fulzgold

fulzgold has 15 years experience.

Latest Activity

1. Independent contractor vs. agency nurse in a hospital

   fulzgold replied to btoddrn's topic in Entrepreneurs

   My specialty is clinical reimbursement, MDS, for long term care. I have been working as an interim, using recruiters as my marketers basically. I invoice the company directly. My contracts start out for 8-12 weeks, however, there is so much work out ...

2. Brutal Clinical Reimbursement Regionals

   fulzgold posted a topic in MDS

   I have a Regional consultant that is absolutely brutal. Every time she comes to my building, she spends the entire time drilling me, insulting me and embarrassing me. She tries to get me to spar with her by insulting me first. She has a rebuttal for ...

3. Family diagnosticians: just Google it!

   fulzgold posted a topic in LTC Directors

   Ok,this is makeing me crazy. What do you do when family members google a med and insist this med is the cause of some S/E. Yes, by God, they've Googled the med, read the S/E, assessed the patient and noted the S/S and want that med discontinued! Shee...

4. on call rotation

   fulzgold posted a topic in LTC Directors

   My admin wants me to try an on call rotation for the staff nurses to keep the floor covered. I have worked in several types of nursing settings that used this solution, but that was years ago. Do you use this at your facility and how has it worked ou...

5. Administrators

   fulzgold replied to c.oconnor's topic in LTC Directors

   A prior admin I had, told my scheduler to cut staff back to one cna and one nurse on night shift without any knowledge of resident care needs. Over 60% of the residents were a 2 person assist, 4 residents who were behavior problems were also night ow...

6. Considering LTC in the future

   fulzgold replied to iwillact's topic in LTC Directors

   No, there isn't such a place, there are numerous DNS out there who all had the same ignorant (not an insult,) thoughts going into it. You'll soon discover that doctors and nurses are not consulted about patient care needs, but told, by the non medica...

7. New DON

   fulzgold replied to fulzgold's topic in LTC Directors

   This is a terrible job. You all have my admiration. I have met with so much resistance from "the powers that be". I'm fairly certain I was set up to fail. Back in April, after review of a referral, I had advised we could not meet this particular pati...

8. DNS/DON question

   fulzgold replied to pixie120's topic in LTC Directors

   I got lucky at my facility. The Rehab was an SLP with a head for business. I showed him the case mix index and explained how the nursing care, and therapy tx effects RUGS. I gave him the list of rugs with $ amounts and a list of requirements for ach...

9. New DON

   fulzgold replied to fulzgold's topic in LTC Directors

   Wow, good ideas. Thank you so much. The prior DON had an assistant who did everything for the staff nurses for so long that they have forgotten their job tasks. They truley think it's not their job to finish an order or do their own admissions. I gav...

10. New DON

    fulzgold posted a topic in LTC Directors

    I'm a new DON in a small facility, less than 25 res.. 14 yrs of SNF experience:ADON,MDS Coordinator, staff nurse... I was not inserviced of course, given a list of tasks to sign and tossed the keys. I'm told this is the norm. Anyway, I'm a detail ...

11. Unbelievable

    fulzgold replied to CapeCodMermaid's topic in LTC Directors

    Jeesh! Our admin does stupid stuff like that too. One time she drove 2 hrs away to a womans apartment to assess her for placement. When she came back she was actually considering this patient. The patient was a 42 yr old female who had lived in her b...

12. Who is your software vendor for 3.0?

    fulzgold replied to Ruas61's topic in MDS

    Our is Twonumbnutsinacan. Still having all kinds of glitches. It won't validate because no matter what assessment you code for it throws old answers from prior 2.0 admits in there and fatal errors it. Can't transmit till they fix it. If they don't ge...

13. MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

    fulzgold replied to Talino's topic in MDS

    In August, I moved all the routine OBRA assessments due in october, up to September and spread them out through the month. That was rough, but that way we have plenty of time to focus on the PPS. We are choosing the no option. We will be doing repeat...

14. ADON'S what are your duties and what and how many hours do you work?

    fulzgold replied to Bubbles82's topic in LTC Directors

    Too many,, and too many!

15. CNA Mutiny

    fulzgold posted a topic in LTC Directors

    Anyone ever have a mutiny at their facility? One shift of CNAs against another? What did you do to stop it?