FrazzledRN

FrazzledRN

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All Content by FrazzledRN

  1. Advice Needed

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

    Hmm in the last 6 years I have had 4 administrators (not at same building)...current one is a gem. I have had 2 lousy ones who were difficult to deal with and a regional butthead who was...

  2. State Tags

    FrazzledRN replied to txdon's topic in LTC: Directors, Assistant

    Seeing ALOT more QIS's recently here in

  3. LTC to hospital

    FrazzledRN replied to GHOT-Anes's topic in LTC: Directors, Assistant

    Hi. I started out the same as you way back....not alot of hospital jobs when I graduated nursing school. I took a SNF RN supervisor position...new grad and all-on the 3-11 shift where I was on my...

  4. MDS staffing

    FrazzledRN posted a topic in Geriatric, LTC

    Hi! Just wondering how many MDS staff everyone has.....just getting an idea if we the norm....We have a 120 bed facility (SNF) and are running about 28-29 Medicare. We have 2 full time RN's in the...

  5. MDS staffing

    FrazzledRN replied to FrazzledRN's topic in Geriatric, LTC

    Just as an FYI....I heard a rumor today that the DAVe project has been scrapped due to lack of funding.....has anyone else heard this....I saw it on a CMS inservice change as they were going to have...

  6. MDS staffing

    FrazzledRN replied to FrazzledRN's topic in Geriatric, LTC

    I totally agree!! I have tried to explain how much time it takes to do the MDS's adequately....we had 17 of them to do last week a piece! Not to mention family meetings etc.. I do feel that they...

  7. MDS staffing

    FrazzledRN replied to FrazzledRN's topic in Geriatric, LTC

    Something to do with allotting time for her own work and that "surveyors can figure out that if I am working the floor that the hours don't add up to do my own job sufficiently".....the administrator...

  8. MDS staffing

    FrazzledRN replied to FrazzledRN's topic in Geriatric, LTC

    Thanks for all the replies! It is so interesting to see that not many places pull their MDS staff! I love doing the MDS's...but am just so frustrated that I have no time to do them the way I want to...

  9. mds mountain of work with no help

    FrazzledRN replied to yasmina's topic in Geriatric, LTC

    someone else stated it earlier...you definitely should look into classes or training of some type....i know our state has free training courses every other month that can be attended...found ours on...

  10. mds mountain of work with no help

    FrazzledRN replied to yasmina's topic in Geriatric, LTC

    Agree...agree...agree!!! This is a heck of a position!! I have been doing this for years and still never feel caught up...and once I do ever think I am going to feel a little more at ease...one...

  11. Just had survey...need advice on correction plan

    FrazzledRN posted a topic in Geriatric, LTC

    We just ended our Annual state survey this past Thursday...had a few cites...7 to be exact...not our greatest survey...but it could have been worse... Anyway, one of our tags was a G tag :uhoh21:...

  12. Just had survey...need advice on correction plan

    FrazzledRN replied to FrazzledRN's topic in Geriatric, LTC

    Thanks for all of your input! I have started on reviewing all of the charts of residents with fall risks....we do have a safety committee who was meeting weekly and are now meeting 2 times per week....

  13. Do the state inspectors ever show up on noc shift?

    FrazzledRN replied to Blackcat99's topic in Geriatric, LTC

    EXACTLY!!!!! Do it right everyday and there shouldn't be a mad scramble to "make things right".!! :angryfire You said it!!

  14. First Job out of school

    FrazzledRN replied to Loraineo's topic in Geriatric, LTC

    Good luck to you....and don't get scared off....which is easy to do especially with some of the threads and posts that are listed lately. There ARE some good places out there and definitely always...

  15. Care Plans an Exercise in FUTILITY??????

    FrazzledRN replied to Destinystar's topic in Geriatric, LTC

    in response to your question....no...i am quite sure that noone reads the care plans that they are responsible for....but for the most part....the basis of the plan of care is being implemented...as...

  16. Care Plans an Exercise in FUTILITY??????

    FrazzledRN replied to Destinystar's topic in Geriatric, LTC

    I agree Kardexes are great!! I wish we could use these.....we tried them for awhile but they weren't updated very well...too many things left off...only certain nurses took the time to update...

  17. Care Plans an Exercise in FUTILITY??????

    FrazzledRN replied to Destinystar's topic in Geriatric, LTC

  18. Care Plans an Exercise in FUTILITY??????

    FrazzledRN replied to Destinystar's topic in Geriatric, LTC

    Yes, we do have full time MDS staff, as do most of the facilities in our area. It is a prime target for State and unless you want to invite surveyors to cite you...it should be made a priority in...

  19. Care Plans an Exercise in FUTILITY??????

    FrazzledRN replied to Destinystar's topic in Geriatric, LTC

    I agree with some of these posts, others I do not. Yes, care plans are very time consuming and are another place to have to document and update. Agreed. But to say they aren't a part of patient...

  20. Case Mix

    FrazzledRN replied to oceanblue's topic in Geriatric, LTC

    Hi! Alot of it is setting an appropriate date...and capturing those MD visits and orders, oxygen, aerosols, IV's, etc..! I get the nurses 24 hour report sheets daily, lists from our SS dept on when...

  21. Resident Care Coordinator going MDS/ICF

    FrazzledRN replied to beacon54's topic in Geriatric, LTC

    Hi! Am not sure I understand correctly...but you do the RAPS and care plans on assessments that are done by your coordinator? That would be difficult. I think that that would be hard. Doing the...

  22. MDS section G

    FrazzledRN replied to MDSinNE's topic in Geriatric, LTC

    I also would code that as extensive assist due to staff performance is required to complete the activity on a daily basis.

  23. from student to shift supervisor???

    FrazzledRN replied to IowaCindy's topic in Geriatric, LTC

    In our facility all RN's are "charge nurse supervisors", so if you are employed there as an RN (on the floor) you ARE the charge/supervisor for your shift with your LPN's, and STNA's. So if this is...

  24. Losing your skills in LTC

    FrazzledRN replied to Cubby's topic in Geriatric, LTC

    undefined :) :) :) very true and well

  25. specific rules and regulations in ltc/snf

    FrazzledRN replied to leslie :-D's topic in Geriatric, LTC

    Not babbling....venting! Geez!! This DON is completely dangerous! :angryfire I know it doesn't feel this way now...but they did you a favor when they let you go...! You sound like an intelligent,...