MDSnursing

Hey Thanks! Not real familiar with Excel-although I do use it everyday for Daily Census sheets. Will this program work for OBRA assessments? IF so, how do I 'program' it to use the OBRA schedule? Really appreciate the assistance. Thanks, Dara

Hello All, End of month again, and I'm wondering what everone use's as a date calculater? Am I outdated with my PPS Spinner by Brigg's? Is there something available online as a date calculater? I've tried several online calenders, however they will not accept reoccuring dates for, say, 89 days, or what have you. Is there something better out there? Thanks, Dara

Daytonite, Thank you for sharing the wealth of information you have accumulated! Wow, as an MDS Coordinator maybe I've got a 'virtual resourse' with you my friend. Thank You so much! (Now to try and find the time to read and research and remember....) Dara

Before checking a blood sugar- "Do you want to try poking your nose or ear this time" Or, "Where do you want your insulin today- belly, arm, under the big toenail or in the eyeball" Usually I respong "Well, maybe tomorrow. Loooks like your belly is easier for us today" Of course, I know my residents really well, and they feel comfortable with me and love the sense of humour. Or, upon entering a room with a new antibiotic to administer- "This will cure everything, from herpes, to gonorhea (sp), the plague, your UTI, and of course a bad mood." They love it.

No Way!!! It cant be that easy. So your saying that its ok to not address whether they have symptoms of dehydration? Or house protocol to address fluid maintenence, such as routine water passes, etc? Amazing. I have been writing essays. Maybe need to start a new thread-have so many questions as to how everyone else is doing certain things-like are your resident being placed on alert status during your assessment period. What assessment tools do you use., etc. Job responsibilities. Will start one later. Thank you all for your help. Struggling in Seattle.

Hello All- New to this forum as well. Sorry to bring up an old thread-was wondering if I could get some information no the list serve as well Rhonda. Also-does any one here use generic templates for Rap's? Been thinking that there must be a more efficient way to write Rap, using a template with house protocols in it already, so you would end up customizing it to the individual resident. Kinda like using a Master care plan from the MDS software, and individualizing it. Any one have any idea's? I am swarmed, and end up getting pulled to the floor quite often. Love direct care, however once weekly is causing me to fall behind. We have 65 beds, with 28 skilled beds. Averaging 5 Medicare, and 55 long termers (OBRA). Any help would be a lifesaver. Would love to see a an MDS forum. Thanks All!

Hello There! Allow me to introduce myself-I am a LPN in Washington State, and I work in the Yelm area, live in Lacey/Olympia area. Just discovered this site, and WOW what a resource!!! Have a bit if a dilema presently if anyone is available to assist me in a problem I caused during survey. I am new to my position as a MDS coordinator~about a year now. Had about a month of training however only on MDS', as my predecessor hated care conferences, care planning, as well as Rap summaries. Unfortunately, I need some help here pretty quickly if anyone might be available. We have been through three DON's in the past year. Our newest one used to work here as a Nac, then as a Rn, and left for personal reasons. Fortunately our Administrator convinced her to come back as Don, and she is wonderful as a teacher. She has been a Unit Manager at another facility, and was involved in the care planning process. I have been writing my Rap summaries based on what out QAn nurse had advised me when I asked for assistance about a year ago on references, and just what is it that surveyors are lokking for? She said the same as what another poster said in this thread about care plans. You should be able to read a RAP summary and know exactly who is being discussed without a resident name. And she advised narrative summaries. Now jump to this years surveys. We got an F-Tag due to my Rap summaries "Being too difficult to follow." OMG. So I have fixed that by starting with an intro to the res, a med list, and diagnosis. Then I follow with seperating Rap summaries by paagraph, instead of essay type. Ok, DON and ADmin are happy with that. But, Another F-Tag is that I did not addres Delirium in my summaries. I over addressed Cognition thinking that it should cover it. AS part of our Plan Of Correction- Admin is requesting from me an example RAP summary for Delirium, as well as a definition of Delirium, and common triggers/causes of Delirium. (Admin & DON are extremely supportive, and know how much of a perfectionist I am) Please help!! Does anyone out there have a good example of a RAP summary for Delirium, and can outline for me some common interventions and things important to address? With Much Appreciation, Dara

Hello There! Please forgive me for restarting a thread that is two years old. I found it to be quite informative. I am new to my position as a MDS coordinator~about a year now. Had about a month of training however only on MDS', as my predecessor hated care conferences, care planning, as well as Rap summaries. Unfortunately, I need some help here pretty quickly if anyone might be available. We have been through three DON's in the past year. Our newest one used to work here as a Nac, then as a Rn, and left for personal reasons. Fortunately our Administrator convinced her to come back as Don, and she is wonderful as a teacher. She has been a Unit Manager at another facility, and was involved in the care planning process. I have been writing my Rap summaries based on what out QAn nurse had advised me when I asked for assistance about a year ago on references, and just what is it that surveyors are lokking for? She said the same as what another poster said in this thread about care plans. You should be able to read a RAP summary and know exactly who is being discussed without a resident name. And she advised narrative summaries. Now jump to this years surveys. We got an F-Tag due to my Rap summaries "Being too difficult to follow." OMG. So I have fixed that by starting with an intro to the res, a med list, and diagnosis. Then I follow with seperating Rap summaries by paagraph, instead of essay type. Ok, DON and ADmin are happy with that. But, Another F-Tag is that I did not addres Delirium in my summaries. I over addressed Cognition thinking that it should cover it. AS part of our Plan Of Correction- Admin is requesting from me an example RAP summary for Delirium, as well as a definition of Delirium, and common triggers/causes of Delirium. (Admin & DON are extremely supportive, and know how much of a perfectionist I am) Please help!! Does anyone out there have a good example of a RAP summary for Delirium, and can outline for me some common interventions and things important to address? With Much Appreciation, Dara

Hello I am new to these boards. I live in Lacey Wa. It is a beautiful place, like no other. Plenty of shopping, clean parks, a great place to raise a family. My first job as a nurse was at Mother Josephs Care Center, which is owned by Providence (same as St Pete's). Benfits were great-my husband was in the military, and since Providence is a non-profit org, and treat un&underinsured patients, they require staff to carry health insurance. Since husband provided full medical and dental ,I showed HR proof, and ended up pocketing my health spending account in my paycheck each month. Also, there were different options for coverage, and based on your family size (amazing, they think of your family too) you can choose where to spend your money. Housing market here is kinda high however- I have been around being a prior military spouse, but I beleive the rental rates are comparable to other area's of the country. Buying, you might be in for culture shock, but the median home prices are starting to decrease. (I'm in the market to buy myself) Children? Please feel free to E-Mail me for questions regarding local education. Lacey was once known as a great 'bedroom' community, as it is a place where many people call home and travel. We are right along the I-5 corridor, so even commuting to Tacoma isnt too bad. Many commute to Seattle as well. Hope to hear form you