greenbean21
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I feel so bad for you! I think that the major problem with LTC is that often administrators do not understand how intensive MDS really is, and how time-consuming doing MDS is. They will keep adding responsibilities on and it is so easy to get behind on MDS. It sounds as if you are being taken advantage of. There is absolutely NO WAY that you can be expected to fill in for the DON this often, round with docs, assist the nursing staff with procedures, and be an MDS Coordinator. I used to be an MDS Coordinator but went back to hospital nursing because of the too-high expectation. If it wasn't for all of the "extra" duties, I probably could have made it work. But if you are doing MDSs, don't believe that 8-hour day crap- you will be working longer hours and overtime and you are usually salary- so no overtime. Good luck to you! I feel your pain!
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Can anybody tell me the average length of stay for patients in the PACU? For example, how long the average patient stays in PACU (ex: for spinal surgeries, abdominal surgeries, ortho surgeries, etc.)? I know a lot of it depends on pain control and meds given, etc. Thanks!
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Okay, when adding in ICD-9 codes on Section I: For somebody S/P hip surgery to repair hip fracture, do you use V-code V58.78 (Aftercare following surgery of musculoskeletal system) or V-code V54.13 (Fracture, hip, aftercare-traumatic), when doing dressing changes to incision site, etc.? Unsure of which to use......Also, do you check I1m "hip fracture" if the hip fracture was repaired? And is it wrong to code for the actual hip fracture itself, despite surgery to repair it (ex: 820.8 for femoral neck fracture). Thanks.
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How far behind do you normally run as far as completing assessments, etc.?
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Just started on telemetry.......it is very fast-paced and challenging but a great place to learn. I see a lot of COPD exacerbation, CHF, DM, drug OD, GI bleeds, gastroenteritis, pancreatitis, N/V, cellulitis, DVT/PE, respiratory infections/pneumonia.......a "dumping ground" as somebody called it. Everybody has a telemetry pack and we have to interpret rhythm strips every shift. Very interesting......