evalesco

i don't have a problem with the 3.0 if we can completely cut out the discharge assessment. this is going to sound very bad, but......when i see a resident had died in the facility, i feel relief knowing i don't have to do a d/c assessment! here was a...

Can you get your validation report? We are having trouble retrieving ours.

I watched that AANAC video, but I was so "lucky" to be in Vegas to hear the Gold Standard Nurses speak. It was a joke then, and it's a joke now. Their video is even more a joke. They really don't know what they are doing. They have been out of patien...

We are on Matrix. It's okay. We liked pointclickcare at my company, but it was too expensive.

If they were admitted 9/9, just do the 30 day 10/1. From what I understood today, you will be paid that rate for the remaining 8 days the 14 day would pay for.

Well our plan is..... Social Services B, C D, E, and Q. Activities F Restorative G, H, P Dietary K MDS I,J,L, N, O Wounds M Therapy (part of O) Everyone is responsible for their own raps and care plans. This is the goal, now what is going to happen i...

I am preparing to have no life come October!!

Spotlight Skilled Nursing Facilities PPS The CMS website has some downloads for the transition from rugs III to rugs IV. We are redoing all our assessments on October 1st, 2nd, and 3rd. Yes it sounds crazy, but our company is not going to accept any ...

CMS was still revising the 3.0 RAI manual mid August at the Las Vegas conference. That is the reason your corporation seems slow to train everyone. I really do feel that my company and I are in this all together. I was at the AANAC conference in Las...

I believe CMS has some tools also MDS 3.0 Training Materials Nursing Home Quality Initiatives scrool down to the downloads and the second link is tools.

The AANAC 3.0 course is a great start, after October 1st we will all be new. The 3.0 is going to be bringing some big changes and I believe the first month will be trial and error. So go for it, I do think it looks good on a resume that someone took ...

:yeah::yeah::yeah: i laughed out loud!! so funny and true!

The rap just indicates risk factors for dehydration, delirium, falls etc. But if you have a resident who is actuall showing s/s of dehydration that would be in your nrsg. notes, right? And your care plan should outline what your interventions would b...

Delirium usually triggers due to decline in mood, and on new admits they usually will have a decline in mood, I just write ... Rap triggered due to decline in mood, no need to care plan, no s/s of delirium are present, refer to Mood rap and care plan...

PPS is the payment system for medicare residents. Prospective Payment System. You are paid a per diem daily rate per the MDS codes. Each state varies. http://www.cms.hhs.gov/SNFPPS/ I have always worked where they have two MDS nurses, one who does lo...

I can't believe the MDS nurse is pulled to the floor where you work, I guess your company don't care too much about the money the MDS brings in. Anyways, you only need to indicate why the rap triggered, you don't need to put a big long summary. For e...

In Illinois it varies but on an average from what I have seen... RN-$26-$35.00 an hour LPN-$22-27.00 an hour I am sure it varies on experience and different certificates you might have, NASPAC, etc.

I agree with the above^^^^ Go to day 8, see if therapy can project a high or medium and go for the RMX or RML score which will pay higher then the original 5 day you did which was probably an SE2 or SE3.

No, but if you ever come to Chicago I have a job for you!!!!

I believe it is standard contact precautions. At least where I go to it is.

I think that it depends on your state. My company is always sending me to seminars for updates etc. I am in Illinois, what triggers the new rug codes are the ADL's AND skilled services combined, IV meds, IV fluids, suctioning, and I belive trach care...

i'll be looking out!!!!:chuckle :chuckle :chuckle

Hello! I live in Frankfort, currently working in the city:) alot of people from all over Illinois on here!

Of course LPN's are nurses, depending on where you work, LPN vs. RN duties are different, I think that RN's do deserve higher pay, due to education, responsibilities etc. I have been a LPN for 7 years now, I really have no intention on ever going bac...