edhcinc

Latest Activity

1. Grace days (thru 10/31/-2011) 5 day, 14 day

   edhcinc replied to pixie120's topic in MDS

   Hi. Re: COT Yes, we have to evaluate the NEED FOR a COT OMRA each 7 day period following a rehab RUG assessment. Day 1 is day after ARD. We can only be SURE if COT is needed (rehab RUG goes up or down) on day 8. If needed, ARD must be day 7. You...

2. Morning PPD/Medicare meeting

   edhcinc replied to pixie120's topic in MDS

   Hi. Maybe an approach that the TEAM needs to know the days/minutes could work. Just like the team would to know daily if a patient was still on a vent and being suctioned, the team needs to know rehab days/minutes daily. Total/cumulative minutes fo...

3. New to MDS - ? salary

   edhcinc replied to lisa41rn's topic in MDS

   Hi. Many facilities don't expect any higher level of clinical practice from a registered nurse as from a licensed practical/vocational nurse in ANY role. And they may have no idea how a registered nurse with a MSN can be more valuable than one with ...

4. Unit Manager/RN Supervisor Responsibilities

   edhcinc replied to txdon's topic in LTC Directors

   Hi. Each facility needs to decide whether a unit manager position manages CLINICAL care on the unit or is a highly paid unit clerk. Too many facilities put this person into the situation described by nursemel11. What a waste of professional skills...

5. Estimated or researched times to complete MDS 2.0 vs MDS 3.0

   edhcinc replied to Softcrz's topic in MDS

   Hi. The MDS 3.0 used during the RAND research and pilot study was very different than what we have now. It had less data items, easy to complete and understand ADLs, lookback on most items was 5 days (it takes almost 25% more time if the lookback is ...

6. CAAS

   edhcinc replied to 1lanarn's topic in MDS

   Hi. There is NO CHANGE IN THE PROCESS. Complete the MDS. Certain "care areas" (used to be called "resident assessment") are "triggered" based on MDS entries. Analyze each care area triggered (or holistically analyze all care areas triggered) by cons...

7. Tube Feeding & 60 day spell of wellness

   edhcinc replied to MickRN07's topic in MDS

   Hi. Having a condition or disease does not necessarily mean that the person requires daily direct care or monitoring/assessment by licensed staff to take care of it. Can think of no situation where a blister on a foot, of or by itself, would require...

8. MDS 3.0--Training and updates

   edhcinc posted a topic in MDS

   Hi. The MDS 3.0 is NOT yet final. The RAI Manual for MDS 3.0 is NOT yet final. Contrary to what we may read on listservs or newsletters, information on handouts given out and discussed at a CMS inservice may change and NOT make it into the final ...

9. MDS NURSE AS DON????

   edhcinc replied to texasheat's topic in MDS

   Hi. You did not say the number of beds at your facility. Neither did you state how long the situation might last. Tis a terrible idea, under almost any circumstances, but could work for a SHORT while if the LVN is trained in completing the MDS 2 and...

10. What Sections of the MDS do you fill out :)

    edhcinc replied to kujhawkrulz's topic in MDS

    Hi--and that is also the answer to your question--HIGH resistance. If you are just starting in that position, please be sure you understand the "territory" before you "lay down the law"--especially since you don't KNOW (or make) the facility's law or...

11. Medicare Cut Letters

    edhcinc replied to sls73's topic in MDS

    Hi. Isn't it amazing how nurses are now responsible for understanding and implementing all aspects of ANYTHING/EVERYTHING related (vaguely or not) to the MDS or PPS? As to the generic notice... The Generic Notice is required to be given at least 48 ...

12. MDS 3.0

    edhcinc replied to sls73's topic in MDS

    Hi. Your suggestion is a good one! (just don't get too mad with yourself in September 2011!!) Here's a few more suggestions: Be sure our co-workers--social service, activities, dietary, etc.--understand their new responsibilities and interviews. Who...

13. How will I correct Prevalence of antipsychotic w/o psychosis - QI/QM?

    edhcinc replied to lionjr's topic in MDS

    Hi. Even though the medical record (and I3 on the full/comprehensive MDS) contains a diagnosis which clinically justifies an antipsychotic, there are only specific dx that "count" as appropriate for the QI/QM--they are listed in the QI/QM manual. (an...

14. MDS 3.0--recording DTI--feedback to CMS needed

    edhcinc posted a topic in MDS

    hi. as most of you are aware, cms in the process of updating the rai manual. these updates will include modifications already announced via q & a's and train-the-trainer conferences, as well as others that cms deems appropriate. one of the propo...

15. Can MDS coordinators do any charting?

    edhcinc replied to texasheat's topic in MDS

    We should frown on surveyors who frown on nurses who practice nursing! Most MDS coordinators would love to teach their DN/ADN how to complete the MDS--and to "savor" the "rush" of completing 6 admission, 1 SCSA, 10 quarterlies, and 6 PPS MDS with so...