carol20lpn

carol20lpn has 38 years experience and specializes in MDS,ltc, resident focused care plans.

Latest Activity

1. LPN Starting Salary

   carol20lpn replied to pat8585's topic in LPN/LVN

   In reply to Ipnerika, I must be doing something wrong!!!! I have been an LPN for 37 years and am making $28 an hour.......let me know where they start at $25!!! I believe the facility I am in starts around $18 for a new grad.

2. Coding Cognitive Impairment

   carol20lpn replied to carol20lpn's topic in MDS

   Wow......that was far more than I needed to hear.....makes you wonder doesn't it? This came to light yesterday when they lined up to fill out their absentee ballots...................VERY scary when someone that demented is going to vote for the pre...

3. Coding Cognitive Impairment

   carol20lpn posted a topic in MDS

   Does anyone out there know of a resource for more information on how to code the cognitive impairment "B" on the MDS? The RAI gives some info, but not a whole lot....we have a lot of people that are "ify" between moderate and severe impairment....th...

4. CarePlans & MDS's

   carol20lpn replied to AngelinTennessee's topic in MDS

   Thanks Daytonitej. I have been a long term care nurse for 38 years......I appreciate your input, but as a long time care plan and MDS nurse, I want to help in any way that I can....remember, it is not about us, it is about the residents and if helpi...

5. CarePlans & MDS's

   carol20lpn replied to AngelinTennessee's topic in MDS

   I hear what you are saying daytonite about care plans......I know nothing other than the "I" care plan process as the company I was with was doing them before PPS came into play. The company that I recently moved to was all electronic and everyones ...

6. CarePlans & MDS's

   carol20lpn replied to AngelinTennessee's topic in MDS

   I would love to help you out if I can......can you send me your e-mail address and I will forward to you some I care plans......you will not get stuck by the state or feds if you "tell a story"....so what if your resident wants to sleep 15 hours a da...

7. CarePlans & MDS's

   carol20lpn replied to AngelinTennessee's topic in MDS

   Medical model care plans are for "diseases" or medical issues the resident may have, copd, dm, pvd, chf, etc. The "I" format care plan puts it into a story about the resident......I have dementia and copd. I am not able to wash or dress myself as m...

8. CarePlans & MDS's

   carol20lpn replied to AngelinTennessee's topic in MDS

   Packerm, if you can somehow be in contact with me, I can send you some I care plans.....of course you will meet resistance, it is something new!!!! Change is hard in the medical field, especially when you move away from the medical model of care pl...

9. how a LPN can become a MDS CORRDINATOR

   carol20lpn replied to nursemims's topic in LPN/LVN

   hello, i would start by expressing interest to your director of nursing or your current mds coordinator, ask them if they need help in that department. that is how i started, have now been doing it for more than 10 yrs and have been a regiona...

10. help training cna's

    carol20lpn replied to panurse101's topic in MDS

    hello, i hope this is a help to you. independant: you do absolutely nothing for the resident. they can go to the med cart and get a towel, etc. supervision: talk only, provide cues and reminders, no touching!!!!! limited assist: touching...

11. I am too attached HELP!!

    carol20lpn replied to LovebugLPN's topic in Agency

    lovebuglpn i think that most of us go into nursing because we care. after being a nurse (lpn) for 38 years, i have become attached to many residents/patients. you just have to be careful not to let your personal attatchment get in the way of your...

12. Roll Call: Introduce Yourselves, LPNs!

    carol20lpn replied to TheCommuter's topic in LPN/LVN

    hello! i have been an lpn for 38 (oh my gosh!) years. most of the time i have worked in geriatrics, long term care and rehab in the long term facilities. i have also done a bit of time as school nurse and a visting nurse. for the past 10 years o...

13. mds coordinators

    carol20lpn replied to orrwhat24's topic in MDS

    Just wondering how you are doing in your job? I have been an MDS coordinator for 10+ yrs in long term care and I love it.......I am now in a 146 bed building and have all electronic charting.....no more paper!!!! Please let me know how you are doin...

14. CarePlans & MDS's

    carol20lpn replied to AngelinTennessee's topic in MDS

    I don't write all new orders into the care plans.....it makes them too long and complicated. If someone for instance goes on coumadin, I add a problem for bruising/bleeding and then mention the med, labs, etc. I NEVER put in order changes for treat...

15. MDS workload

    carol20lpn replied to catmom1's topic in MDS

    I am the only MDS coordinator in a 146 bed building with average of 27 - 30 Med A residents. I have a computerized system (ECS) so getting the information is easy, however, I am questioning the accuracy of the cna documentation. I am in line to ge...