rnman99

rnman99 has 20 years experience and specializes in Rehab.

Latest Activity

1. One hour before and one hour after

   rnman99 replied to Manofstone's topic in Geriatric

   That's a whole 'nother thread by itself. I might stop to help someone *after* the resident has taken their meds and I've charted them, but do not interrupt me while that cart is open, unless it's a code, etc. I've seen too many errors happen because...

2. Nurses forced to stop med pass

   rnman99 replied to Kinzie21's topic in Geriatric

   How many meds are there at 1700? No place I've ever been has had a huge med pass at 1700, mostly coumadins and sliding scale. Our BID meds were saved until 2000. Maybe they could shift times a bit.

3. Guilty and relieved at the same time

   rnman99 replied to mtjoanna's topic in Geriatric

   That place sounds about as psychotic as the place I left a year ago. I stuck it out for 5 years, and felt like I was putting my license on the line every time I set foot in the building. If nobody else is going to have your back, and they can't get...

4. One hour before and one hour after

   rnman99 replied to Manofstone's topic in Geriatric

   Sounds like something that got stacked on your writeup just to beef it up. When I was working the floor there was no way you could get the normal LTC med pass done in 2 hours.

5. New to MDS - ? salary

   rnman99 replied to lisa41rn's topic in MDS

   If I had my MSN I wouldn't be doing MDS anyway. They don't pay me enough for the work I do and the education I do have...

6. Does anyone like being and MDS coordinator?

   rnman99 replied to NiceShot's topic in MDS

   I used to like 2.0. 3.0 not so much. The discharge assessments have basically doubled my workload, I have no help, and I feel like I'm a hamster on a wheel, trying to catch up and not get in trouble with the state and feds. I've applied for a nurse...

7. New PPS assm't code - OMRA Change of Therapy

   rnman99 replied to Talino's topic in MDS

   Like I don't have enough to do as it is.

8. Frustrated w/salary and hours; help with CAAs/CPs

   rnman99 replied to wyogypsy's topic in MDS

   The three of us in here were wondering what would happen if we all turned in our notices all at once, if they don't get us some help. Right now I have 33 PPS by myself, I had 85 MDSs last month. This month so far I have had 15 full admissions. I h...

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

   rnman99 replied to Nascar nurse's topic in MDS

   This came from the government. You only assume the people who created this are smarter than you are...

10. case mixing with PPS/OBRA combined assessments

    rnman99 replied to SMURPHYLPNRACCT's topic in MDS

    Where I'm at, if it's an OBRA assessment, it goes into case mix, no matter if it's combined with a PPS assessment or not. If they're cut from MC on day 30, and stay in the facility, whatever medicaid RUG they had on their admission goes into the cas...

11. Having hard time coding Section G

    rnman99 replied to jessie26's topic in MDS

    Remember, too, that therapy gets them nice and early when they're bright-tailed and bushy-eyed, and nursing gets them at the end of the day after therapy has inflicted their pain and torture and they're 3/3 for everything including eating. Most of ...

12. workload-am i too slow

    rnman99 replied to hoggRN's topic in MDS

    I do all the PPS myself. PPS census ranges anywhere from 35-50 depending on the season. See my above post. We have 170 beds, my 2 cohorts split the medicaid and private pay residents, do care plan meetings, and the usual stuff. They stay busy. W...

13. workload-am i too slow

    rnman99 replied to hoggRN's topic in MDS

    I wish my PPS census was 20... I'd make your coworker go to standup, though. I hated going to standup before 3.0 came out.

14. workload-am i too slow

    rnman99 replied to hoggRN's topic in MDS

    Don't know. End of Jan, my PPS census was 41. I had 90 total assessments; 24 full admits with CP and CAAs, 18 discharges. Plus the usual ancillary stuff they dump on us. I think we get dumped on no matter where we are anymore.

15. Forgotten Assessment

    rnman99 replied to ibtootie's topic in MDS

    If your resident was discharged on day 15, you're OK. If not... I'm not sure. If you submit a 14 day after the discharge then you get flagged for out of sequence. Maybe you could modify the d/c and add a 14 day...