katoline

katoline

long term care - MDS

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All Content by katoline

  1. Don't You Just Want To Scream?

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

    i do not feel like a nurse. no critcal thinking skills, if a res is sick we ship 'em to hospital i agree with no restraints and pt rights etc. but i'm losing my skills. because of paper work and the...

  2. DNS/DON question

    katoline replied to pixie120's topic in LTC: Directors, Assistant

    Pixie, you are smart and you are passionate. tread lightly, do the MDS nurses report directly to you? or do they have a corporate, regional/district sometimes consultant like person? I've seen you...

  3. Pain assessments

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

    wow, i was just going to say that under J0800 indicators of pain in the RAI manual under staff assessment (for those resident's who could not be understood) it says to interview staff on each shift. I...

  4. MDS RN to resident ratio?

    katoline replied to crazyforthis's topic in MDS Coordinator Information

    I don't know if this will help, but here goes. i worked at a 120 bed facility and did mcr assessments. when we got to 35, it was getting hard for me and i had to ask my coworker to help. but then i...

  5. ? regarding SC

    katoline replied to Sheryl218's topic in MDS Coordinator Information

    I was taught becoming a hospice resident was a sig change, but as bella said, you have 14 days to do one. i believe you could combine a readmission and a discharge. under the question discharge...

  6. RNAC salary

    katoline replied to kat14's topic in MDS Coordinator Information

    funny, i've been thinking of relocating to houston since my son moved there. i make just over $29/hr and live in NC. i don't mind the assessments, i don't mind making rounds, being in meetings and...

  7. Careplans and Quarterlies

    katoline replied to txdon's topic in MDS Coordinator Information

    There could be an acute folder with simple careplans for use until the MDS nurse can fine tune. It could be part of a check off for change in condition. I once had state come in and ask to see a...

  8. AANAC

    katoline replied to senseiRN's topic in MDS Coordinator Information

    I was thinking the facility was larger. We had 25-30 mcr and maybe 100 case-mix. It also depends on the company, software, other team member input and how many "hoops" you have to jump through. Some...

  9. Morning PPD/Medicare meeting

    katoline replied to pixie120's topic in MDS Coordinator Information

    I would start with a one on one with the therapy mgr. and in a non-threatening way let them know that you need minutes no later that 2days after ARD. Remind him/her in morning mtg. that this and that...

  10. RN aphabet letters for MDS completion

    katoline replied to pixie120's topic in MDS Coordinator Information

    Pixie, I think the answer to that is a varied as the not only the different company policies, but also facility to facility. I have worked at three different long term care facilities and each did...

  11. Case Mix ARD

    katoline posted a topic in MDS Coordinator Information

    I am new to the case mix side of things. I've done PPS since i was first trained 10 yrs ago. Now I am stepping out of the mgr. position and need some tips. How far in advance of the care plan date do...

  12. AANAC

    katoline replied to senseiRN's topic in MDS Coordinator Information

    Are you doing the mcr by yourself? Are other disciplines putting their parts in, doing their CAAs? That is a high case load if you take on others jobs. AANAC is great for recogniton, networking, new...

  13. Upcoming changes to 3.0

    katoline replied to montecarlo64's topic in MDS Coordinator Information

    Our therapy mgr was trying to say that if a resident wasn't able to take therapy on a Fri., no therapy was in the building Sat or Sun or maybe just to do evals, that by Mon that would be three...

  14. Spoke with the manager and feeling less confident with care..

    katoline replied to sn543's topic in Geriatric, LTC

    Very, very scary that you were asked to falsify a record. I'm not sure who's request/suggestion that was, but corporate should know. An untrustworthy nurse is not one i'd want on my team. Remember to...

  15. ARD for annual

    katoline replied to ejpip1's topic in MDS Coordinator Information

    I guess that's just how i was taught to do it. If they were ill enough to go in the hospital and return needing therapy or maybe wounds, etc., they would have declined enough to require a sig change....

  16. NC MSD Coordinator

    katoline replied to raymonsgal's topic in MDS Coordinator Information

    Ray, congratulations on your achievment! As a new grad, I would want to get as much clinical experience as possible to begin with. Working in the medical field as a CNA is good background, but taking...

  17. staffing cuts

    katoline posted a topic in Geriatric, LTC

    Cuts in staffing across the board at our facilities starting yesterday. Are other long term care facilities feeling the pinch of the proposed cut in reimbursment starting in

  18. ARD for annual

    katoline replied to ejpip1's topic in MDS Coordinator Information

    I just went to CMS site for manual and in chapter 3 my question is answered. If the OBRA assessment was due while the resident was hospitalized, if not a sig change, you still have 13 days from...

  19. ARD for annual

    katoline replied to ejpip1's topic in MDS Coordinator Information

    Say if someone is a mcd resident and goes in the hospital, has at least a three day stay, returns MCR. You would have completed a discharge return anticipated, a reentry, now a sig change, 5 day pps...

  20. Case Mix ARD

    katoline replied to katoline's topic in MDS Coordinator Information

    thanks monte carlo, that's pretty much how they were being scheduled here and i just inherited that schedule. so many mtgs, means assessments aren't completed, printed out, and care plans updated...

  21. ARD for annual

    katoline replied to ejpip1's topic in MDS Coordinator Information

    I was taught that when a sig change was needed, it was the fact that it was a comprehensive assessment that mattered and that the quarterly count would start again from that point forward. On our...

  22. Therapy on MDS

    katoline replied to dianediane90's topic in MDS Coordinator Information

    does the question specify ambulate in room or on unit and off unit? I feel that ambulation in therapy is seperate if it is short distances, say 5-10 ft., but if they are ambulating with therapy 75-100...

  23. care plans

    katoline replied to lifesaver252's topic in MDS Coordinator Information

    besides what triggers on the caas, we careplan anticoagulants, pacemakers, personal preference, dx related such as fluid imbalance, resp. distress, risk for infection, hypo/hyperglycemia, renal...

  24. workload-am i too slow

    katoline replied to hoggRN's topic in MDS Coordinator Information

    thanks for the suggestion, i must go to stand up, part of my job. besides it would just be another excuse why her workload is so much. i wish i had the 50 case-mix and hourly salary. do you do the 40+...

  25. workload-am i too slow

    katoline replied to hoggRN's topic in MDS Coordinator Information

    wow. some of you/us are really getting taken advantage of. we have 78 beds, census of 70-72, 20 PPS, with 2 full time MDS. I have the honor of being the dept. head, so i am salaried. no overtime, just...