texasheat

texasheat has 3 years experience and specializes in HH,LTC.

Latest Activity

1. Having hard time coding Section G

   texasheat replied to jessie26's topic in MDS

   According to the OIG that just reviewed our charts, restorative and therapy should be used as supportive documentation to determine ADL function. The previous MDS coordinator would not use them one example was she would code w/c bound but therapy wo...

2. Getting validations from Casper

   texasheat replied to rukiddingme's topic in MDS

   Has anyone been able to print validation reports yet? I have been able to submit but still cannot download any validation reports from Casper. Maybe I'm not going to the correct place? or are they not available yet?

3. MDS 3.0 Discharges

   texasheat posted a topic in MDS

   It seems you can plan all you want, but you will never be prepared enough. How are you all doing your discharges? It's crazy!! I had "3" residents sent to Hospital and Admitted over the weekend. So how do I assign everyone their sections?? How do t...

4. MDS NURSE AS DON????

   texasheat posted a topic in MDS

   Our DON has mentioned that she might take some medical leave d/t her father diagnosed with cancer, but is uncertain due to her father's lack of interest in chemotherapy. But our ADON is an LVN and our ADM mentioned very loosely that since no one els...

5. 2010 survey focus

   texasheat replied to ktwlpn's topic in Geriatric

   We just finished our annual survey! It was my first year as MDS. We faired pretty well. But it's so stressful when they are here. Our nurses did awesome with cbg's, med pass, and treatments. Our infection control went well but our restraint policy ...

6. Stopping a code w/o MD

   texasheat replied to Bug Out's topic in General Nursing

   Unfortunately, these incidents do occur. Sorry for the RN and LPN involved. It is a very stressing situation. We had a similar situation, except in our case. Per daughter's request, the night LPN did not even start CPR. 90-something, frail resid...

7. Nurse's: Find your own replacement when ill

   texasheat replied to Leelee2's topic in Geriatric

   maybe its different in ltc than in a hospital where there might be more staff. but i would hate to be the only nurse on the floor because you did not feel like working today and did not bother to find someone to cover for you! you would not like it ...

8. To suction or not to suction?

   texasheat replied to texasheat's topic in Geriatric

   Thank you all for your comments. He stated he was worried she would break off the tip, which I have seen happen, or break a tooth. And yes we're having an inservice to discuss this, among other things. I'll keep you posted.

9. To suction or not to suction?

   texasheat posted a topic in Geriatric

   Hello everyone, I am in need of some clarification. Our night nurse had a situation with one of our residents. She was in need of oral suctioning, when he went to suction her, she had her mouth tightly shut and would not open for suctioning. After ...

10. Can MDS coordinators do any charting?

    texasheat replied to texasheat's topic in MDS

    That would be great to have someone take care of the mds while on break or vacation! So how do you when your social worker is on vacation? Who completes her section? We have a out of town social worker that comes to our facility once a week. She h...

11. Can MDS coordinators do any charting?

    texasheat replied to texasheat's topic in MDS

    I did not say that they chart to "fluff" their entries. What I am trying to say is that they do not do ANY type of assessments- new admits/readmits, or chart on any resident that has to do with MDS information because in the past they have been told...

12. Can MDS coordinators do any charting?

    texasheat posted a topic in MDS

    Hello everyone! In the past our ADON(LVN) was also doing the MDS but our DON would sign them. Since I have started to do MDS, the ADON has insisted on continueing to do the Careplans. Fine with me, but I'm concerned since in the past surveys her c...

13. How long should you keep residents on PPS?

    texasheat replied to texasheat's topic in MDS

    Thanks for your reply. I believe that is what the MDS trainer was trying to point out. That in order to be able to claim all 14 days, we had to d/c on 15th or when medical necessity no longer needed, whichever came first but the previous MDS person ...

14. How long should you keep residents on PPS?

    texasheat posted a topic in MDS

    I've been doing MDS for about six months now and everyday is like the first but I think I'm getting my rhythm. I have a situation that we can't agree on. I have a PPS resident, hospitalized, came back, we are monitoring for post IV meds, weakness, e...

15. Dirty little secrets to managing LTC

    texasheat replied to Kashia's topic in Geriatric

    I have been your replies and I still don't understand why any nurse would feel threatened by a CMA. I guess I don't see it. I am currently doing MDS but not too long ago I was RN Charge Nurse with 2 LVNs that split about 75-80 residents to do peg fee...