Autofocus

Does the heel strap swivel so you can wear them as clog style?

Hi all, well I enrolled for my pre-reqs to start in Jan. I am an LVN for 23 years,no classes since then. I am 44, kids grown, married 19 years. I am not working, hubby supports us, so I can attend school full time. I am taking: A&P 1 Intro Micro Pre-Algebra Pysch I am so worried, after all these years if I can do it. Looked at a Micro book I borrowed, read first chapter, does not seem as if info sinking in. Is that normal? Am I too old to do this? Can I do this? Math is my worst subject,have to pass College Algebra for my school. Uggg...can I do this? I guess I just need advice and encouagement from those who understand the process. Some days I feel good..ok I can do this! Some days I think...oh who are you fooling...you can't do this!! What can I do to make my chances for passing better? Do you think I can do this? Thanks!

Better for the resident that way,only using when unstable. Some companies require you to use up all 100 days.

If the resident falls below this critera he/she will generate a new 100 days.( after 60 day break) Enteral feeding that comprises at least 26 percent of daily calorie requirements and provides at least 501 milliliters of fluid per day; If resident does not fall below those guidelines then they remain at a skilled level of care and DO NOT regenrerate a new 100 days,regardless of new dx,3 day hosp stay etc..

what is the HESI? Do you have to take it if you are exempt from tasp,compass?

Did this resident have an admission,annual MDS done previously? If yes: 1) do a d/c ret anticipated 2) when res returns to facility do a reentry 3) schedule a sig change MDS(you have 14 days to complete),include new hospice status. 4) Now continue the regular OBRA schedule..quart,quart,quart,annual 5) either do a new care plan or update the old one to include hospice interventions,physical changes etc.. 6) Make sure on Care Conference that the Hospice team is included and are a part of the care planning process. ** A decline in cond is expected on a hospice resident and would not necessarily need a new sig change assessment. ** Areas to be considered for care planning: pot for pain,skin breakdown,wt loss,mobilty loss,adl self ability loss etc.. If res never had an Mds done before( admission,annual): 1) do a d/c prior to initial( you have 14 days to do an initial admission assessment). 2) When res returns schedule an Admission assessment to include hospice status. 3) Do Care Plan 4) follow OBRA schedule quart,quart,quart,annual. Hope this help:rolleyes:

yes that helps alot. you guys are great,thanks so much

Whew.. Thanks EricEnfermero you are alot of help! I appreciate the time you take to answer my questions.:loveya:

Morning all. Got a question, in the Excelsior RN program is there lots of math involved? Math has always been my weak point..scares me to death. Needless to say I am terrible at math.Please let me know how you guys experience was. If alot of math what can I do to prepare? Thank you all so much!!:chair:

]Good Morning! Got a question for ya'll MDS people out there.. ]Do you all have to take staffing call? ]Week at a time,just weekends? ]Do you find it to be nerve racking and horrible? ]Just curious to know how it works in other places ]Thanks

I have been in long term care, in form or another, for 23 years. Things I have learned: You can work your butt off, be really good at what you do..does not matter if you are not a rear end kisser! Seems to me the quality of your work does not matter.. Money is the name of the game. LTC companies really do not care about patients,staff,families,money is all they see. If any nurse thinks they are irreplaceable..wrong think again..loyality,work ethic mean nothing.They can replace you in a minute (most likely already got their buddy waiting in the wings). All LTC nurses should wear a knife proof vest.