TigerxLiLy

TigerxLiLy has 7 years experience and specializes in LTC-Geriatric-PPS-MDS.

Latest Activity

1. Hearing Aids

   TigerxLiLy replied to canoehead's topic in General Nursing

   I don't even bother bringing in my stethoscope to the covid rooms—- usually the cheap one inside does well enough to hear the junk in most of the lungs— plus- most of the med surg covid rooms have those “air filter fans”.

2. Hearing Aids

   TigerxLiLy replied to canoehead's topic in General Nursing

   Yep— mine would get twisted in the mask, slinged shot across the room or so much pressure from the mask/shields would cause pressure injury behind my ears.

3. Hearing Aids

   TigerxLiLy replied to canoehead's topic in General Nursing

   I use “in the ear canal” hearing aides now— did have the behind the ear- but with the masks they kept flying across the room even when I was trying to be careful 😣😣 (they were 7 years old so I was OK with getting a upgrade) I am using the Eko— i...

4. Fall/New Admission/SCSA

   TigerxLiLy replied to Liza22's topic in MDS

   Sigh. Completely makes sense - especially with the certification listing the diagnosis/md signing it :). thank you

5. Fall/New Admission/SCSA

   TigerxLiLy replied to Liza22's topic in MDS

   Kinda sounds like redundancy/annoying the providers with stuff that’s obvious...

6. Fall/New Admission/SCSA

   TigerxLiLy replied to Liza22's topic in MDS

   Read on a AANAC article that if the D/C summary states that the dx is resolved, we cannot use the diagnosis, even if the main reason needing therapy services - that a MD Query must be completed to support that dx is in fact “active”... — article quot...

7. Peg and wellness period

   TigerxLiLy replied to TigerxLiLy's topic in MDS

   Thank you Talino. I swear i have read the medicare guidelines - guess i just remember reading it- and sorta related it to my corporate office (maybe thought it was their rules.. Who knows) Just ran into this issue when we admitted a new patient from ...

8. Peg and wellness period

   TigerxLiLy posted a topic in MDS

   I have been told that a PEG that is giving a patient 26% or more of daily nutrition is considered a skilled service in a LTC setting. Was told that when the patient uses their 100 days that they would never accrue the 60day wellness period as long a...

9. RUG meeting disaster today..sigh

   TigerxLiLy posted a topic in MDS

   *Venting* We have RUGS meetings every Mon/Wed/Fri per corporate. SS,DOR,restorative, myself the PPS coordinator, Medicare part A nurse (who is suppose to document on and follow their medical progress and do dc planning with family) and either the DON...

10. Restorative RUG

    TigerxLiLy replied to tammyloumc63's topic in MDS

    Since this discussion is open... Rehab Low requirements Do your faculties mandate that the therapy department transition to RNP with each discipline doing 3 days QOD of 15min(training restorative)? To get a rehab low... It just says 3 days of any co...

11. medicare A nurse/documentation nurse

    TigerxLiLy replied to TigerxLiLy's topic in MDS

    Only RNs care for your Med A's?how does that work? The have their own ward? What's your med A patient:nurse ratio? How do you deal with LTC patients that come back skilled on a different hall?.. Trying to convince my boss to do a ward with just RNs.....

12. medicare A nurse/documentation nurse

    TigerxLiLy replied to TigerxLiLy's topic in MDS

    ...did.. Answer was "I have issues at home and I have not been all there in my head"... I directed her to our DON with that statement.. If you can't focus on the patients because of "home life" then you should not be working.

13. IDT organization

    TigerxLiLy replied to TigerxLiLy's topic in MDS

    Care Area Assessment.. It's on the comprehensive MDS (Admission,Annual,Sig change assessments).

14. IDT organization

    TigerxLiLy posted a topic in MDS

    Hi, * I am looking for ideas to better organize our IDT team.* I know each building has their own ways of communicating and "getting things done", but I am researching and would like to know a little about how your IDT functions. My facility current...

15. Nuances of fluffed care plans

    TigerxLiLy replied to TigerxLiLy's topic in MDS

    I guess the nutritional focus will have a direct relation to DM, GERD, CDiff, anything GI related.