pixie120

pixie120

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About pixie120

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  1. Careplans and Quarterlies

    I understand the floor nurses are busy, when they get a new dx/treatment, all they have to do is turn to the careplan, handwrite somewhere a new C/P: UTI goal: Resolve UTI Interventions: ABO as ordered, montior for ASE of ABO, report s/sx n...
  2. RN aphabet letters for MDS completion

    Thanks for the information. We review all MDS data, as an IDT, every morning and do the quaterly/comprehensive assessments (Braden, AIM etc) and write an IDT note per each MDS due. We double checked, we are able to combine MDS nurse note with IDT not...
  3. RN aphabet letters for MDS completion

    FYI, in this building we have 3 RN MDS/RCM's, is probably why they do the "extra" work that some don't? Max patients per MDS/RCM is 20, Medicare mixed thru out all caseloads
  4. RN aphabet letters for MDS completion

    Thanks for the information. Perhaps I asked the question wrong. In our building the SW does D,E, Q Activities does F and RN/MDS does the rest....so (including CAA's) so my question is this: RN signs for and puts these alphabet letters: A,b,c,g,h,i,j...
  5. How many COT's?

    Ok,good to know. Next question, the PPS folks that were "grandfathered in", they do NOT have to be looked at continously every seven days? (The folks that admitted and had their 5 day, 14 day Assessments,or even their 30 day or 60 day.. rehab is say...
  6. DNS/DON question

    Umm...exactly. and when other's won't participate, give that information, it becomes quite a quandry doesn't it? Another great thing we just had implemented, MDS nurses now have direct access to the therapy documentations and minutes, how wonderful!!...
  7. DNS/DON question

    Appreciate your post, somehow I didn't see it until today.You are so very right, I can't hide what I know....sad isn't it? I am interviewing for several jobs in the area in companies that seem to have a much better handle on this. I will make sure go...
  8. What kind of staffing do you have?

    Would you mind if I asked what your PPD is? Must be about 3 or a little under/over? (For Skilled).
  9. Q.I.S.

    Yes, in a wierd way, it does seem much more detached, and as they don't do a verbal exit everyday, sometimes you can actually take a breath here and there. Days 1-3 are not too bad, it's when they go into stage 2 that gets a little rocky. If you want...
  10. How many COT's?

    SO it would go like this: day one, then 5 day, 14 day, 21 day possible COT, day 28 (30 day would fit here), day 35 possible COT, day 42 possible COT.....thru day 100. I though I read that a COT has to be reviewed for and done 7 days AFTER that last...
  11. Q.I.S.

    Best words of advice I ever got were 1. Never let them see you sweat 2. Tell the truth 3 Continue the best practice care that you always give, as if it were just another day!
  12. MDS RN to resident ratio?

    Kudos for saying that last line, the other disciplines are kinda irritated with nursing, in our building, sort of an us vs them, "just because nursing has to do another assessment....". I think they just don't get that they are also going to have to ...
  13. How many COT's?

    Ok, here is my question. please check my math here" In looking at all of this, for PPS/Med A, potentially there are ONLY 4 COT's that could possibly trigger? In a perfect world: 5 day: if a COT triggered, would be a combo for 14 day, right? (No ...
  14. I've been gone for a year-obsolete?

    Lots of updates on the CMS sites, and this is a great resource. Good luck (I think your MDS 2.0 experience serves you well, but you gotta frame it up better that you have been studying, on your own, well aware of the LATEST changes 10/1/2011 with th...
  15. med error or flawed entry

    WHen I worked Assisted Living, the pharmacy did our MAR's, and they were always written as per community prescription, ie Tylenol 2 325 mg tabs twice daily as needed. LTC: pharmacy will begin doing our MAR's when we switch over to E-Mar this month, ...