nursekara78

nursekara78 has 10 years experience and specializes in LTC & MDS Coordinator.

Latest Activity

1. What do u do as a rn in a ltc facility??

   nursekara78 replied to Cutebutpsycho1022's topic in LTC Directors

   Our RNs start at $30/hr. In addition to the pronunciation, RNs are the only nurses able to care for all central IVs, and the LPN can care for the peripheral lines. ALL assessments MUST be done by the RN. LPNs are not able to assess in NYS. The job de...

2. Need some advice - LPN first, then RN?

   nursekara78 replied to HopefulLInurse's topic in General Nursing

   I graduated high school as an LPN (they offer vocational school w/ junior and senior yrs). I went to college right away and worked part time as LPN. I am glad I went that route. I think it is a good thing to "walk in those shoes". You get more job op...

3. Lpn in ltc assessment

   nursekara78 replied to violetrose's topic in Geriatric

   We don't have that tension between titles in my facility. We are all NURSES, we all worked hard for our license. All of the nurses are a TEAM. However, it is against the NYS regs for LPN's to assess. They can collect data. I don't agree with this reg...

4. Nursing and tattoos

   nursekara78 replied to MelRN13's topic in General Nursing

   I have 2 tattoos, neither of which you can see while in my scrubs. I have a dragonfly on my ® hip, which is only visible in a bikini and I have roman numerals on my upper mid back, (right below where your tags are). The roman numerals are my wedding ...

5. IV in LTC?

   nursekara78 replied to SueNYC's topic in Geriatric

   We have had to draw our own blood for a few yrs. now and we are just begining to do IV's. The MD's would NEVER do either of these tasks.

6. Raising CMI

   nursekara78 replied to luvwine's topic in MDS

   What systems do you have in place....tracking ADL's.... ADL's are usually the most undercoded. Does therapy screen res. upon return from hosp. They can usually justify therapy for a few wks. Often order chgs and md visits are missed. Can they see the...

7. Blood glucose protocol in LTC facilities

   nursekara78 replied to rnto?'s topic in Geriatric

   I agree with oramar. it is ashame that you facility does not have a better P&P. You could ask your medical director. Maybe he can discuss this with the DON or the MD's to routinely include specifics in their admit. orders. we have in our P&P...

8. MDS Asmt Days Wheel?

   nursekara78 replied to TammyArkansas's topic in MDS

   i found that wheel on med-pass.com. it is called mds navigator. there also is a site..... mdsschedule.com..........you just enter the admit date and it gives you all the dates for medicare mds'. hope this helps a little.

9. What is your work setting?

   nursekara78 replied to catnip3's topic in MDS

   I have a small office that I share with my assistant, during the day. It is also the supervisiors office (for the 3-11 and 11-7 suprv.) and has the emergency boxes and lab printer in there. I don't like sharing it with the suprvs. b/c things are move...

10. Couple questions

    nursekara78 replied to toicole's topic in MDS

    Delirium can also be triggered if you check 'decline in cognition' in B6 on a comprehensive assessment. Section B5 also triggers if any are coded as a 2. For all RAPS it is a good idea to identify "why they triggered" and "what are you doing a/b it" ...

11. Responsible for being on call ?

    nursekara78 replied to Rascal1's topic in MDS

    I am on call once a month, with no extra pay. How do you get some extra compensation for being on call? I have brought it up and it seems to be a "sore subject" and "the economy"

12. Nine Or More Meds?

    nursekara78 replied to mdsdebbie's topic in MDS

    I don't care plan for this either. We document in our care plan meeting notes that......Res. cont. on # meds, meds are reviewed q month by MD and cont. to be necessarry to treat mult. Dx. We also have the MD doc. q month on rounds to support us if he...