nnancy627

Latest Activity

1. Does your facility send someone home every shift?

   nnancy627 replied to Blackcat99's topic in Geriatric

   What a 'brilliant' plan! Overstaffing every shift can prevent quite a few problems, some of which you might never even think of: One, you won't be understaffed, ever. Two, since you are never understaffed, you'll never have to rely on desperate calls...

2. All good things must come to an end!?

   nnancy627 replied to RN_by_day's topic in General Nursing

   All things come to an end- not just good things. Just wanted to get your mind in that thought train... "This too shall pass", Mom always said.

3. Skilled Notes

   nnancy627 replied to Isitpossible's topic in Geriatric

   One more note, on 'skilled nurses notes': Used to be that the rehab professionals worked FOR the SNF, like nurses do. When the PPS came about, rehab people became employees of rehab companies that provide services to SNFs- because without those servi...

4. Skilled Notes

   nnancy627 replied to Isitpossible's topic in Geriatric

   What case manager$ look for in fact, is whether nursing documentation jives with rehab notes, not so much the oher way around. It is not a matter of repetition (and case managers aren't EXPECTING repetition- they get paid to get peole OUT!)- it's a m...

5. Skilled Notes

   nnancy627 replied to Isitpossible's topic in Geriatric

   I've seen 'many' instances of denied claims for skilled care, based soley upon having 'skilled charting' guidelines posted in the chart, as a sort fraudulent charting platform that was based solely on the reimbursement focus, rather than on the condi...

6. Skilled Notes

   nnancy627 replied to Isitpossible's topic in Geriatric

   Hold onto your nurse cap, I'm about to blow your mind!: 'Skilled charting' doesn't really exist. The need for 'daily' documentation does exist for patients covered by Medicare, or certain HMOs, etc. that covers their 'reason for admission' (diagnosi...

7. How is this acceptable? 50 patients ltc/skilled DAYSHIFT!

   nnancy627 replied to CynicallyVexed's topic in Geriatric

   Fifty patients is laughable, if not sad- but almost an overthought, compared to the fact they are PRIVATE rooms. The amount of physical space (distance) you have to traverse in a shift is logistically impossible. Much less passing the meds, and etc. ...

8. Ca. Board of Registered Nursing Enforcement Program

   nnancy627 replied to izzibella's topic in Criminal

   You're already taking another huge risk- in CA, you 'have' to inform the BON of your name, current physical address, mailing address (if different), and phone number- you can't 'use your parents' address. If you are found out, you will have lost your...

9. Starting a Nurses Registry Business

   nnancy627 replied to student63's topic in Entrepreneurs

   Lucrative? If your billing outweighs your expenses, sure. Agencies are a dime a dozen- all they have to verify, often, is a 3-6 month ability to pay bills, to get a license. Most scratch by, many don't pay their staff and go defunk, and lots of other...

10. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric

    What's being 'nosey' (is that even a word?) about having pause to question a coworkers credentials? If you have a chance to look at your own state BON website, you'll find that every year, hundreds of imposters (aides, nurses, doctors, etc.) have bee...

11. First write up as an RN

    nnancy627 replied to Leesha's topic in General Nursing

    Welcome to the American nursing home world. It's a big gooey pot of 'lose/lose' situations, daily. Same menu every day, just different spices. (Hot 'n' nasty being the preferred).

12. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric

    Lots of people would fall off their chairs if they knew just how 'serious' such a 'slight' thing is, to not update your name, or address, as examples with MVD, the BON, etc. In some states you have only maybe 30 days to do either, then your DL become...

13. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric

    No chance that the are just 'not listed'. Even if they changed their names, like got married- those changes have to be reported to the BON, or whoever tracks CNAs. You mention more than one even, is not located in the registry online, so that's going...

14. can my DON force me to work the floor?

    nnancy627 replied to glm777's topic in MDS

    I'm baffled how an MDS Coordinator can not be familiar with current meds, much less not be familair with the common forms used for incidents, etc?

15. How and when to talk to CNA's

    nnancy627 replied to lstk8888's topic in Geriatric

    You're a bit too involved in your job. Take a step back, and look at the whole picture.