Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. MDS 3.0 Delayed until October 2010

    Talino replied to Talino's topic in MDS Coordinator Information

    New MDS 3.0 Implementation Timeline scroll down to

  2. How long does it take to learn your job

    Talino replied to meluhn's topic in MDS Coordinator Information

    One month is doable. Realism is a toss up. I will start with the obvious questions --- How much do you know about MDS? How many hours a day will the consultant train you, days/wk? After a day's...

  3. ASHD vs CAD

    Talino replied to kmiles's topic in MDS Coordinator Information

    They're the same. Other alternative names - atherosclerotic heart disease (AHD) or coronory heart disease

  4. Quarterly MDS

    Talino replied to engine524's topic in MDS Coordinator Information

    rai p3-137 -- "the intent of this item on the quarterly assessment form is to update newly diagnosed diseases; however, only those diseases diagnosed in the last 90 days that have a relationship to...

  5. Couple questions

    Talino replied to toicole's topic in MDS Coordinator Information

    Accdg. to the books, in an ileal conduit, the ureters are removed from the bladder and attached into a detached section of a part of the small intestine (the ileum) to drain urine. The end of the...

  6. Private Rooms

    Talino replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Admissions should have a procedure disclosed on how a private room is allocated. A "first come (or 1st request), first served" policy is ideal. A signed/dated request should stipulate an agreement to...

  7. tube feed and skilling

    Talino replied to CapeCodMermaid's topic in MDS Coordinator Information

    The regulation hasn't changed. Once the 60-day break is attained, the resident is entitled to a new benefit period even for the same tube feeding as long as the criteria is met. 30.2.2 - Principles...

  8. Does staff use transfer belts?

    Talino replied to Pooksmom1996's topic in Geriatric, LTC

    Only if the facility's policy so

  9. Patient Self Pay, do you need to do MDS? help!!!

    Talino replied to jeffrey930's topic in MDS Coordinator Information

    The DC = 8 is all that's needed. No OBRA MDS is required on stays less than 14 days. Not all private insurance require an MDS. If they do, you comply. If there is no SS# or info is unknown, use the...

  10. What is involved in setting up a business in providing care for the elderly?

    Talino replied to jemrich008's topic in Geriatric, LTC

    You have a devious way of self promotion. For a nominal fee you can advertise with

  11. Point Click Care Question!

    Talino replied to kjwrn's topic in Geriatric, LTC

    Softwares' online help, if provided, would only be available if you're a registered user. There must be an option to manually enter an ICD9 if none of the choices fit. That is likely the case when the...

  12. Surveyor thinks I miscoded section E

    Talino replied to KingDom's topic in MDS Coordinator Information

    And my answer to him/her, "If the MDS was about you, I'd code it exactly the same way!" Albeit, I'll be a little discreet RAI p1-19, bullets 2-5, clearly specify "Communication with..." Same page,...

  13. Physician orders section p8?

    Talino replied to jeffrey930's topic in MDS Coordinator Information

    according to the definition, p3-205... "physician orders - includes written, telephone, fax, or consultation orders for new or altered treatment. does not include standard admission orders, return...

  14. Scheduled toileting program

    Talino replied to Emerald0507's topic in MDS Coordinator Information

    according to the rai p 3-125, yes ... "facility staff may list a resident's toileting schedule by specific hours of the day or by timing of specific routines, as long as those routines occur around...

  15. P2e Reorientation

    Talino replied to mlolsonny's topic in MDS Coordinator Information

    the coordinator is correct. whenever the word "program" is appended to an activity, it refers to "a specific approach that is organized, planned, documented, monitored and evaluated" (see rai p3-125...

  16. Salsa anyone ? !

    Talino replied to Rascal1's topic in Geriatric, LTC

    Likely a Supervisor of Assisted Living Services Agency ... dang, got me

  17. Tube Feeding & 60 day spell of wellness

    Talino replied to MickRN07's topic in MDS Coordinator Information

    See this Q&A p2 #4 from an FI For consumers Medicare Coverage of Skilled Nursing Facility Care pp

  18. Tube Feeding & 60 day spell of wellness

    Talino replied to MickRN07's topic in MDS Coordinator Information

    in order to be eligible for a new "benefit period" the resident must not have received skilled services while in the nursing home for 60 consecutive days nor admitted to a hospital during that period....

  19. Still not sure on ending PPS with no rehab?

    Talino replied to jpav33's topic in MDS Coordinator Information

    'agree w/ both replies. here is what cms says regarding a psych stay... "while a 3-day stay in a psychiatric hospital satisfies the prior hospital stay requirement, institutions, which primarily...

  20. Survey says.......!!

    Talino replied to Rexie68's topic in MDS Coordinator Information

    Significant impovement is a most commonly overlooked SCSA. While the treatment is still ongoing, the progress can be documented as an expected outcome. Once stabilized and the resident is not what he...

  21. New medicare licensed question

    Talino replied to jpav33's topic in MDS Coordinator Information

    Correct, start w/ a 5-day. If the criteria for Sig. Change is met, you can combine the two. The facility MD can certify the need for skilled service/s. Being new to PPS, I highly recommend reading the...

  22. Off Cycle Quarterly

    Talino replied to miccay's topic in MDS Coordinator Information

    There is no specific CMS mandate that precludes a facility from conducting more frequent assessments than is actually required. States may have a more stringent policy. In which case, when a facility...

  23. F L U Vaccine: V I S

    Talino posted a topic in Geriatric, LTC

    FLU VACCINE: VACCINATION INFORMATION STATEMENT (VIS) Do you guys provide the VIS prior to administering the flu shots? If you do, when do you normally give it out -- a month/s prior to administering...

  24. Interventions for Weight Loss

    Talino replied to Singlemom40's topic in Geriatric, LTC

    Click on this link first http://biomed.gerontologyjournals.org/cgi/content/full/55/12/M725 On the right, click on Full Text (PDF) to see the entire document It should download automatically, if not,...

  25. Coding Cognitive Impairment

    Talino replied to carol20lpn's topic in MDS Coordinator Information

    Try Appendix F, F-2 Cognitive Performance Scale (CPS) Scoring Rules Regarding the Decision-Making ability, here's how I would determine capacity... The "Intent" of B4 refers to everyday decisions...