cadburypam

cadburypam

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About cadburypam

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  1. NAI descent: Roll Call

    I am 1/4 Eastern Woodland (Pocomoke/Assateague). It was thought that all of the indigenous people had died off, however when I was young my father did a geneology search and found that my great grandmother was a "free black" which is what the natives...
  2. How to get out of LTC !!!! Need Insight Please!

    I know the frustration of LTC nursing. I have been a geriatric nurse for 23 years. It seems that you didn't choose the right specialty, however due to the lack of qualified nurses in the LTC setting it makes everything difficult for everyone. The mos...
  3. Yall will think that this is stupid....

    The reason we look at these medications is to determine if there is a need for further evaluation and development of a care plan to address the problem. For example if the resident is on a diuretic they have the potential for a fluid volume excess an...
  4. What is Nurse's MDS note?

    What I write is a brief synopsis of the quarter. I.e. Resident showed no significant change, continues to require assist of 1 with completion of bathing, dressing and grooming. Ambulates ad lib with walker, uses wheelchair with staff assist for long ...
  5. MDS - Many Questions

    I had at one time both AANAC and NASPAC certifications, The AANAC one I feel is better since you have support of the listserv and the opportunity to check the education site for new material. It seemed to me that after I got the NASPAC cert they just...
  6. RAPS--should CMS keep, change, or delete?

    I agree RAPs are cumbersome and a pain in the you know where, but to me it rounds out the MDS process. I am fortunate that I am in a very small facility and have had the opportunity to "train" my nurses. We are a brand new facility (took our first re...
  7. RAPS--should CMS keep, change, or delete?

    Wow, I guess I'm lucky, or mean:madface:, I make my nurse's read the RAPs. I also make them read the care plans and review them with the aides. That way they know the resident, know what I do and how I pull all the information together from everywher...
  8. RAPS--should CMS keep, change, or delete?

    I would be interested in participating. I think changes need to be made to the current RAPs, adding some and possibly deleting or combining others. Pam
  9. Care Planning

    It would make sense to care plan for the type of medication prescribed i.e anticoagulant, insulin, etc...than to specify a particular medication. The only medications I care plan is anticoags. The others I don't. We have enough to keep track of to ca...
  10. Updating Care Plans

    why would you be responsible for updating all the careplans? Are you on the unit providing care? I would stand my ground and point out to my Director that the nurses are the ones who are 1. noting the physician orders, 2. seeing the resident daily, 3...
  11. MDS training/certification

    Go to www.aanac.org they have an online certification program for MDS coordinators. Very intensive, very good, plus you can join AANAC and have a good resource of information from MDS coordinators throughout the country along with experts in the fiel...
  12. MDS 3.0 Draft Final Version Jan. 15, 2008

    I know what you mean about boring...I lost interest half way through and just went through the slides and half listened to the presentation. As far as the 112 minutes, I guess I have it easy, my facility has only 40 beds, all private rooms, right no...
  13. MDS 3.0 Draft Final Version Jan. 15, 2008

    Me too, I could have gotten all of the information (and did) from printing out the power-point slides from the CMS website. I wanted to know a little more about the history for the change and what impact (other than decreasing the time for completion...
  14. MDS 3.0 Draft Final Version Jan. 15, 2008

    I'll be there too, can't wait to hear what CMS has to say.... On another note...Anyone going to the AANAC Spring Conference in Baltimore, MD in February?
  15. How Long are Your Care Plans?

    Depends on the problem. It also depends on the resident. If they have specific approaches I need to add then it can get a little long. You have to be careful though, you can paint yourself into a corner with the state survey team with care plans beca...