AltaEnfermera

AltaEnfermera

Geri-psych, corrections, wound care, MDS

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About AltaEnfermera

AltaEnfermera has 4 years experience and specializes in Geri-psych, corrections, wound care, MDS.


Geri nurse turned psych turned correctional nurse turned MDS coordinator....lol

Latest Activity

  1. Frustrated and overwhelmed at work...Vent/Advice?

    Thanks for the advice :). I'm lobbying hard to move the filing out of my office at the moment...It's a matter of coming up with a plan to present as an alternative to the current arrangement. (I've noticed that complaining doesn't help nearly as muc...
  2. Frustrated and overwhelmed at work...Vent/Advice?

    It's ok, I didn't have a clue when I started the job, lol. MDS stands for Minimum Data Set; it's essentially an overview of a resident's condition that we submit to CMS to calculate reimbursement rates. Also, it's what drives care plan creation base...
  3. Frustrated and overwhelmed at work...Vent/Advice?

    As do I, it's becoming more and more evident!
  4. *I initially posted this in the MDS sub-forum, but it's more of a generalized issue, so it's here as well :) * I'm basically at my wits end in my current position. I accepted the MDS coordinator position in September because I loved the facility and ...
  5. Frustrated and overwhelmed...

    I'm basically at my wits end in my current position. I accepted the MDS coordinator position in September because I loved the facility and was dying to come back in any capacity I could. It was the only thing available, and my DON (who is lovely, btw...
  6. You know it's going to be a crazy night at work, when

    ...when you get a call on your way into work saying "State just walked in!" (LTC/psych) Or, you walk through the front door and are immediately assailed by a flying laundry bin/angry family member/some unknown food item. (Also LTC/psych...sadly, it h...
  7. Do your ancillary depts annoy you (security, transport)?

    Oh, I wholeheartedly agree with you! God forbid someone actually does it and manages to pass the NCLEX....I sure wouldn't want them at my bedside if I were a patient.
  8. Do your ancillary depts annoy you (security, transport)?

    The OB incident was while we were doing OB rotation, which was during his 3rd try at PN school....She alleged that he was hitting on her, but I don't know the exact details. What boggles my mind is that he even made it TO the clinical rotation, becau...
  9. Do your ancillary depts annoy you (security, transport)?

    OMG! He sounds exactly like a guy I know ....He was in the nursing program for 3 years in succession, because he kept failing out. He eventually got expelled from school for 1). Getting an OB patient's home phone number from the chart and calling her...
  10. Diabetic care in corrections.

    Slightly different situation, (I worked in a large private/BOP facility), but I used to argue about this issue too. Our inmates were not restricted in any way, diet wise. According to policy, diet was dependent on the individual i/m to make healthy c...
  11. Looking professional all day long . . .

    It sounds like we have the same hair, lol. I always referred to mine as "wavy-straight" until I realized that, like ky_grl82 said, it really wanted to be curly hair. I'm a bit of a hair product addict, so my hair has quite the med list (heh): Head ...
  12. Good hand lotion?

    I swear by Cornhusker's Lotion. My father used it for years on his hands (he's a farmer, so you can imagine), and was always trying to persuade me to "stop buying all that frou-frou crap, and try it". It doesn't have a smell, and is kind clear and od...
  13. Lab Tracking Logs

    This is what we use to track what's drawn; it's a version of what we used when I did contract nursing at the Federal prison. I made a separate sheet to track standing lab orders, which is basically just a spreadsheet with the months at the top and ea...
  14. This may be a silly question, but I need advice...

    I love drug rep swag pens...dark ink, no skip-age, and they don't give me gnarly finger calluses (I apparently am an aggressive scribbler, lol); however, since the re-vamping of the laws, they're getting hard to come by. As an alternative, I like Zeb...
  15. ICD-9 codes

    Here is the list I use....It's not super inclusive, but it covers most of the basic medical dx fairly well. :) icd9codes.doc