Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. MDS training/job

    Send your resume to as many facilities accessible to you and indicate your intentions in your cover letter. In some NY facilities, "nurse supervisors" are given the responsibility to oversee a portion...
  2. MDS training/job

    altho i've seen your post 2 days ago, without any replies, i hate to be the one to dash your hopes. this is an excerpt of my post to a similar scenario... "mds is a mandatory tool for snfs. the...
  3. Is weight loss a skilled nsg need?

    unintentional weight loss in elderly patients is associated with increased morbidity and mortality. however, it's what you do to address the weight loss that determines whether the services rise up to...
  4. MDS training/certification

    Try sending your inquiry here Yes, it's U.S.-based, 'tho they're the ones in-charge of the interRAI version of the RAI MDS 2.0 which is used in
  5. Chemotherapy

    when given daily, yes. if less frequent than that, what services did the resident require/receive during the rest period between sessions? three of the most critical nursing activities to support...
  6. When therapy is discontinued it is assumed that resident reached maximum potential. Observation by nursing staff with therapy referral prn to ensure that resident maintains that physical function is...
  7. Blisters Under Section M

    A facility's wound care policy may adhere to certain protocols. For MDS purposes, we must abide by the instruction stated in the manual, p3-159. A blister is coded as a Stage 2 (unless, other than...
  8. Microphones and Web Cams

    I don't believe that "right" extends outside of a private house. Like I mentioned in my initial post, only a very few states have adopted video/audio surveillance in nursing homes. Even if it is, the...
  9. Microphones and Web Cams

    I believe there are only a few states, Texas and New Mexico come to mind, which permit a nursing home resident or designee to install video surveillance. I am most certain, with the facility's...
  10. Devices & Restraints

    Only if the rail/s have the effect of preventing a patient from getting out of bed. Can the patient get out of bed on his own, regardless he does it safely or unsafely? If the patient lacks that...
  11. timing nebulizer treatments

    If you're referring to P1b.D. Resp. rx, you only count the actual minutes spent by the "trained nurse" with the patient. Ongoing treatment time in the absence of the nurse is not
  12. Revised MDS 3.0 Draft:The proposed version of the MDS 3.0 form, dated January 15, 2008, and written introduction to MDS 3.0 are posted under the Downloads section below before the ODF. MDS 3.0...
  13. Therapy & Section P

    When you say both therapists "eval and work" on the 22nd, PT=35 mins OT=25 mins, do you mean they evaluated the resident and began therapy rx? Or, were these entire minutes solely an evaluation to...
  14. Phsycian Refusal to write med orders

    Hosp. MDs write a discharge summary. Unless a patient is discharged home, they do not prescribe meds or ttts for the accepting LTC to carry out. If they do, a "recommendation" is likely what it will...
  15. MDS PPS and LTC Tools Needed

    Attached is a Preadmission screen, a RUGS III Hierarchical classification (ignore the rates), and a preadmission cheat sheet. RUGIII.pdf PreAdmission Cheat sheet.pdf PreAdmission
  16. Mds 3.0

    Updates will be posted here http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp#TopOfPage Scroll down to downloads - the timeline depicts the implementation dates & the proposed MDS...
  17. http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS20Update200801.pdf
  18. Significant Changes

    the scenario would meet the definition of "self limiting", rai p2-7. "a condition is defined as "self-limiting" when the condition will normally resolve itself without further intervention or by...
  19. This was released this week.
  20. Getting started as MDS nurse

    aanac has one in atlanta in september -- http://www.aanac.org/pages/workshops.asp nrai has one in tn and in fl in october -- http://www.nrai.net/live_seminars.php just a heads up... these are...
  21. SNF's in Portland, OR

    First step, look up the facilities at Nursing Home Compare Check the type of ownership, number of beds, inspection results, staffing, quality measures, etc. Albeit, first hand info from former or...
  22. restorative program skillable?

    this would all depend on the need. 30.3 - direct skilled nursing services to patients "rehabilitation nursing procedures, including the related teaching and adaptive aspects of nursing, that are part...
  23. Signing Assessments, is this wrong?

    Your practice of completing and signing the MDS on the R2B day leaves you no room for those occasions you've mentioned. To abide by regulation, it would seem the IDTs sigs will always be a...
  24. you may also try these links... mds pps calendar http://www.empiremedicare.com/transfer/mdscalwebversion.xls in the yellow highlight cell, enter the date of admission or day 1 of med a coverage. obra...
  25. Signing Assessments, is this wrong?

    If signed today, today's date should be in it. Otherwise, it is backdating. If it cannot be signed on the date it is completed, it is appropriate to use the actual date that it is signed. Document the...