nratchet

just because your facility is bad doesn't mean all of them are. i've worked in two ltc snfs and let me tell you....i've expierenced the bad and the good. as far as your patient load, forced break and getting in trouble for leaving holes in the mars.....here the patient load is 30-36, we get sited for holes in the mars and breaks are taken out of our checks whether we take them or not. oh, and by the way....i am an rn, have been in this business for 9 years and you are being paid more than me.

Anytime they tell you another place is worse than the one your at remember this.....THEY ARE PROBABLY LYING THROUGH THEIR TEETH

Run, Eldragon, Run!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Showing personality is one thing, (I wear seasonal tops and funny socks), but pants so tight they can't breath or move and tops that show stuff only a boyfriend would want to see is completely over the top. As for dying your hair, as long as it isn't florecent pink, orange or yellow.....more power to ya. About ironing, I hate it and avoid it like the plague but have discovered if you take the clothes out of the dryer immediately, you won't have to iron them nine times out of ten.

AMEN TO THAT. What about the jeans so tight they must have been spray painted on. I think they got dropped on their heads as children.

Amen sister

I agree, ask for more CNAs but 1 nurse for 48 patients is standard.

WOW....I thought I had a hard job. I do the MDS, RAPs and Care plans for 153 residents...long term and managed care...I run the care plan meetings twice weekly, take call one week out of five, work the floor when needed, keep track of the call list, check MARs and TARs at the end of the month on one 60 bed wing and what ever other projects my administrator or DON think up that they need me to do. I am an RN but I don't make much more than you and I've been doing this for 8 years.:bowingpur:bow:

First...is resident currently in a facility under Medicare skilled? If so, Medicare should pay for enough supplies to change wafer daily because part A Medicare is all inclusive. We're not sure about the coverage in the community.

I recently went to a seminar where the speaker told us the best way to get CNAs to code ADLS correctly was to use the actual G section of the MDS.

My question is this....We have a patient who has chronic pressure ulcers due to being under weight and bed bound. She recently went to the hospital for a pathological fracture of the femur and returned Medicare. She is not appropriate for Physical Therapy because of her physical disabilities, one of which is rhemuatoid arthritis, can she be skilled for the wounds which she had prior to hospitalization. It is a situation that has never occured for us before and we are not sure what the answer is. Our Medicare coordinator says no, our assistant says yes and I am unsure. Thanx for any help you can give.

I agree. Our medicare coordinator gives the therapist the ARD date and then the therapist then gives her the minutes and lets her know if grace days are needed. By doing it this way, the assessments are done in a timely manner.

if things come up or occur after the rb2, if you've set it for the last possible date available between assessments, then you will not be able to include them. if you go past the 92 days between assessments to capture it you will be late with your assessment.

If a patient was admitted to the hospital, had the required 3 day stay, went to a Skilled SNF for 26 days, went home for 20 days and then was admitted to a different Skilled SNF, is he qualified for Medicare coverage? For some reason my fellow coordinators keep remembering a 7 day rule, i.e. the patient can be discharged home from the hospital but still be eligible for Medicare coverage in a Skilled SNF if they are admitted within 7 days. There is also the 30 day rule, but our admissions coordinator seems to believe that a stay in another Skilled SNF extends the 30 days. Help!

quarterly assessments can only have 89-92 days between them. for example...if you do a quarterly 1 in december with an ard of 12/18 and an rb2 of 12/21 your quarterly 2 must have an ard of no later than 3/18 and an rb2 of no later than 3/21. if you go beyond these dates to capture medications and/or doctor visits you will be out of compliance. they can be done earlier but never later.