silverpilot03

Most schools are for-profit businesses therefore most will spin the truth for the benefit of owners and stock holders. So be extra vigilant for false advertising and empty promises. Why not exert the extra effort and take up BSN which will be in demand here in the US and worldwide in the forseeable future and with a high probability of visa allocation. But please don't get me wrong I'd love to have qualified, caring, hardworking, fluent in English Filipino CNAs working here with us along with other nationalities. And when you saved enough I would be encouraging you to take up nursing here!

The 53-RUG-III applies to ALL 50 States. CMS added one major RUG (the Rehab plus Extensive Services) with 9 new sub-RUGs (RUX, RUL, RVX, RVL, RHX, RHL, RMX, RML, RLX). The new RUG combines the qualifiers for the current Rehab RUGs with the Extensive Services RUGs qualifiers. To classify into one of the nine new categories a resident needs THREE essential requirements: 1. have an ADL score of 7 or higher AND 2. meet criteria for Extensive Services RUG-III groups AND 3. meet criteria for Rehab RUG-III groups. So while this new system does not change how we complete the MDS we all now more than ever, will be needing: more accurate, readily accessible (late-loss) ADL documentation to capture for example that one instance of two person assist or 3 instances of weight-bearing support; better pre-admission screening for and/or recording of extensive services qualifiers w/ their important dates; and increased and close communication w/ skilled Rehab to obtain the right ARD for optimal reimbursement. So what else are THEY waiting for? Bring on DAVE2 :chair:, MDS 3.0 :rolland the results of STRIVE ! May the PPS Force be with US ALL!

Don't mean to be "anal" (but I guess that's why I'm also an MDS-PPS RN Coordinator), the correct link is: www.naspac.net.

http://keanecare.com/html/news/mds20.asp

Being RAC-C is just a starting point. You have to prove your worth. As you might already know numerous factors need to be considered, SOME of which are: experience/length of time on the MDS job; your productivity = no. of PPS residents and therefore assessments; no. of OBRA residents and therefore assessments; timeliness of completing assessments; mastery of Medicare (who gets admitted, who stays, who gets DC'd etc.) and also Medicaid rules, Resoure Utilization, ICD-9 coding; accurate and updated assessment skills; relationship w/ IDT, Rehab, DON and Admin etc. Basically if you can prove to be of vital importance to proper resident care, proper reimbursement and risk management you should be able command a higher than average rate in ANY LTC facility.

I'm a PPS Coordinator in an LTC facility so I am not sure if my answers will hold true for you. 5 day MPAFs or short forms can be used for Residents DC'd prior to completing the initial comprehensive (MDS plus RAPs) meaning they stayed less than 14 days. OR a 5 day MPAF can be performed, with the 14 day MCR-A dually coded as OBRA Initial Assessment with the strict requirement that initial assessments be completed (R2b) by the 14th day of admission meaning no use of grace days.

https://www.qtso.com/swingdownload.html http://www.cms.hhs.gov/SNFPPS/03_SwingBed.asp#TopOfPage

No tool is perfect. The Braden, Norton and Waterlow have limitations but they are clinically validated. WE ALL KNOW that an assessment if done timely and accurately is the first step towards proper care. Nursing 101: "ADPIE".

MDS-PPS item "Triggers" remain the same. We need to score the Late Loss ADLs more accurately than ever (ADL score 7 or higher), we need to set the optimal ARDs for the 5D and even 14D to capture Extensive Services (IVF, IV meds etc.) coordinating more closely with Skilled Therapy more than ever. AANAC online membership plus credentialing and subscription to MDS Alert and high speed DSL access will more than pay for itself: ask Admin.

It varies widely: in my part of the LTC woods: there are MDS assessment coordinators, there are Care Plan coordinators, there are PPS coordinators vs. OBRA (long-term) coordinators, there are MDS-CP coordinators, there are MDS-CP coordinators-Unit managers. So as you can see there are numerous combinations, having said that if your concerns regarding care plans/cards and other info in the medical record are valid that nurse should at least take note and communicate the info to whoever is assigned that responsibility. I for one as an MDS-PPS coordinator appreciate everybody's help in my assessments, in fact CNAs are one of the best sources of needed data.

AA9 LPN and IDT members sign the respective sections that they're responsible for, R2b RN signs MDS as complete. A legal and clinical gray area for now in my opinion.

Nov. 1999 interview experience: got there early (was still dark, raining at that) usual long lines, went through the kababayan in the front windows (w/ the initial screening) who was actually more intimidating than the consular officer himself. The interview was surprisingly straight forward and fast, he just asked me how long I've been a nurse and where'd I think my sponsoring healthcare facility was located (which I found a wee bit funny because I had never been to the States). He signed a couple of documents and told me to proceed to the cashier's window. I didn't even had the chance to thank the man who little did he know just changed a couple of lives just by approving my EB-3. So as long as EVERYTHING is in order (supplemented by a lot of praying) the process is quick and painless.

Please add one more IL RN

http://www2.uchsc.edu/son/caring/content/ Try "Googling" Jean Watson for more

As recommended: AANAC.ORG, hourly pay with time and a half after 40h, for me 85 long term + 15 med A's require a full time MDS coordinator plus a part timer, "immunity" from being the nurse in "reserve", a reliable computer w/ high speed internet connection for up to date info