case load

[1lanarn]

What is the average amount of residents you are responsible to do MDS assessments for in your facility. Myself and another RN share our facility, a total of 110 NF, (with only about 10 of those being PPS) and another 27 residential level of care residents.

[rukiddingme]

In my facility there are 2 MDS/Care plan staff. I currently have 53 on my caseload, 5 are medicare. We've had 14 admits so far this month. Things are very difficult - they don't want us to put in any overtime. I get info for dietary section, and some parts of sect G & P from restorative nurse -- the rest we get on our own. We do all our own data entry, all raps, all careplans, fall risk assessments, norton scores, abuse/neglect assessment, pain assessment, elopement assessment, endurance assessments.

[katoline]

well, we ended up with 37 admissions this month. month end close is disasterous with so many 5 day assessments due, certs to return. I was wondering beside doing the MDS, what other duties do you have? I have mentioned dining room, do you do your own certs? do you come up with and put in the diagnosis codes?, fill out documentation guidelines?, have multiple meetings, such as delivery of care (on admission)discharge planning, besides regular care plan and medicare meetings? pre-care plan meetings? do your own data entry? what about angel care or special assignments to visit residents several times a week to see how things are going and callling there families twice a month? weekend duty? just wondering how things work on the other side of the mountain.

[rukiddingme]

Wondering with the 3.0 coming quickly, has anyones MDS department actually received another nurse to help with the work load? Or did management divide up the sections on the MDS to ease your load? Did you get duties taken away? My facility did not get more help, but gave some sections to other departments. No other duties have been changed.

[KingDom64]

I'm the one and only MDS person at my building and our census is low (about 80 at the moment) and we run about 8-10 skilled Medicare at any given time. Sometimes I feel like I'm overwhelmed!

[crystallynn1971]

I work at a facility with 165 beds. We have an RN and 2 LPN's in our office. We typically have 30 skilled in our skilled unit. The RN takes the majority of the skilled. I have a hallway of 26 residents, and I split another unit with the RN. So I basically have about 40 long term care and maybe 5 or 6 skilled at any given time. The other LPN does the alzheimers unit, 7 or 8 skilled and she also does restorative. We have a guardian angel program which has just been changed up and each of us will have 8 residents to be an angel to. We also have Weekend manager on duty day. Which means either a Sat. or sunday...i think the rotation is about once every 5 weeks or so. :)

Crystal Echols

[amglpn]

We have 2 mds nurses, 113 beds with MCR census for 35-55, (we are at 51 today)and if the MCR census is over 45 approx we can use a PRN nurse 1-3 days a week depending on census. We had 60 admissions last month so needless to say we havent done a 3.0 MDS yet- should be by end of week....

[job1955]

I work in a 150 bed facility. There are 2 of us in the MDS department. I do all the medicare,50 bed unit with a average census of 42-45. We had 60 admissions last month. So far this month we have admitted 12 and discharged 10 and that is all MDS 3.0!! The discharges are a killer. All but two were planned. Each department completes their own sections and CAAS and write their own care plan. I do all of nursing. I have rewritten all 110 nursing care plans into the "I' format over the last 2 months, during spare time..LOL. And continue to write them as needed. One good thing is that we have good company support.

[katoline]

sounds like at least some of you are working for kindred. when i opened the cabinet and all my working copies fell on my head and i have a drawer full beside and the mcd nurse only had one drawer full i realized i'm out of my mind. they want us to be specialty units where residents come and go very quickly for rehab only, resulting in many more assessments, especially the initial 5 day. now with the 27 page discharges, beside the 33 page (short) 14, 30, 60 day and let's not forget start and end of therapy OMRAS, meeting deadlines is impossible. we were running behind as it was.

the buiding was split, with much resistance, and still the work is behind. we could use help with data entry, dx codes and documentation sheets as well as with the certs. this has been in the works for a long time now. why wouldn't someone at least think of delegating some tasks to admission nurses etc. and doc meetings NEVER take only 15 min.

[glm777, BSN, RN]

We are a 175 bed facility with an average medicare census of 25. There are 2 full time MDS nurses that complete all the MDSes for the facility. This is so not do-able with the new 3.0!

[rukiddingme]

Have asked to get another MDS nurse, and the reply was "we can't do that". Would be nice if AM stand-up meeting was short and sweet - instead of dragging on & on. I understand it needs done, but it needs to take up less of the precious time that we have to actually do assessments. (and I'm sure the others could use time for working too)

As of the end of last week, we had 100 residents.

[rukiddingme]

Our census usually runs around 100. Today we had 2 re-entries and 3 new admissions. Talk about running ragged. That's alot for us in just one day.

[susanthomas1954]

Our census is around 190 with 30 skilled. We do it with one LPN and myself. I do skilled and he does LTC. The 3.0 has made the discharges our worst nightmare. I also case manage all skilled, run restorative and spend at least 12 hours a week in meetings. It's too much, unsustainable.