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Dear Blessed, you are you know. It may be hard the way things ended, but if they hadn't with your intelligence, conscientiousness, and strong feelings to make things right, you would have burned out...

I just ordered one on care plans that are supposed to coinside with the CAAs. I'll let you know. katoline

Well, went in Monday, computers down again. Good time to catch up the Medicare book with admissions since Friday (5). I have heard that other facilities, at least Kindred where I worked before had a...

My coworker does my discharges, other than that she stays to herself and has nothing to do with "this side over here". it seems that others are disappointed in my ability to handle the workload or...

After leaving Eastern North Carolina for the Great State of Texas (it's a whole nother country - i was going to get that license plate, next time when i can order online and not wait two hours in a...

Are you talking about Medicare or case-mix care plan meetings? With medicare, our social worker usually scheduled the care plan meeting the week after the 14 day ARD so they would fall around that 21...

I really think that delegation of duties and who actually does what varies from building to building, company to company. Where I work, I do 90% of the MDS and usually all the CAAs. Everyone is...

noc4senuf, where are you located? i wanna go there! maybe you should become a consultant and get things started in the right direction!!!

we have a medication toxicity careplan. i think maybe meds like depakote, klonopin should be careplanned there. it covers dig, coumadin, lasix some others. then have a seperate behavior careplan.

no, klonopin is one of those meds like depakote that's used for mood/behavior. it's an antiseizure medication. sounds like a sedative or antianxiety because clonazepam (it's generic name) sounds like...

:specs: I was taught that a careplan is a work in progress. I often do the careplans as i am working on the CAAs simply because i work on so many and often at once, i need to do them while fresh in...

:)PNWB, what is the DQA website? I feel that the reason for the medication should be careplanned as well as the medication itself. I think there should be behavior sheets on the MAR if...

A family will never get upset if you send their loved one to the ER out of concern (unless an obvious DNR). Better have, DON, MD mad than have family sue. It's your license. Especially if the family...

Thanks! What about consent forms? I've only been doing AIMS on antipsychotics since side effects for antidepressants and antianxiety meds don't include PS or TD. The same for anticonvulscants. I...

Get to know your residents as people and LOVE them. Once you learn them, it's easier to see subtle changes. Get to know their families, they are sometimes difficult, but often there is a reason, like...

I have a question. Even though I've been doing this for a while, each facility does things differently. Is there a CMS rule for this? i realize that a medication is what it is, no matter the...

I would say it's multifactorial, depending on age, size, weight, general health of the person. Not to mention what other medications they might take, the reason they are taking it and how long they...

:saint:Oh NotFlo, I'm sorry to say, i believe you may work for the same company i do. too many similarities. Love the people i work with and the residents, but i have to wonder when is the line drawn...

I came across this before i left for work this am. Oh ug! What next? WASHINGTON - As the deficit reduction supercommittee hunts for $1.5 trillion in additional savings, US hospital executives are...

Not to get too specific to include Company names, but was wondering what the atmosphere is in general about mcr/mcd cuts and what it is doing to long term care. How specifically is your facility...

AANAC is great for recogniton, networking, new information and CEUs required. They post positions online and send you offers by mail. I just got recertified for 3.0 last fall and took online classes....

you are welcome. there are others, just google. they are good and offer certification programs online and thru seminars. Good Luck!!

i do not feel like a nurse. no critcal thinking skills, if a res is sick we ship 'em to hospital i agree with no restraints and pt rights etc. but i'm losing my skills. because of paper work and...

Pixie, you are smart and you are passionate. tread lightly, do the MDS nurses report directly to you? or do they have a corporate, regional/district sometimes consultant like person? I've seen you...

wow, i was just going to say that under J0800 indicators of pain in the RAI manual under staff assessment (for those resident's who could not be understood) it says to interview staff on each shift....