miccay

miccay specializes in Geriatrics.

Latest Activity

1. anyone starting chamberlain FNP in September 2014

   miccay replied to stephanie11's topic in NP Students

   I am also starting July 7th. I am nervous about going back to school but excited as well. Starting with one class, NR500, of course, but hope to take two classes in September.

2. Looking back, would you obtain NP credential??

   miccay replied to Cindy-20's topic in NP

   Thanks for posting your opinions. I am about to start an online program. I chose online for two reasons - one so I continue to work full time during the day (until I get to the clinicals) and the other is because there is only one college locally tha...

3. Am I too old?

   miccay replied to frann's topic in NP

   Thanks for all the positive comments on this post. I have been wandering the same for myself. I am 44 yrs old and about to start a NP program. I will be close to 47 when I am finished. I have had doubts at times, thinking I am crazy for going to scho...

4. Documentation

   miccay posted a topic in LTC Directors

   I am the DON at a 88 bed facility. Right now our census is 76. I am being told that the nurses are staying over on their shift too much and they have to clock out and leave after their 8 hrs. The census is down and we cannot have overtime. The nurses...

5. Is AANAC certification worth it?

   miccay replied to lvnlrn's topic in MDS

   I have been a member for three years and I am certified through AANAC. I have never regretted it.

6. Careplans and Quarterlies

   miccay replied to txdon's topic in MDS

   Your MDS nurse is looking for documentation to help her code that particular resident. The MDS and care plan should paint a picture of what is going on and it can only show that if the documentation is in the chart. She is looking for behaviors such ...

7. Section K

   miccay posted a topic in MDS

   I have to code a resident's diet that is full liquid. She had an esophogeal repair and she is to have a full liquid diet now. I have never had to code this and I can't decide where it fits. It is not mechically altered in my opinion. It is just regul...

8. I'm I in for a rude awakening?

   miccay replied to winurse54984's topic in MDS

   MDS has changed quite a bit. To me, the new 3.0 is very time consuming. Interviews have to be conducted for each assessment - BIMS for cognition, PHQ9 for mood, pain, discharge preferences, activities preferences. In my facility, the SS worker conduc...

9. Physician Orders

   miccay posted a topic in MDS

   In the facility where I work, I have a nurse consultant that comes monthly and completes an audit on the MDS I have completed. She always comes up with one more physician order that she says I should have coded. I know what the problem is. I was taug...

10. Staff Nurse at Hospital or RAI -MDS Coordinator?

    miccay replied to Kookie2412's topic in MDS

    I agree with the first answer. MDS is not a 9-5 job. You have to consider what other tasks come with that position. In some facilities, the MDS Coordinator has to take call. That is very hard to do. How many beds is the facility and what is their med...

11. MDS 3.0 Use of Dashes

    miccay replied to andy3k's topic in MDS

    I totally agree that this MDS needs to be revamped. We have so many unplanned discharges it is ridiculous. I try not to use dashes, but as you say, if the interview was not completed, we can not falsify the MDS! I can understand interviewing the resi...

12. Couldn't take it any more.....

    miccay replied to wyogypsy's topic in MDS

    I agree, good for you! I understand what you went through. I work in 122 bed facility but we have what they call a transitional care unit. We have anywhere between 30-40 Medicare. Most are there 20 days. Some stay longer, but hardly never a full 100 ...

13. Frustrated and overwhelmed...

    miccay replied to AltaEnfermera's topic in MDS

    First of all, I would ask myself "is this job really worth it?" You stated that you agreed to the job of MDS Coordinator because you love the facility and wanted to come back at any compacity. If you still feel that way, I suggest you make a detailed...

14. Section M - turning and repositioning program

    miccay posted a topic in MDS

    Under section M, what type of documentation is required in the chart for a turning and repositioning program? I am confused because I thought it had to be specifically for the resident with interventions such as positioning device or pillows - docume...

15. After 2 months..what do you think of the MDS 3.0?

    miccay replied to Nascar nurse's topic in MDS

    I agree with all the above comments. When I first heard about 3.0 coming out, I was excited and thought they would really improve and simply the MDS. I was so disappointed when I saw it. I think most of it is a waste of time. I don't understand what ...