GRACERN47

Latest Activity

1. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   Sure hope they have an MDS person familiar with 3.0 when and if they make changes !

2. Discharge before 5-day assessment

   GRACERN47 replied to 217shana's topic in MDS

   I just had a patient return from the hospital and did an entry and then she went back out 2 days later. My software would not let me do a short stay and discharge but I was able to combine a 5 day and discharge. What I can't understand is if your all...

3. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   I so agree with you ! I recently went to a seminar on 3.0 given by ACHA and most of the questions asked could not be answered by the speakers. So, my question is how can they give a cite in MDS 3.0 when they don't even know how it's done??? Go figur...

4. Seeking guidance on tricky situation

   GRACERN47 replied to Nascar nurse's topic in LTC Directors

   So very sad when residents are mad at their families for "putting them in a nursing home" and they pick out one person to blame. Unfortunately it is usually the nicest or prettiest or whatever positive thing they may see. Your lucky you employer has ...

5. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   My facility has given us enough help but the pay is way below what MDS coords are paid. I have been with same company as director of the dept for 11 years and my friend just started a new part time MDS job making exactly what Imake. Very disheartenin...

6. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   That is crazy, I bet if you give notice things will change. Hope they are paying you guys big bucks ! Impossible to keep that pace and remain in compliance with regs. Good luck !

7. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   Boy, talk about a way to get "cites" ! You poor thing ! If it wasn't broken, why fix it. No way would I work under those conditions. It's not fair to the patient nor the staff. I am sure with your experience you will be able to find another job. In m...

8. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   So true, with the managed care that leave before the 14 th day, you are actually doing a whole assessement with this new crazy, ridiculous discharge assessment. We have had as many as 10 discharges on a weekend and with the Med A your doing two asses...

9. After 2 months..what do you think of the MDS 3.0?

   GRACERN47 replied to Nascar nurse's topic in MDS

   We are a 173 bed facility and we have 3 full time RNs and 1 part time. We have part A, B managed care and medicaid. I do all the PPS with a low of about 12 up to a high of about 27. One full timer does all the medicaid and the other does the managed ...

10. After 2 months..what do you think of the MDS 3.0?

    GRACERN47 replied to Nascar nurse's topic in MDS

    If there is , Please let me know because I know my whole department will participate. There are 4 of us !

11. ARD's, care plan dates & information

    GRACERN47 replied to rukiddingme's topic in MDS

    We copied the actual pages from the MDS for each department and they use it as part of their admission assessment . It is kept in the resident's chart and we put that info into our computer by the 10th day so that gives us time to get everything done...

12. After 2 months..what do you think of the MDS 3.0?

    GRACERN47 replied to Nascar nurse's topic in MDS

    The whole 3.0 thing is crazy ! The full assessment is fine but all the rest like the discharges is a waste of time. The surveyors better not pick apart what all of us are trying to keep up with because I would challenge them to try it for one day. I ...

13. nurse certified coder

    GRACERN47 replied to nljac000's topic in General Nursing

    I am an MDS Coordinator and I am responsible for all coding of every admission. I recently got the ICD 9 for 2011 and there are some changes that go along with 3.0. It is not as easy as one thinks as some Docs continually give "symptom diagnosis" whi...

14. Rug calculations on Validation reports

    GRACERN47 replied to rukiddingme's topic in MDS

    My team is also having all sorts of problems with not only Rugs but dates etc. I think ours is a program related problem Good luck , know how you feel!

15. MDS 3.0 coding question

    GRACERN47 replied to glm777's topic in MDS

    I don't know anyone that doesn't hate 3.0. I pray everyday that someone with really good insight will realize how ridiculous this extra paperwork is. The word nurse has been taken out of nursing and replaced with data entry. I have been doing MDS si...