other nurses not letting you do your job

Yeah I worked in a place where a bookkeeper pulled something and helped make things profitable, but she cursed and was nasty, smoked where she wanted- even in front of the signs stating this is a no smoking facility. I stayed far away from her....

-very good point and yes too many people think we do nothing but sit at the computer all day. I helped work the floor saturday cause someone's kid was sick made me really miss the resident's loved sitting there and feeding them. It is sad that some DON's dont understand. Today have been working my tail off getting careplans just right for thursday while people are out smoking, 2 hour lunch breaks very aggravating but I must worry about what I need to do just tired of feeling the the whole interdisciplinary team!!! Social worker-once a month-Dietician- once a month, Occasionally a DM to careplan meeting, The activity director I give her kudos she always brings her section N to me and is now doing her own careplan. I put the CP's in a folder and heck there have been days she misplaced them. anyways, could be worse I am sure.

Was teaching a few new nursing students some rudiments of the MDS/RAI process today. They were very impressed that there is one tool that designates reimbursement, helps begin the care planning process and gives the state our QI information. Makes me realize how important what I do really is. Yes, I am the most important nurse in the building at times. I can still run a code blue, I CAN, but WON'T do a floor shift, CAN and WILL do an occasional supervisory shift, but to me: Seeing the facility get paid what we deserve is just as important. My Med A daily rate was $60 over budget for September, and even though only the Administrator, Rehab Manager and Business Office Manager and myself were privy to that, I can look at the patients, the staff and the building and know, KNOW, that I am as good as it gets. I have a very important job, and I do it to the best of my ability. The IDT management is like herding feral cats. Nasty nurses who hate my care plans and their own jobs don't bother me at all. If I did my job the way they do theirs, our facility would close. I don't care, I've found my bliss.

wow can I relate, friday I also gave our nurses an inservice on documentation, and one nurse actually told me " I dont know why you came up with this and why we have to be responsible for our nurse aides I can barely get my own job done." I am thinking to myself when I was working the floor-- no med aide--only 3 nurse aides and we seems to handle it ok even on the bad days with several incidents and sending a few to the hospital and transports. What are they teaching them these days in nurses t raining?? They only want to fax a doc instead of calling them. they dont follow up on important things. And to top it all off our cooporate medicare biller (not a nurse) calls and tells us we are on vendor hold--- which was not the truth and scared me to death because I also teach our nurse aide course in this small town and we could not survive without it. I am like you I do enjoy trying to get the best bang for the buck so to speak. I know our nurses are doing the work but I cant get it collected because of poor charting and that is what is sad to me. I got approval for a new nursing initial assessment that follows the mds. I hope this will work for us. They dont like my careplans either and I make nursing staff look at them now they did not even do that before lol sad.

Does anyone's job description say that it is a responsibility to complete documentation in a timely fashion?

funny thing is I never even got a job description. I do have one for the states nurse aide curriculum which I do follow. But.. they want to put the adon and mds duties all together and I only agreed to work 3 days -2days doing MDS data and one day in nurse aide training. Plus on top of that I am trying to complete online RN program. I am currently an LVN.