Carrie162

Latest Activity

1. Getting started as MDS nurse

   Carrie162 replied to farmgirl2's topic in MDS

   Shanti2u, I am also in Massachusetts and familiar with MMQ's. There is a manual; it can be downloaded from the mass.gov website. Look up instructions to complete the mmq. There are also courses; look on the mass extended care federation website; t...

2. Mds-rugs

   Carrie162 replied to RondaS's topic in MDS

   You can project a rehab medium or a rehab high, not a very or ultra.

3. Mds-rugs

   Carrie162 replied to RondaS's topic in MDS

   RondaS, it sounds like you will only have one day billed to Medicare. You can project a rehab medium even with zero actual minutes of rehab achieved. If you can take any IV's in the lookback period, then you have a RML or an RMX. You did have eval...

4. Mds-rugs

   Carrie162 replied to RondaS's topic in MDS

   RondaS, I agree with the above. If you have not submitted the 5-day MDS, use day 8, project a RMX or an RML. If the patient is going to still be there on day 15, do the PPS 14-day assessment and capture the therapy and the IV abx.

5. Getting started as MDS nurse

   Carrie162 replied to farmgirl2's topic in MDS

   I have been an MDS/PPS coordinator for two years. I would ask, before you accept the position, what kind of training will you receive? Especially considering you are new to MDS. I would ask, are you responsible for LTC assessments, such as the qua...

6. Mds-rugs

   Carrie162 replied to RondaS's topic in MDS

   RondaS, check out the AANAC website. You can capture the nine new rug categories when residents are receiving therapy and extensive services, specifically IV meds, IV fluids, vents, trach's, or suctioning. Minutes of therapy have not changed. It is i...

7. Sending residents to the ER without a doctor's order.

   Carrie162 replied to Blackcat99's topic in Geriatric

   I have sent a patient out without a doctor's order in cases of SOB or sudden changes of mental status. I had another patient, full code, who was crumping, oxygen sat 85% on 10L via non rebreather, pulse 120, and the doctor told me to start IV Levaqu...

8. Stressed DON Please help

   Carrie162 replied to Carrie162's topic in Geriatric

   Thanks so much for your response DONMom. I have been thinking long and hard, and I love the place where I work, I love the CNA's, the administrator, the ADON, but I just don't think I'm a DON type of person. I think the headaches and the churnings in...

9. Stressed DON Please help

   Carrie162 posted a topic in Geriatric

   Six months ago I took a position as a DON at a 40 bed LTC/rehab unit within a CCRC. My previous experience is in LTC as a unit manager and MDS nurse. This is my first DON position, and I wonder if I made a mistake. Lots of teamwork issues, Nurses out...

10. emotional state, unconcious patient

    Carrie162 replied to janie534's topic in Geriatric

    The Happy faces that are used to rate pain in a nonverbal resident or other resident that is unable to use the 1-10 scale are called Wong-Baker Faces. (I think). Unconscious patients are not my area of expertise, but isn't there some kind of a coma...

11. MDS/Medicare Coordinator job...Need info please

    Carrie162 replied to jaxnRN's topic in Geriatric

    I am currently working as an MDS Coordinator in a LTC facility. Our census runs about 120, with a medicare census of about 10 right now, but that's really slow. Usually it's about 20-25. Right now I'm doing it alone because a colleague left, but I...