glm777

glm777 BSN, RN

MDS Coordinator

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All Content by glm777

  1. BIMS and PHQ-9 completion dates

    glm777 replied to glm777's topic in MDS Coordinator Information

    So the person doing the BIMS and PHQ would be signing the MDS prior to the ARD. If they have other sections of the MDS to complete as well, then they would be signing the MDS twice, correct? Once...

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

    glm777 replied to Nascar nurse's topic in MDS Coordinator Information

    I just keep thinking - Could they have possibly made this MDS any more confusing?? For us and for the resident. I consider myself an intelligent person, I've been an MDS Coordinator for 20 years, I...

  3. tube feeding coding question

    glm777 posted a topic in MDS Coordinator Information

    Our resident has a feeding tube that is not used for feeding or nutrition at this time. The resident eats well PO and the tube is only flushed every shift. Our RD thinks we should be coding the tube...

  4. Learn To Say It Correctly!!

    glm777 replied to SheriLynnRN's topic in General Nursing

    the one that makes me the craziest: the resident used a pencil to "itch" under his cast! Don't they mean "scratch" under his

  5. Majorly stressing, need advice!

    glm777 replied to MomRN0913's topic in Nurse Management

    The one thing I have learned about people who always turn the problem around onto someone else's shoulder is that they do it because they think they can get away with it. You need to sit down ASAP...

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

    glm777 replied to Nascar nurse's topic in MDS Coordinator Information

    "The D/C Assessments are a Nightmare. We can't keep up." LOL! Don't get me started on the D/C assessments!!! Again, what is the point other than data gathering for the federal government? Free labor...

  7. ARD's, care plan dates & information

    glm777 replied to rukiddingme's topic in MDS Coordinator Information

    I require my disciplines to have their section of the MDS done within 3 days of the ARD, then I allow another 4 days for the CAAs to be completed. What I find is the longer you give them, the longer...

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

    glm777 replied to Nascar nurse's topic in MDS Coordinator Information

    I still think the 3.0 is cumbersome. I think it definitely could have been simplified. The number of skip patterns make it difficult for some of our staff members to follow. Also, the amount of room...

  9. MDS 3.0 coding question

    glm777 posted a topic in MDS Coordinator Information

    Can someone help me out here? The Psychosocial CAA triggers whenever the resident states in section F0500f (daily activity preferences) that it is "not very important" to do their favorite activities....

  10. mds 3.0 - what WERE they thinking??

    glm777 posted a topic in MDS Coordinator Information

    You have got to be kidding me!! I just finished my first D/c return not anticipated and I am fuming! took me 1 3/4 HOURS to complete it! For someone who has gone home! Thankfully we had just done a 30...

  11. AANAC MDS 3.0 certification

    glm777 posted a topic in MDS Coordinator Information

    Has anyone taken any of the new 3.0 certification courses from AANAC? I've been certified for a few years now and am hoping that maybe going through some of those courses might clarify some things for...

  12. first full week working with 3.0!!!!!

    glm777 replied to dbsue1954's topic in MDS Coordinator Information

    yes - the lovely updates. Of course, our company, being so ready to jump on this new process, got us our manuals in June. So between then and now I have highlighted, made margin notes, etc (on my own...

  13. case load

    glm777 replied to 1lanarn's topic in MDS Coordinator Information

    We are a 175 bed facility with an average medicare census of 25. There are 2 full time MDS nurses that complete all the MDSes for the facility. This is so not do-able with the new

  14. MDS 3.0 sub-forum

    glm777 posted a topic in MDS Coordinator Information

    Does anyone think it would be worth it to have a forum dedicated clinically to the new MDS 3.0? It could be used for discussion or answering questions or getting ideas and feedback about the forms,...

  15. Favorite Dr or Nurse Name

    glm777 replied to sethmctenn's topic in Nursing Humor

    I went to an oral surgeon once named Dr.

  16. the dysfunction of LTC

    glm777 replied to Kashia's topic in LTC: Directors, Assistant

    Of course, I don't know why the staff would be saying this but I do have experience being the agency nurse at several LTC facilities and I can tell you some of the issues I have had. Basically I have...

  17. hip fx vs. pelvic fx

    glm777 posted a topic in MDS Coordinator Information

    what should an "intertrochanteric" fracture be coded as - hip or pelvis? The hospital d/c summary says pelvic, the MD says hip. The actual xray says simply "intertrochanteric fracture". In the RAI...

  18. case load

    glm777 replied to 1lanarn's topic in MDS Coordinator Information

    I do all the RAPs and do the care plans for all new admissions. We just had our 3.0 training and supposedly we are getting some extra hours in the MDS dept - not sure yet how many but we are hoping...

  19. Clinical difference of opinion on cognitive status with SS

    glm777 replied to fulzgold's topic in MDS Coordinator Information

    One thing that has saved me at survey time is this: anytime I find that the documentation does not accurately reflect the resident status and I code my MDS differently (accurately), I write a NN...

  20. case load

    glm777 replied to 1lanarn's topic in MDS Coordinator Information

    In my 176 bed facility, one other nurse and I are responsible for all of the MDSes - OBRA and PPS. We normally run about 20-25 medicare residents and average about 10 - 15 admssions per month. We each...

  21. correction sent for major error - ? RAPs

    glm777 posted a topic in MDS Coordinator Information

    Staff nurse completed an annual MDS/Raps with VB2/4 11/16/09 On 11/30 I was looking at the chart and noticed the resident has a trunk restraint that was not coded on the MDS I sent a correction on...

  22. coding section C - communication

    glm777 posted a topic in MDS Coordinator Information

    We have several residents who speak only Portuguese. They are alert and oriented and easily able to converse in their native language. However we don't always have Portuguese speaking staff...

  23. need opinions please - ANOTHER consultant!

    glm777 posted a topic in MDS Coordinator Information

    As usual, a new consultant in the building with her own interpretaion of the RAI manual. A few questions: Resident has Gtube but only being flushed - no feedings (taking PO) - ? code "feeding tube" in...

  24. CP meeting invites

    glm777 posted a topic in MDS Coordinator Information

    How does everyone handle inviting folks to the quarterly care plan meeting? Initially we used to invite the resident and only invite the family if the resident was not capable of participating. Now...

  25. CP meeting invites

    glm777 replied to glm777's topic in MDS Coordinator Information

    And how much of your time do these meetings take? Coordinating and attending CP meetings is only a fraction of my job. Our building has 176 residents. By inviting all these folks, how do you manage...