nratchet

Latest Activity

1. I don't think I can handle this!

   nratchet replied to eldragon's topic in Geriatric, LTC

   just because your facility is bad doesn't mean all of them are. i've worked in two ltc snfs and let me tell you....i've expierenced the bad and the good. as far as your patient load, forced break...

2. I don't think I can handle this!

   nratchet replied to eldragon's topic in Geriatric, LTC

   Anytime they tell you another place is worse than the one your at remember this.....THEY ARE PROBABLY LYING THROUGH THEIR

3. I don't think I can handle this!

   nratchet replied to eldragon's topic in Geriatric, LTC

   Run, Eldragon,

4. Uniforms and your appearance

   nratchet replied to sassysteph7's topic in Geriatric, LTC

   Showing personality is one thing, (I wear seasonal tops and funny socks), but pants so tight they can't breath or move and tops that show stuff only a boyfriend would want to see is completely over...

5. Uniforms and your appearance

   nratchet replied to sassysteph7's topic in Geriatric, LTC

   AMEN TO THAT. What about the jeans so tight they must have been spray painted on. I think they got dropped on their heads as

6. Uniforms and your appearance

   nratchet replied to sassysteph7's topic in Geriatric, LTC

   Amen

7. HELP!!!! I need your response today!!!!

   nratchet replied to chocolate123's topic in Geriatric, LTC

   I agree, ask for more CNAs but 1 nurse for 48 patients is

8. Salary and responsibility of MDS coordinator/ Medicare case manager

   nratchet replied to limarie's topic in MDS Coordinator Information

   WOW....I thought I had a hard job. I do the MDS, RAPs and Care plans for 153 residents...long term and managed care...I run the care plan meetings twice weekly, take call one week out of five, work...

9. Need a Medicare Guru for my question.

   nratchet replied to PsychNurseWannaBe's topic in MDS Coordinator Information

   First...is resident currently in a facility under Medicare skilled? If so, Medicare should pay for enough supplies to change wafer daily because part A Medicare is all inclusive. We're not sure...

10. help training cna's

    nratchet replied to panurse101's topic in MDS Coordinator Information

    I recently went to a seminar where the speaker told us the best way to get CNAs to code ADLS correctly was to use the actual G section of the

11. Skilling For Wounds

    nratchet posted a topic in MDS Coordinator Information

    My question is this....We have a patient who has chronic pressure ulcers due to being under weight and bed bound. She recently went to the hospital for a pathological fracture of the femur and...

12. How do you decide on an ARD?

    nratchet replied to flashpoint's topic in MDS Coordinator Information

    I agree. Our medicare coordinator gives the therapist the ARD date and then the therapist then gives her the minutes and lets her know if grace days are needed. By doing it this way, the assessments...

13. How do you decide on an ARD?

    nratchet replied to flashpoint's topic in MDS Coordinator Information

    if things come up or occur after the rb2, if you've set it for the last possible date available between assessments, then you will not be able to include them. if you go past the 92 days between...

14. Medicare Eligibility

    nratchet posted a topic in MDS Coordinator Information

    If a patient was admitted to the hospital, had the required 3 day stay, went to a Skilled SNF for 26 days, went home for 20 days and then was admitted to a different Skilled SNF, is he qualified for...

15. How do you decide on an ARD?

    nratchet replied to flashpoint's topic in MDS Coordinator Information

    quarterly assessments can only have 89-92 days between them. for example...if you do a quarterly 1 in december with an ard of 12/18 and an rb2 of 12/21 your quarterly 2 must have an ard of no later...