2longasn

If you decide not to retire so soon, the VAHCS has a big push going on to improve the education of its nurses. Check out this link: http://www.vacareers.va.gov/salary-benefits/education.asp So glad you are not my competition. Your credentials are impressive.:)

MBARN- Love your user name. Hope you chose employment in the VA system.:)

This strategy could backfire. You may be viewed as trouble maker. If you must call be POLITELY assertive.

I would start with the school I plan to attend. Get the required book list and ask questions. Purchase the required text books for A&P and Med/Surg. Also ask if there is a syllabus available. You may also try to get a copy of the syllabus from a student that is advancing to the next semester. These steps may save you money, because you are investing in books that are required for your program. You may also save time because your study time is geared to what is needed to be successful in your Nursing program. much success.

I would start with school. Purchase the required A&P & Med/Surg books used in your school. Ask the school for a syllabus or perhaps get a copy of the syllabus from a student that is advancing to the next semester. This save you time and money. Your will be focusing your study on the necessary course work and saving money by purchasing the required text. Much Success

Amillion kudos for your post. There but for the grace of God go all of us.

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A million kudos to your post. There but for grace of God go us all.

Are there protocol investigations in progress. I mean calcium chloride for a child is a serious medication for a child. Are pharmacy guidelines changing because of this error. Good Nurses are good to everyone except themselves. I empathize with the family of the child is no longer hear. But why did the investigation end with Nurse's death? Is this an experience that the entire health care community could learn from?

Hi Brian; Why not include a personafied post from one of these passionate Nurse posters. When I looked at the commercial I thought this site was trying to appeal to a broader audience. We should keep in mind that while this is a site for Nurses others also pay attention. Like those running for public office or selling some product/ service. Current and prospective employers. Nurses will always find ALLNURSES.COM. Maybe others need to know the power of this site.

Yes, this post helps so very much. Thank you.

As long as capitalism reigns, nothing much will change. And thank goodness for that. What would happen to all us MDS Coordinators.

I'd rather try again than, poke myself in the eye. The same shiny opportunity presents itself. Pay 10,000 for two semesters at a private Nursing School. OR Give it your best for the last time and pray:thankya: your nerves will agree with the fact that you can pass this CPNE.

Have a new MDS COORD. position. $32 to start $34 after 90 days includes vacation, personal, holiday after 90day, LNHA is flexible. 120 beds 10 - 15 medicare, unit managers do their mds, care plans, and meetings for LTC residents. Leaving @ $26 salary 120 bed facility all beds are medicare certified average 40 Medicare beds monthly sometimes more. All care plan meetings done by me, all LTC care plans done by me. Helped with PPS assessments 2 days a week. In addition to UR mds, scheduling, Tracking, admissions and discharges- on RAVEN with RAPS and care plans WRITTEN>.... Better days ahead.:balloons:

I guess it depends on the type of facility you are in. In LTC incident reports are taken seriously. State surveyors request them and you better have a darn good reason for an in house aquired fracture with no documentation of a fall or a diagnosis that could link fracture to idiopathic causes. Incident reports are iniated and investigated to determine changes that need to be made to improve care for the patients. This includes medication errors. Sometimes a change in practice of Pharmacy is needed to improve care or an inservicing for nursing staff is identified. Incidents reports are more than a paper trail. They help to identify a need for change. What happens if the same staff members keep making the same mistakes and out of fear or apathy we decide to ignore them and someone get's seriously harmed? We missed an opportunity to correct this repeatedly. Incident reports are necessary and legal requirement.

altered mental status is a cardinal sign that something needs to be investigated ( worked up). best guesses of the cause- is not prudent. evidenced based care ask that we find out why?. could be infection. could be dvt. could be a need for medication review. could be too soon to discharge.

A day or so, that's darn quick covering up or proves you've been giving consistently good care all year long. Hey, are you bragging.

DOES ANY ONE KNOW OF A SITUATION WHERE THE STUDENT HAS FAILED CPNE 3X s AND LATER REAPPLIED AND GRADUATED FROM EXCELSIOR?

I don't any mds coordinators that work only 40 hours /week.

I have not seen rules about how early quarterlies can be transmitted. I usually try not to schedule more than 7 days prior to the previous r2b or vb4 dates, to accomodate holidays and weekends. Otherwise you run the risk of ruining your schedule and there are only 2 things that are allowed to reek havoc on my schedule 1. a significant change and 2. an ard change for a more accurate rug.

Is there a simple quick pneumonic or gimic to remember rug calculations? If you have any please share.

THANKS FOR YOUR REPLY. SINCE I'VE BEEN IN THIS POSITION VERY FEW ARE ARE MORE THAN THAN 30 DAYS LATE. ACTUALLY RUG SCORES ARE IMPROVED DUE THE CAPTURING OF MORE EXTENSIVE SERVICES AND IMPROVED SUBMISSION DATES:idea: . THE SCHEDULING ISSUE WAS READMITT, PPS ASSESSMENTS WERE BEING TRANSMITTED IN LIEU OF OBRA ASSESSMENTS. WHAT A MESS!!!! NOW THAT THE STATE IS PENALIZING FOR LATE TRANSMISSIONS AT 19% OR MORE AN IMPROVEMENT IN THIS FACILITY'S PROCESS WAS NEEDED. I APPLAUD YOU AT YOUR FACILITY WITH NO LATES AT ALL. THIS IS MY GOAL. IF I REMAIN IN THIS POSITION IT WILL BECOME REALITY. ALL IN ALL A PRETTY GOOD YEAR. I KNEW ABOUT THE MDS AS FAR AS CAREPLANNIN/RAPS/AND CODING. BUT HAD LITTLE KNOWLEGE OF WHAT MDS COORD. WERE RESPONSIBLE FOR.:smackingf I TRULY ENJOY THIS SITE AND HAVE GOTTEN A FEW GOOD TIPS FROM THE POSTS. AGAIN THX FOR YOUR REPLY. BEING A LITTLE ANAL AND A LITTLE PARANOID ARE TRAITS THAT ARE DEFINITELY SUITED FOR THIS POSITION.

ANOTHER GREAT SITE IS WWW.MDSTRAINING.ORG. i TOO AM RAC-CT THROUGH AANAC.

Love This. Thanks