. I've been MDS Coordinator Assistant for the past 5 years, Ive Taken the coordinators place when she was on vacation and out sick for 3 months. THE MDS Coordinator is leaving in 2 weeks. The Don asked me if I wanted the job, which of course I do. My question is, if I become certified do I still need an RN to sign off on the MDS? My second question is, how much of a raise should I ask for? keep in mind, they will not be replacing me (assistant) so I will be working by myself.
| | No. 22 |
Apr 18, 2007, 08:10 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators Originally Posted by nursy711  hello. I've been MDS Coordinator Assistant for the past 5 years, Ive Taken the coordinators place when she was on vacation and out sick for 3 months. THE MDS Coordinator is leaving in 2 weeks. The Don asked me if I wanted the job, which of course I do. My question is, if I become certified do I still need an RN to sign off on the MDS? My second question is, how much of a raise should I ask for? keep in mind, they will not be replacing me (assistant) so I will be working by myself.
Yes you will still need the RN to sign. About the raise, depends on what you are making now and what they are willing to give.
| | No. 23 |
Apr 20, 2007, 04:32 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
hello again. Well after looking at the salaries posted im afraid to tell u what i make. I ve been in the same facility for 7 years, no benefits, no retirement, and i make 25.50 an hour.
my question about mds is, does an RN have to do the raps? and can a LPN run a care plan meeting? i usually do all the raps and run the ccp meetings in the absence of the coordinator, just wondering throught the states eyes is that ok? (NEW YORK)  | | No. 24 |
Apr 20, 2007, 04:40 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
An RN is required only to sign R2b - stating the MDS is complete. That's it. This is not even a statement of accuracy, just that all the blanks got filled in. I did entire MDS's/RAP's/Careplans w/ mtgs for years as an LPN (RN now). An RN signed off as complete at R2b and this was never a problem during state survey. Even as an RN now, I find it silly that it takes this RN degree to accurately determine that all the blanks have been filled in!
| | No. 25 |
Apr 22, 2007, 08:02 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
You find it silly that an RN has to sign to state all the blanks are filled in?
At one facility I worked at, the LPN's could do meds, treatments,IV's...BUT they weren't allowed to do a dental assessment and count teeth on admission!....hmmmm, you can put something in someone's vein that theoretically could kill them, but you can't count teeth. Lot's of things in this business don't make sense.
| | No. 26 |
Apr 22, 2007, 08:56 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators Originally Posted by CapeCodMermaid At one facility I worked at, the LPN's could do meds, treatments,IV's...BUT they weren't allowed to do a dental assessment and count teeth on admission!....hmmmm, you can put something in someone's vein that theoretically could kill them, but you can't count teeth. Lot's of things in this business don't make sense.
Actually, I believe this is a JACHO regulation (and I can NEVER remember how to spell that out and bet I've got it wrong again {JACHO}!?)
But anyway, we can't allow LPN's to count teeth either for that reason. And yep, this is another example of stupidity in our business. And we question the cost of health care!
| | No. 27 |
Apr 23, 2007, 06:42 AM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
I don't know about if it's a Joint Commission thing, but the LPNs are now allowed to do the entire admission...including counting teeth...1,2,3,4.....woowoo
| | No. 28 |
Apr 24, 2007, 02:23 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators
I HAVE A QUESTION. PAGE 3-100 IN THE UPDATED MDS MANUAL, THE EXAMPLE (RES PERFORMED ALL THE TASKS OF PERSONAL HYGIENE EXCEPT SHAVING. THE BARBER VISITED HIM ON THE UNIT 3 TIMES A WEEK TO SHAVE HIS THICK BEARD) THEY HAVE IT CODED AS A 3 2. I WOULD HAVE FIGURED SINCE HE DOES ALL OF HIS OWN PERSONAL HYGIENE I WOULD HAVE CODED IT AS A 2 2. THE SAME SENARIO. A WOMAN DOES ALL OF HER OWN CARE AND DRSG AND ONLY NEEDS HELP BRUSHING HER LONG HAIR, AND ITS ALSO CODED AS A 3 3. AGAIN I WOULD HAVE CODED IT AS A 2 2. IN YOUR OPINION, WHAT WOULD YOU HAVE CODED THESE 2 PEOPLE?
THANKS ,
CHRISTINE  | | No. 29 |
Apr 24, 2007, 04:55 PM
Re: MDS Coordinators/ RN or LPN Assessment Coordinators Originally Posted by nursy711 I HAVE A QUESTION. PAGE 3-100 IN THE UPDATED MDS MANUAL, THE EXAMPLE (RES PERFORMED ALL THE TASKS OF PERSONAL HYGIENE EXCEPT SHAVING. THE BARBER VISITED HIM ON THE UNIT 3 TIMES A WEEK TO SHAVE HIS THICK BEARD) THEY HAVE IT CODED AS A 3 2. I WOULD HAVE FIGURED SINCE HE DOES ALL OF HIS OWN PERSONAL HYGIENE I WOULD HAVE CODED IT AS A 2 2. THE SAME SENARIO. A WOMAN DOES ALL OF HER OWN CARE AND DRSG AND ONLY NEEDS HELP BRUSHING HER LONG HAIR, AND ITS ALSO CODED AS A 3 3. AGAIN I WOULD HAVE CODED IT AS A 2 2. IN YOUR OPINION, WHAT WOULD YOU HAVE CODED THESE 2 PEOPLE?
THANKS ,
CHRISTINE
I would have coded both as a 3/2 (because that is the right way to do it AND it's the way the RAI - AKA MDS bible - states to do it!)
I teach this way:
Supervision (#1) = talk
Limited (#2) = touch only with an opened hand. (Like w/ the weeble-wobbley little ole lady walking down the hall - open hand just guiding them to keep their balance)
Extensive (#3) = closed hand &/or your muscles are involved (but resident also participates at least w/ something)
Therefore it would take a closed hand to hold and "power" the brush/razor. This makes it an extensive assist.
I find to many people that think limited = "little bit of help", extensive = "lot of help". This is wrong!
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