Talino

Talino

ER CCU MICU SICU LTC/SNF

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All Content by Talino

  1. Do you carry liability insurance?

    Talino replied to MrsMommaRN's topic in General Nursing

    i concur w/ the mermaid. for peace of mind, it's worth every penny. "if the claim is legitimate and the patient is awarded a settlement or a jury verdict, you may be held responsible. your personal...

  2. July Update: MDS 3.0 Implementation Timeline

    Talino replied to Talino's topic in MDS Coordinator Information

    According to the timeline above, the Final Report will be posted on July 25th. I guess the train arrived early ... http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp scroll down. I...

  3. Investigations in LTC

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

    Each state may have a more stringent protocol. This one is not a link to a CD or book purchase, but an excellent guideline nonetheless ......

  4. Mandatory Overtime Agreement in New York!

    Talino replied to 1199SEIU RN's topic in Activism, Healthcare

    When an employer already anticipates short staffing on a given day/shift and willfully left the schedule as it is, the intent is to leave you short, primarily to cut cost. Mandating an overtime when...

  5. Mandatory Overtime Agreement in New York!

    Talino replied to 1199SEIU RN's topic in Activism, Healthcare

    doesn't mandatory overtime occur more often when short staffed on the next tour? in which case, it would be an exception, as in #4 (underline, numbers, and bold font are just mine for emphasis)... in...

  6. FDA ALERT: Antipsychotic Drug Use

    Talino posted a topic in Geriatric, LTC

    excerpt... fda alert [6/16/2008]: fda is notifying healthcare professionals that both conventional and atypical antipsychotics are associated with an increased risk of mortality in elderly patients...

  7. How do you get your MDS done?

    Talino replied to flashpoint's topic in MDS Coordinator Information

    let me point out first that your practice of disciplines signing the mds only after the entire mds is completed and submitted may not comply with the regulation. an earlier date entered instead of...

  8. mds certifications

    Talino replied to loveawound's topic in MDS Coordinator Information

    Certification, credentialing, or accreditation is not endorsed by CMS nor am I aware of by any state. Whoever provides support after you've completed the course would be the ideal one, regardless the...

  9. Tips for organization, speed??

    Talino replied to tleigh7097's topic in Geriatric, LTC

    Good tip! Exactly what I did way back when. 'spent 30 mins doing the tracker prior to med pass but saved plenty of time flipping each MAR back and forth identifying who's due when. See sample...

  10. Medicare chart requirements

    Talino replied to samsim's topic in MDS Coordinator Information

    Other than the more stringent requirements for MDS purposes, record keeping is left at the facility's discretion. Having an overflow chart in the unit will surely keep that active chart light. Do...

  11. fall prevention inservice

    Talino replied to springlover's topic in Geriatric, LTC

    dittoed

  12. skill criteria

    Talino replied to nurseduck114's topic in MDS Coordinator Information

    Assuming the technical requirement is already met... The administration of q36h IV medication alone does not meet the "daily" need criterion. However, if the condition for which the IV medication is...

  13. Skilling For Wounds

    Talino replied to nratchet's topic in MDS Coordinator Information

    the regulation says... "the beneficiary must require snf care for a condition that was treated during the qualifying hospital stay, or for a condition that arose while in the snf for treatment of a...

  14. case study question? Skilled Med A services

    Talino replied to jpav33's topic in MDS Coordinator Information

    Med A SNF benefits end on day 1 of hospice enrollment. Altho' a resident may receive SNF and hospice benefits simulatenously if the conditions are unrelated. Since the previous RUG score is already a...

  15. How do you decide on an ARD?

    Talino replied to flashpoint's topic in MDS Coordinator Information

    RN4Life, nratchet, edhcinc ... Excellent pointers! You three nailed the most ideal procedure: 1. Always attempt to communicate w/ the therapists and develop rapport. 2. Provide therapists w/ workable...

  16. Medicare Charting

    Talino replied to mickeypat's topic in Geriatric, LTC

    This is absolutely correct. You have however at least 2 days to notify the beneficiary that a skilled service is to be terminated. But before that even transpires, the therapy department must have...

  17. Medicare Charting

    Talino replied to mickeypat's topic in Geriatric, LTC

    'just to clarify... There is no regulation to have the clinical documentation to support skilled need be in the active medical record at the time of review. When a claim is denied, the contractor or...

  18. Medicare Charting

    Talino replied to mickeypat's topic in Geriatric, LTC

    This is not to dispute anyone's routine. I would just like to point out that some facilities maybe doing redundant or unnecessary writing when all is required is proof that the daily skilled service...

  19. Admissions

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

    The hospital would not want to keep a patient any day longer when the clinical condition has stabilized and would be more accomodating to the SNF's requisites. If SNFs in the area have to compete for...

  20. RAPS--should CMS keep, change, or delete?

    Talino replied to edhcinc's topic in MDS Coordinator Information

    You all made valid points! The RAP is a very good learning tool that can guide a discipline to develop a more individualized care plan. However, to a more experienced or seasoned discipline who is...

  21. RAPs R.I.P.

    Talino posted a topic in MDS Coordinator Information

    Sorry wrong post. Please see reply to thread "RAPS - Should CMS

  22. Medicare Eligibility

    Talino replied to nratchet's topic in MDS Coordinator Information

    After an SNF discharge, the resident may be readmitted to the same SNF or another within 30 days and be entitled to Med A coverage (as long as benefit days are still available) provided the current...

  23. Mood and Behavior tracking

    Talino replied to noc4senuf's topic in LTC: Directors, Assistant

    Definitely worth the investment! I would wait pushing for one until the specs for the new MDS 3.0 is ironed

  24. Mood and Behavior tracking

    Talino replied to noc4senuf's topic in LTC: Directors, Assistant

    Just change the dates to begin 29 days prior to ARD

  25. Mood and Behavior tracking

    Talino replied to noc4senuf's topic in LTC: Directors, Assistant

    To be able to factor the signs of depression in a higher case mix (CC2, CB2, & CA2), it has to meet 2 requirements: - A score of 1 or 2 in Section E1, AND - There must be at least 3 indicators (as...