kdhnursern

kdhnursern

LTC, WCC, MDS Coordinator

Member

  • Content

    69

  • Visitors

    3,410

  • Followers

    0

  • Likes

    6

All Content by kdhnursern

  1. HELP! Old new grad in LTC need advice ASAP From LTC nurses

    kdhnursern replied to lyssak's topic in Geriatric, LTC

    You will do fine. In 1995, I graduated with my BSN, passed my boards, and went to work in a LTC facility. This was also my first healthcare job so I had no previous experience. I worked a combination...

  2. Help a girl out here...

    kdhnursern replied to mappers's topic in LTC: Directors, Assistant

    Skills charting is charting towards what Medicare patients have been admitted to the facility for such as CHF, hip fracture, ... whatever the skilled nursing is for. Charting should document daily...

  3. Found on the wall

    kdhnursern replied to CapeCodMermaid's topic in Geriatric, LTC

    CapeCodMermaid, this is great! I plan to present this to my DON to give to the staff at inservice. Thank you for sharing

  4. Does anyone like being and MDS coordinator?

    kdhnursern replied to NiceShot's topic in MDS Coordinator Information

    I must love doing MDS's since I did them for a few years, went to doing dialysis for 5 years, went back to LTC for a couple years, and now have been doing MDS's for about 10 months again. It is...

  5. What is the best mds cert to have?

    kdhnursern replied to cherubhipster's topic in MDS Coordinator Information

    Just passed my last AANAC test last night and can' wait to get my certificate. My company paid for the 3 day course, too, and I took the tests online. I think this was well worth their money. It's...

  6. Having hard time coding Section G

    kdhnursern replied to jessie26's topic in MDS Coordinator Information

    Therapy is looking at the resident at his best for documentation. MDSs are coding them at their worst. If a resident is coded during the day as a 2/2 but on nights they are a 3/2 for 4 days during the...

  7. What will make your MDS job easier?

    kdhnursern replied to mdecastronp's topic in MDS Coordinator Information

    I'd just like to see all the documentation that I need to complete my MDS in the chart! Just give me what I need and I'd be

  8. MDS 3.0 software patches

    kdhnursern replied to golflinda2214's topic in MDS Coordinator Information

    I don't know about Illinois, but in Kansas, we do not have Section F on our quarterly assessments. But when I'm doing the interviews, I do Section F for all MDSs only because it lets me keep up with...

  9. MDS 3.0 software patches

    kdhnursern replied to golflinda2214's topic in MDS Coordinator Information

    Our facility has received 2 software patches since Oct 1st. It has fixed some MAJOR glitches. But we keep finding

  10. Having hard time coding Section G

    kdhnursern replied to jessie26's topic in MDS Coordinator Information

    But you are still getting information only as good as the CNA. Ours do ADL sheets daily but it seems that the first person to code anything sets the stage. Everyone else just seems to copy what was...

  11. wound descriptions

    kdhnursern replied to nursesaurus's topic in Wound, Ostomy, Continence

    Here is a good link for wounds: http://www.woundconsultant.com/files/Wound_Documentation_Tips_6.07.pdf This is from Wound Care Education Institute - which has a great Wound Care Certification

  12. additional assessments

    kdhnursern replied to katoline's topic in MDS Coordinator Information

    I fill out the AIMS, Braden, elopement, fall risk, pain, and side rails for every quarterly and add a 3 day bowel and bladder for annuals. The nurses doing the admits do all these and I use that info...

  13. Facebook

    kdhnursern replied to sls73's topic in LTC: Directors, Assistant

    Our facility recently wrote a policy addressing it. It's one thing to talk with friends on the phone. It's another to spread your feelings worldwide. There is always that old saying "Be sure to make...

  14. Good bye 2.0

    kdhnursern replied to Nascar nurse's topic in MDS Coordinator Information

    Just started as MDS Coordinator again a couple weeks ago after being out of it for about 8 years. I remember the changeover to MDS 2.0 from the "Blue Bible". Guess I'll just "go with the flow" and...

  15. LTC Nurses Bottom of the Barrel

    kdhnursern replied to jjnmrsmom's topic in Geriatric, LTC

    Started in LTC, tried Occupational Health 3 years, decided to go back to LTC because I missed the real nursing I had done there. Then I worked as a dialysis nurse for 5 years and have gone back...

  16. New Admissions

    kdhnursern replied to critical thinker's topic in Geriatric, LTC

    Our 120 bed facility has 4 Primary Care Nurses- of which I am one- who each has 40 beds. We do the admits for our beds. We also do discharges, doctor rounds, faxes to doctors, liaison between doctors...

  17. Want to hear your pet peeves in LTC nursing

    kdhnursern replied to mondkmondk's topic in Geriatric, LTC

    Having one day that is skin assessment day and...OMG...finding 4 bruises, two open areas, a skin tear, and an abrasion that NOBODY saw before I assessed the residents. Then I get to fill out the wound...

  18. Question about patients receiving dialysis

    kdhnursern replied to malenurse122879's topic in Geriatric, LTC

    As a former dialysis nurse, my recommendations are: NEVER remove the dressing over an IJ for every shift assessment. Just assess for clean/dry/intact/complaints of pain/fever. IF the dressing should...

  19. Bleach baths for MRSA wounds

    kdhnursern replied to StNeotser's topic in Wound, Ostomy, Continence

    Dakin's solution helps to separate the dead tissue from the viable tissue without damaging living tissue. Might be a good choice for your wound. Was used on eschar covered diabetic

  20. Bleach baths for MRSA wounds

    kdhnursern replied to StNeotser's topic in Wound, Ostomy, Continence

    Dakin's solution is an older treatment for wounds made from household bleach, baking soda, and tap water. This can be made as full, 1/2, 1/4, 1/8 strength. It's been around since World War I to treat...

  21. Morbidly obese and skin care

    kdhnursern replied to rdop5388's topic in Wound, Ostomy, Continence

    It sounds like an antifungal powder like Nystatin powder, just use generic, would help the abdominal fold and place a clean, dry washcloth there to stop the skin to skin contact. Then, a low air loss...

  22. Funny Old Men

    kdhnursern replied to KY RN's topic in Geriatric, LTC

    I have a resident who was quite the hunter and gun collector. The facility I work in is located at the edge of town in a beautiful valley with timber all around. After watching through his window this...

  23. Preventing falls from low beds

    kdhnursern replied to BoopetteRN's topic in Geriatric, LTC

    We just started using some new mats beside low beds that are beveled at the edges, only about 1 1/2 inches thick, and are not moved at all. They're made of some foam-type material that you can drop an...

  24. answering call lights in a reasonable time

    kdhnursern replied to littlebit1's topic in Geriatric, LTC

    Our staff wear beepers. When the call light goes off, it beeps the CNA. If it's not answered, it also beeps the CMA. If not answered, it also beeps the charge nurse. HEAVEN HELP if it's not answered...

  25. How big (or small) is your unit?

    kdhnursern replied to cranky's topic in Dialysis, Renal, Urology

    We are a chronic unit that rents space from the local hospital. We have 8 chairs, run 6 d/wk, and have 32 current patients with 2 more "in the wings". We have our facility manager (RN), 1-4 d/wk RN,...