RN 4 Life

RN 4 Life

SNF/ MDS/ Clinical Reimbursemen

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All Content by RN 4 Life

  1. Culture Change In LTC?

    Thank You two jays...keep me posted with the progress of culture change in your facility. I will be helping to initiate culture change in the facility I am going to, while most seem to think it is a...
  2. I agree with Talino, stay for now and gain some attributes i.e. improving your case mix, capturing more upper level RUG levels. Take courses and learn as much as you can on how to master your skills...
  3. Nurse to Resident ratio

    Am I clear by assuming you are an RN with no other LPN's, GNAs, or any one else? Are all the residents on one floor or one unit? Well the staffing I am used to seeing is: RN Supervisor- 1-170...
  4. Culture Change In LTC?

    My applause goes out to Seusquatch & ingelein. You are an advocate for your residents and you are an Idol for all those nurses whom want to go public but lack the ability to do so for various...
  5. Is email acceptable for resignation?

    No, I think you should refrain from using email. Face to face is the best, maybe you can ask your manager to meet you in the hospital cafeteria for a confidential meeting and briefly discuss with him...
  6. Culture Change In LTC?

    Is there any nurse who has begun initiating Culture Change in there Long Term Care facility? I know it is a new initiative but there has got to be some one with some feed back on how it is going?...
  7. Culture Change In LTC?

    Wow, it is clear that most nurses work in facilities that struggle with staffing issues. I am just going to push the envelope a little by asking the question: What have we as nurses done to be...
  8. MDS Asmt Days Wheel?

    I know how difficult being an MDS Coordinator can be, so I created several MDS Scheduling Tools. I am going to give you 3 tools. One is a preprogrammed schedule for Medicare. It is a 100 day tool to...
  9. "pass" or "LOA" meds

    In my opinion the facility and releasing nurse has a great deal of responsibility, which begins with evaluating: - the residents ability to understand how to take his or meds appropriately. - was...
  10. WOW, thats interesting..that peds and geriatrics utilize the same MDS guidelines. I will view the RAI manual with a different perspective now. Well, I am looking for any added tips on how to improve...
  11. RAI and insanity

    The staff needs to be educated on the role of the MDS Coordinator, there is no way possible you can memorize everything on every resident. The staff on the other hand needs to be prepared to answer...
  12. Culture Change In LTC?

    I agree there will be those residents that have poor decision making skills and for these residents we need to provide guidance and structure...then there are those residents who are able to create...
  13. AANAC is the national organization for assessment coordinators, most states also have local organizations. On the website they have a schedule of when the credentialing courses are being held:...
  14. Culture Change In LTC?

    Good Point, so lets validate: Currently, most LTC have set eating times of which entire units eat at the same time and individuals whom need assistance receive that assistance with minimal...
  15. I personally am not familiar with MDS in the pediatric setting. I have afew questions for you. Do you use the same RAI manual that is published on CMS Website? Do you have to complete & submit MDS...
  16. Culture Change In LTC?

    WOW, this is interesting...I can not wait to see if more nurses are familiar with culture change in
  17. RAI and insanity

    In my opinion the surveyors do not expect you to know the answers on the spot, but the RAI manual states that the MDS must be reproducable...that means that any person doing the MDS should be able to...
  18. Culture Change In LTC?

    Well than ALF have home-like culture...and I believe residents would able to celebrate life in a nursing home more if the routine was more
  19. Culture Change In LTC?

    Culture Change is an initiative that promotes changing the culture of the traditional nursing home setting which is more institutional environment to that of a more family-homelike environment....
  20. RAI and insanity

    RAI stands for Resident Assessment Instrument, it is the bible for the MDS..SO TO SPEAK. The MDS is important because it drives how a facility is reimburse, but more importantly it is suppose to guide...
  21. Some Questions

    The best guide to use when documenting in a patients charts is to think about the following: - Did I perform any assessments? Yes- Document it. - Did I observe or do anything that needs to be...
  22. MDS Asmt Days Wheel?

    I have an assessment schedule you can use. I am off today but will get it from work and email it to you tomorrow. It is great. All you do is identify the day of admission and it automatically shows...
  23. i would like to use this thread to share tips and information about mds's. anything from how to ?'s to salary questions. i would like to use this thread to share any information about your job as an...
  24. Should all nurses have their BSN or higher?

    I dont think there is any thing wrong with encouraging nurses to increase there level of education as long as the institutions that initiate these provisions accommodate those in which it effects. By...
  25. new ADON help

    The form 672 is your census and condition form that is usually updated by the unit managers or charge nurses on the floor and submitted weekly to the ADON or MDS Coordinators weekly. This form allows...