medicare and snf charting

[calgirl123]

hello, I am a new nurse 4 months now. I am on a wing that has no charge nurse so me and another nurse have to do everything ourselves, meds, tx,charting,orders, d/c,admits etc. I have my own hallway and it is very overwhelming. I guess I am not charting correctly according to title 22 and some other titles I had no Idea exsisted, anyway they are moving me to the other wing where all I have to do is pass meds and do some charting, they say Ill learn more over there and my Don is great,But im feeling a little inadequate and releived at the same time.What are all these titles and how do I learn how to go by them, In school they mostly taught us about hospital nursing, we didnt learn enough,[apparently] about all these regulations.Is there a book or something? Or do I just have to learn as I go? I really didnt think I was going to have such a hard time. I was a good student and salutatorian of my class, nothing prepared me for all this.I just want to learn it already.

Thanks

calgirl123:uhoh3:

[LPNNHP]

It seems strange to me that they have no inservice for staff for snf.

[kat7ap]

Don't blame yourself please. Medicare halls in a SNF can be killer and very overwhelming for any nurse, much less a new grad. From my experiences they are usually inadequately staffed and yes the charting is unbelievable on top of every thing else you are responsible for. It seems that if you were struggling, why didn't someone sit you down and review it with you? Don't be discouraged!

[caliotter3]

At two facilities we were given handouts with examples of medicare charting. If I can ever find them, I will contact you by PM to arrange to send you copies. They are very old, but I think the general idea is the same. I also got a copy of Title 22 and have read over it. While this is good info for higher ups to know, at our level there really isn't much in there that is important. You are more concerned with fixing your charting. A good rule of thumb is to address issues that show a need for the person to be receiving skilled care; progress in learning self care; etc. Address the physical assessment. If s/he is in for a heart condition, then focus on interventions for the heart condition, etc. I'll look for those handouts. If I find them, I'll get in touch with you. And I agree that if you need to improve anything about your care or charting, then a supervisor should go over this stuff with you. No good in walking around without a clue. They bear a responsibilty in all of this. It is not all on you. So don't feel bad. And ask them for help. They can't fault you if you show interest in improving.

[calgirl123]

At two facilities we were given handouts with examples of medicare charting. If I can ever find them, I will contact you by PM to arrange to send you copies. They are very old, but I think the general idea is the same. I also got a copy of Title 22 and have read over it. While this is good info for higher ups to know, at our level there really isn't much in there that is important. You are more concerned with fixing your charting. A good rule of thumb is to address issues that show a need for the person to be receiving skilled care; progress in learning self care; etc. Address the physical assessment. If s/he is in for a heart condition, then focus on interventions for the heart condition, etc. I'll look for those handouts. If I find them, I'll get in touch with you. And I agree that if you need to improve anything about your care or charting, then a supervisor should go over this stuff with you. No good in walking around without a clue. They bear a responsibilty in all of this. It is not all on you. So don't feel bad. And ask them for help. They can't fault you if you show interest in improving.

Thanks I would appreciate that, I can use all the help I can get:chuckle

[calgirl123]

Don't blame yourself please. Medicare halls in a SNF can be killer and very overwhelming for any nurse, much less a new grad. From my experiences they are usually inadequately staffed and yes the charting is unbelievable on top of every thing else you are responsible for. It seems that if you were struggling, why didn't someone sit you down and review it with you? Don't be discouraged!

Thanks I agree.

[caliotter3]

If you haven't already, look at the thread noted at the bottom of this thread titled Medicare charting(started by mickeypat). A lot of people talk about the charting requirements there.