miccay

miccay specializes in Geriatrics.

Latest Activity

1. anyone starting chamberlain FNP in September 2014

   miccay replied to stephanie11's topic in Student Nurse Practitioner

   I am also starting July 7th. I am nervous about going back to school but excited as well. Starting with one class, NR500, of course, but hope to take two classes in

2. Looking back, would you obtain NP credential??

   miccay replied to Cindy-20's topic in Nurse Practitioners, NP

   Thanks for posting your opinions. I am about to start an online program. I chose online for two reasons - one so I continue to work full time during the day (until I get to the clinicals) and the...

3. Am I too old?

   miccay replied to frann's topic in Nurse Practitioners, NP

   Thanks for all the positive comments on this post. I have been wandering the same for myself. I am 44 yrs old and about to start a NP program. I will be close to 47 when I am finished. I have had...

4. Documentation

   miccay posted a topic in LTC: Directors, Assistant

   I am the DON at a 88 bed facility. Right now our census is 76. I am being told that the nurses are staying over on their shift too much and they have to clock out and leave after their 8 hrs. The...

5. Is AANAC certification worth it?

   miccay replied to lvnlrn's topic in MDS Coordinator Information

   I have been a member for three years and I am certified through AANAC. I have never regretted

6. Careplans and Quarterlies

   miccay replied to txdon's topic in MDS Coordinator Information

   Your MDS nurse is looking for documentation to help her code that particular resident. The MDS and care plan should paint a picture of what is going on and it can only show that if the documentation...

7. Section K

   miccay posted a topic in MDS Coordinator Information

   I have to code a resident's diet that is full liquid. She had an esophogeal repair and she is to have a full liquid diet now. I have never had to code this and I can't decide where it fits. It is not...

8. I'm I in for a rude awakening?

   miccay replied to winurse54984's topic in MDS Coordinator Information

   MDS has changed quite a bit. To me, the new 3.0 is very time consuming. Interviews have to be conducted for each assessment - BIMS for cognition, PHQ9 for mood, pain, discharge preferences, activities...

9. Physician Orders

   miccay posted a topic in MDS Coordinator Information

   In the facility where I work, I have a nurse consultant that comes monthly and completes an audit on the MDS I have completed. She always comes up with one more physician order that she says I should...

10. Staff Nurse at Hospital or RAI -MDS Coordinator?

    miccay replied to Kookie2412's topic in MDS Coordinator Information

    I agree with the first answer. MDS is not a 9-5 job. You have to consider what other tasks come with that position. In some facilities, the MDS Coordinator has to take call. That is very hard to do....

11. MDS 3.0 Use of Dashes

    miccay replied to andy3k's topic in MDS Coordinator Information

    I totally agree that this MDS needs to be revamped. We have so many unplanned discharges it is ridiculous. I try not to use dashes, but as you say, if the interview was not completed, we can not...

12. Couldn't take it any more.....

    miccay replied to wyogypsy's topic in MDS Coordinator Information

    I agree, good for you! I understand what you went through. I work in 122 bed facility but we have what they call a transitional care unit. We have anywhere between 30-40 Medicare. Most are there 20...

13. Frustrated and overwhelmed...

    miccay replied to AltaEnfermera's topic in MDS Coordinator Information

    First of all, I would ask myself "is this job really worth it?" You stated that you agreed to the job of MDS Coordinator because you love the facility and wanted to come back at any compacity. If you...

14. Section M - turning and repositioning program

    miccay posted a topic in MDS Coordinator Information

    Under section M, what type of documentation is required in the chart for a turning and repositioning program? I am confused because I thought it had to be specifically for the resident with...

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

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

    I agree with all the above comments. When I first heard about 3.0 coming out, I was excited and thought they would really improve and simply the MDS. I was so disappointed when I saw it. I think most...