mdecastronp

mdecastronp specializes in LTC, Magt, family practice, legal nsg.

Latest Activity

1. Sex offenders/ residents screening?

   mdecastronp replied to CoffeeRTC's topic in Geriatric

   if you have a social service consultant, i recommend discussing your resident with hx of being a sex offender. i was consulted once on a case in which the ltc did not know the resident was a sex offender until his parole officer called. i consulted w...

2. Need spreadsheets or worksheets please!

   mdecastronp replied to soshore's topic in LTC Directors

   i requested information from this website http://milvalihealthcare.com/Guestbook.php... they have good tools and forms...

3. Infection control logs

   mdecastronp replied to texastea's topic in LTC Directors

   please email me or let me know your email... you just need to save it on 2003 excel to ensure that you have the format correct... as you add months and information into it, it will automatically calculate the number of infections and will do the sort...

4. to my fellow filipina/filipino nurses working abroad

   mdecastronp replied to nursey2008's topic in International

   I've seen these situations happen over and over again. I've worked mostly in the management, corporate level in my career. I've been asked by fellow Filipinos whether I still or even understand the language, in which, I always reply "yes". Following ...

5. Seeking guidance on tricky situation

   mdecastronp replied to Nascar nurse's topic in LTC Directors

   grievance or complaint form - usually we think this form is only for residents, but this system is for everyone. this will start the ball rolling. you can also place a complaint with your HR department, so that information is on record. if you have a...

6. Seeking guidance on tricky situation

   mdecastronp replied to Nascar nurse's topic in LTC Directors

   i would start a log of your whereabouts when you are out on the floor. avoid interactions with this resident without anyone present. request that your DON have a meeting with family to indicate what was said. BTW, you can also file a grievance/compla...

7. Fall Risk Assessment

   mdecastronp replied to rukiddingme's topic in MDS

   please google national patient safety and also enter Morse scale... you should be able to get the website that includes the protocols that goes with it and the assessment also includes intrinsic and extrinsic factors which is answers the information ...

8. Survey: How old were you when you entered the nursing profession?

   mdecastronp replied to Brian's topic in General Nursing

   graduated from BSN at 19 1/2 and graduated at 29 for my master's. two years later i went back to get certification in legal nursing. another 10 years later, now back in school trying to finish JD program and hopefully graduate and BAR eligible in 201...

9. What pay are nurses making these days?

   mdecastronp replied to BeOne77's topic in General Nursing

   CA - Difference between North and South is 20% (that is due to cost of living)... just want to correct prior post - highest paid in CA - SF, although it can be insanely high in Sacramento area or Reno, only because of the shortage in that area. SF (n...

10. a state resurvey for an F tag?

    mdecastronp replied to aiker31's topic in LTC Directors

    that depends on which State you are in. In CA, F does not triggered a re-survey. only when you have a substandard care (G) triggers re-survey. if you would like to see the guidelines on re-survey, cms just release in october the new survey guidelines...

11. What will make your MDS job easier?

    mdecastronp posted a topic in MDS

    What are things or processes or procedures, you would like to see offered, started to make your daily work easier as the MDS Coordinator?

12. MDS 3.0 software patches

    mdecastronp replied to golflinda2214's topic in MDS

    Your software company is correct. If you look at Appendix H on the RAI Manual for NQ (nursing quarterly), Section F is not included. Only Section S and the RUG scoring (which is in Section Z) are "State" specific.

13. What are legitimate MDS Certifications and How?

    mdecastronp replied to j.zeus's topic in MDS

    There is no board approval here in CA also, but inorder for the training to be called a certification training, the Board of Nursing has to approve the class as a certification class versus a regular CEU class. I attended the AANAC training and was n...

14. What are legitimate MDS Certifications and How?

    mdecastronp replied to j.zeus's topic in MDS

    I am wondering why you asked? In CA, to get a course certified, it will have to be approved by the Board of Nursing. It is the same application as CEU provider except with a twist.

15. ADL CAA

    mdecastronp replied to ejpip1's topic in MDS

    Your BIMS score was lower than 5 to trigger ADLs. Although you may need to care plan the ADL need, it does not trigger on the new MDS 3.0 unless your BIMS is at least 5. I quoted below Chap. 4 from RAI. Hope that helps. Goodluck! The new CAT logic do...