miccay

miccay

Geriatrics

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All Content by miccay

  1. PPS tracking form

    miccay posted a topic in MDS Coordinator Information

    I know you all have heard this request before, but I am looking for a PPS/medicare daily tracking form. I used to work where we had one that updated days used when the date was changed at the top of...

  2. 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

  3. 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...

  4. 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...

  5. 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...

  6. 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

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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....

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. Is there any weight to MDS "certification?"

    miccay replied to IMABSNRN's topic in MDS Coordinator Information

    That is good advice. Also if you are working for a company already as a MDS Coordinator, they may be willing to pay for your certification. That is how I got mine. I worked as the MDS Coordinator for...

  18. Pushing The Limit For $

    miccay replied to disney158's topic in MDS Coordinator Information

    I was being pushed also to do "off cycle" quarterlies to capture a better RUG for case mix. I was very hesitant to do this, but I called my state MDS coordinator and explained it to her and asked her...

  19. Need some help with pain management

    miccay posted a topic in Pain Management

    Hi Guys, I am a nurse manager at a small nursing home. I am so fed up with the nurses there being oblivious to the resident's pain. I see it everyday. I have observed a little old lady who has...

  20. Inadequate documentation

    miccay replied to dian57's topic in MDS Coordinator Information

    This is a constant battle at my facility also. We have been using Caretracker since March and we have inservices frequently on correct coding. I don't have any advice on how to successfully obtain a...

  21. Can a lpn working strictly in homecare pass th cpne

    miccay replied to Guest26407's topic in Online Distance Learning

    You certainly can pass the CPNE. I did it with no hospital experience. You are given the study material and if you study and practice and take a workshop, you can pass. Go for it! Good

  22. LCT case load

    miccay replied to treatwounds's topic in MDS Coordinator Information

    I am the MDS Coordinator for our 66 bed facility. I complete and transmit all the MDS - Obra and Medicare, update careplans and head the careplan meetings. We are certified fro 15 medicare, but right...

  23. Off Cycle Quarterly

    miccay posted a topic in MDS Coordinator Information

    In my facility, our MDS consultant insists there is something called an off cycle quarterly that can be done to increase your RUG or get something off the Quality Indicator Report that is flagging....

  24. Off Cycle Quarterly

    miccay replied to miccay's topic in MDS Coordinator Information

    I understand that assessments can be moved around - done early or whatever to capture a better RUG, but I am being told that an "off cycle quarterly" does not restart the clock for the 92 days for the...

  25. out of work all day on allnurses.com

    miccay replied to johnnyDoGood's topic in Online Distance Learning

    As an Excelsior College student, you already have experience in the medical field - LPN, EMT, Resp Therapist, etc. - you are expected to already know this - you go for your clinical to show you know...