NurseMellie

NurseMellie

Member
  • Content

    63
  • Visitors

    1,889
  • Followers

    0

About NurseMellie

I started with being a NAC before going back to school for my RN. I have worked my way up through the ladder and have done almost everything at my building. I graduated with my RN in 2010 and was a nurse on the day shift for a while then Infection Control for 2.5yrs and now MDS.

Latest Activity

  1. stasis vs.pressure

    That is certainly tricky. It may be both a stasis ulcer and a pressure ulcer. As Talino mentioned if there is no documentation for the previous MDS from the MD, and you have just based it on nursing judgement, it would be stasis.
  2. Becoming increasingly frustrated at work.

    I totally get the frustration piece. As RCM I have lots to juggle on my plate. I have been accused to being threatening to my staff when I have informed them of something they need to be doing or face the consequences. Most of the longer term staff u...
  3. Accepted job as MDS nurse but skeptical!

    It is difficult to learn the MDS especially when the training is hit and miss. I often had those same types of days in the beginning of my training. I would be pulled to do an admit or work the floor so it was a bit difficult to put some of the thing...
  4. Non surgical dressing

    You are covering a surgical site so is a surgical site, coding under nonsurgical would be inappropriate. You have to think of why you are doing the dressing.
  5. Getting started as MDS nurse

    Yes, it the 14day pays for days 15-30 of the day. There are graphs in the MDS manual that show what assessments pay for which days of the stay.
  6. indefinite suspension because of med error

    With a blood sugar of 75 some other intervention should most likely have been done. In most facilties that I am aware of a blood sugar less than 80 requires some kind of intervention and a follow up blood sugar check. Metformin is a long acting medic...
  7. New to mds

    I have a blank calendar that I start with, I then pencil in the OBRAs which are the quarterly and annual assessments. So you have 92 days from the previous quarterly assessment to do another assessment and the follow up annual needs to be completed n...
  8. New to mds

    Open the RAI manual and go to chapter 2 page 41. There is a list of what you need to remember. You have until day 8 to set your 5day ARD. You should be doing a 5 day atleast. If the resident stays less than 14 days you don't have to do an admission ...
  9. New to mds

    I have a couple of different sources that I use. One is Point Click Care for our main charting system and then the Contracted Therapy's system. Between the two I set the dates. In your manual there should be a table that states when you can have your...
  10. Nurses who can't give out narcotics

    I have helped with passing narcs for some other nurses. It can be a pain yes, hopefully they are not working at the same time. Maybe the RCMs or MDS nurses can come help pass some of those narcotics, I know I would if needed. Many of these nurses fee...
  11. Dehydration CAA

    You definitely want to address their risk of dehydration. A lot of the CAAs are redundant and repetitive but they often make you think about how to care plan an item.
  12. HELP! Discharged 1 day after admission

    I would do a 5day and discharge. You can code some of the things in the hospital before her admission. In coding some of the ADLs make sure you ask the staff very specific questions about how much assist they gave her so you get an accurate picture o...
  13. New to mds

    Welcome to the nut house! A few resources are Home - Centers for Medicare & Medicaid Services, and Welcome to AANAC I think after you have probably 6 months of experience with the MDS, take a certification course if you can. You can take some of ...
  14. Where Should I Begin with Training

    I had on the job training for my position. Would I recommend courses or classes without some hands on? Maybe, Maybe not. It depends on how the classes are broken down. The ANAAC courses appear to be broken down in a way that you could start there and...
  15. IDT organization

    I do keep watch over the different sections; SS, dietary. It has been my experience that things don't always get marked like they should. I have had to do modifications based on others mistakes. Sometimes the CAAs are done before the CC not always, i...