FrazzledRN

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 worse....lol!! Let me know if I can help....I have butthead a...

Seeing ALOT more QIS's recently here in Ohio

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 own alot! Needless to say I learned quickly! It re...

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 MDS dept at present. But are constantly being pull...

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 an inservice on DAVe but they changed it to somethi...

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 don't see the big picture....nor will they until som...

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 agrees with her (he is also an RN)....I don't unde...

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 and that the administrator expects us to keep up ...

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 the submission website. good luck! :)

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 little thing throws it all away!! I work 6 days per w...

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: for a fall that resulted in fracture...and the surve...

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. We have stars posted on doors of those who are at...

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

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 the need for good nurses. Getting to know your resi...

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 nurses and staff deliver their care. if there is a...

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 them....unfortunate....They are a great tool!

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 buildings...is unfortunate...and I agree an exercise ...

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 care is not true in my opinion. I know that every ca...

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 the dentists, eye doc, etc.. visits and the residen...

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 entire MDS gives you much more insight into the resid...

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

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 the case in your building you probably won't have a...

undefined :) :) :) very true and well put!

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, and ethical nurse who any facility would be lucky...