glm777

glm777 BSN, RN

MDS Coordinator

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All Content by glm777

  1. Adm MDS completion

    glm777 replied to glm777's topic in MDS Coordinator Information

    That is how we have always interpreted the RAI manual. However in a recent focused MDS survey, we received deficiencies for late Admission MDSes and were told that the manual states that the...

  2. gabapentin as scheduled pain med

    glm777 posted a topic in MDS Coordinator Information

    Do you code meds like Gabapentin, Lyrica and Neurontin as pain meds in section J? In this particular case they are being used to treat neuropathy and chronic pain syndrome. The manual says to not code...

  3. Rule of three

    glm777 posted a topic in MDS Coordinator Information

    How would you all code this scenario: In the 7 day lookback period the resident's transfers are coded as such: 1 time - limited assist 1 time extensive assist 8 times supervision 4 times totally...

  4. Rule of three

    glm777 replied to glm777's topic in MDS Coordinator Information

    But isn't that only if there are not three of any one code? In this case there are more than three instances of

  5. Admission assessment

    glm777 posted a topic in MDS Coordinator Information

    If a new resident goes out to the hospital on day 2 (DRA) and does not return until day 17, is an admission assessment required by day 14? We were recently told by our consultant that even if a...

  6. Admission assessment

    glm777 replied to glm777's topic in MDS Coordinator Information

    Thank you all so much for your help. I now have something to reference when

  7. Admission assessment

    glm777 replied to glm777's topic in MDS Coordinator Information

    Thank you for your response. However the latest version of the RAI manual is 3.0 - this is from 2.0 and I can't find in the current RAI anywhere that says specifically what to do if the resident has...

  8. Sig change for the same reason

    glm777 posted a topic in MDS Coordinator Information

    I did a sig change on a resident when he developed a stage 2 and a stage 3 area. He recently went into the hospital and returned with the same areas PLUS three additional areas - a stage 4 and 2...

  9. Federal audit and Adm MDS

    glm777 posted a topic in MDS Coordinator Information

    Federal MDS audits: This came up as a tag on a recent MDS audit. A resident was admitted to the facility. He went out to the hospital on day 5 and was DRA. We had scheduled an admission MDS but closed...

  10. How many MDS coders

    glm777 replied to homenurse4u's topic in MDS Coordinator Information

    We have a 175 bed facility with only 2 full time MDS nurses. Our medicare census usually runs in the low 20s. All PPS assessments are done by the other full time MDS nurse as well as daily PPS...

  11. Non surgical dressing

    glm777 posted a topic in MDS Coordinator Information

    A resident is s/p hip repair. He has steri strips in place with a small amount of drainage from the incision. The Md has ordered a dry dressing once daily. Would you consider this a non surgical...

  12. Dehydration CAA

    glm777 posted a topic in MDS Coordinator Information

    Hi All! Do you proceed on the dehydration CAA if a resident is NPO and gets all fluids from his Gtube feedings/flushes? I have always been taught to proceed since the resident is NPO but I am now...

  13. Care plan question

    glm777 posted a topic in MDS Coordinator Information

    We have recently started using a computer system for our resident care plans. In my "paper" experience, I have always felt that less is best so our care plan were on the simple side: Meds a/o -...

  14. Talino- help please! Question about setting ARD

    glm777 replied to BrookeJayneRN, DIT's topic in MDS Coordinator Information

    Opening the MDS on or after the ARD might be a problem when doing the resident interviews. The interviews are to be done during the observation period - not after. If you open the MDS after the ARD...

  15. can my DON force me to work the floor?

    glm777 posted a topic in MDS Coordinator Information

    I need some advice. I have been an MDS coordinator for the past 21 years. Due to some restructuring in management, it looks like I might be put on the "on call" rotation. For my building, the on call...

  16. can my DON force me to work the floor?

    glm777 replied to glm777's topic in MDS Coordinator Information

    If you had read further you would have seen that I clarified my earlier post to say that I said that refering to the fact that it seems like I will never retire due to a recent divorce. I didn't think...

  17. D/C Assessment

    glm777 posted a topic in MDS Coordinator Information

    Section J1800 asks "has the resient had any falls since admission/entry or reentry or the prior assessment (OBRA or scheduled PPS), whichever is more recent". The definition of a "Prior Assessment"...

  18. Today's Dr. Phil shocker: Nursing home abuse

    glm777 replied to GLORIAmunchkin72's topic in Geriatric, LTC

    I couldn't have said it

  19. next quarterly

    glm777 posted a topic in MDS Coordinator Information

    Now that the time frame between MDSes is based on the ARD, here is a question I have. I have a resident who's 92nd day was 1/5/13. She is not interviewable. I was going to start the MDS today but she...

  20. coding antibiotics

    glm777 posted a topic in MDS Coordinator Information

    Does anyone code Bactroban as an antibiotic in section N? We frequently use Bactroban applied to the nares for residents with MRSA of the nares but we haven't coded it as an antibiotic but now we are...

  21. can my DON force me to work the floor?

    glm777 replied to glm777's topic in MDS Coordinator Information

    "I am curious, OP,... if you have been an MDS coordinator for 21 years and plan to work for 40 more, how old were you when you graduated and took your position? LOL the math kinds looks like you were...

  22. cheat sheets for ICD0 coding

    glm777 posted a topic in MDS Coordinator Information

    Does anyone have a cheat sheet for the most common ICD 9 codes for LTC? We recently added a part time position to our MDS department and our system has such crazy abbreviations for ICD9s that it's...

  23. section M question

    glm777 replied to glm777's topic in MDS Coordinator Information

    Thank

  24. section M question

    glm777 posted a topic in MDS Coordinator Information

    A resident developed a deep tissue injury that we coded on his last MDS as a stage 4 - Deep Tissue Injury. It has since opened and is now a stage 2 pressure ulcer. Should I code this as a "worsening"...

  25. BIMS and PHQ-9 completion dates

    glm777 posted a topic in MDS Coordinator Information

    Can someone tell me where in the RAI manual it states to complete the BIMS and PHQ-9 interviews on the ARD rather than after the ARD like the rest of the MDS? My SW completes the interviews and other...