katoline

katoline

long term care - MDS

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All Content by katoline

  1. Morning Meeting/Stand up

    katoline posted a topic in MDS Coordinator Information

    I was just wondering what other facilities do. How long are your morning meetings, what is discussed and what extra work do you get done there? (like fall reviews, skin tears/breakdown, change in...

  2. lpn as ADON?

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

    Wow. I have been a nurse for 28 years. This argument has been going on this long at least. I am on here today after moving to Texas and checking the Nurse Practice Act myself about just these issues....

  3. Are you a VN or an RN?

    katoline replied to mlbluvr's topic in MDS Coordinator Information

    So mlbluvr, did you start this thread? Is it a trick question? who signs and attests to the assessments being complete? 50 PPS huh, hmmm. are you a mole? just

  4. Medicare coverage for end of life/pallative care when not hospice

    katoline replied to dbsue1954's topic in MDS Coordinator Information

    I know this is a month later, but things that might skill a palliative care patient could be things like pain management, respiratory support, suctioning, checking O2 sats and they may even be on...

  5. BE CAREFUL on social networks

    katoline replied to Chico David's topic in General Nursing

    Very scary all. This is another take. I didn't even have a facebook acct. but several people at work did. There are always cliques at work. I 'shared' an office with a coworker who had taken over the...

  6. Long story...need to vent ...

    katoline replied to blessedmomma247's topic in Geriatric, LTC

    Dear Blessed, you are you know. It may be hard the way things ended, but if they hadn't with your intelligence, conscientiousness, and strong feelings to make things right, you would have burned out...

  7. Side duties of MDS/PPS coordinators

    katoline replied to TigerxLiLy's topic in MDS Coordinator Information

    Well, went in Monday, computers down again. Good time to catch up the Medicare book with admissions since Friday (5). I have heard that other facilities, at least Kindred where I worked before had a...

  8. Side duties of MDS/PPS coordinators

    katoline replied to TigerxLiLy's topic in MDS Coordinator Information

    My coworker does my discharges, other than that she stays to herself and has nothing to do with "this side over here". it seems that others are disappointed in my ability to handle the workload or...

  9. Side duties of MDS/PPS coordinators

    katoline replied to TigerxLiLy's topic in MDS Coordinator Information

    After leaving Eastern North Carolina for the Great State of Texas (it's a whole nother country - i was going to get that license plate, next time when i can order online and not wait two hours in a...

  10. care conferences

    katoline replied to AlleeBooRN's topic in MDS Coordinator Information

    Are you talking about Medicare or case-mix care plan meetings? With medicare, our social worker usually scheduled the care plan meeting the week after the 14 day ARD so they would fall around that 21...

  11. Side duties of MDS/PPS coordinators

    katoline replied to TigerxLiLy's topic in MDS Coordinator Information

    I really think that delegation of duties and who actually does what varies from building to building, company to company. Where I work, I do 90% of the MDS and usually all the CAAs. Everyone is always...

  12. Long Term Care Cutbacks

    katoline posted a topic in Geriatric, LTC

    Not to get too specific to include Company names, but was wondering what the atmosphere is in general about mcr/mcd cuts and what it is doing to long term care. How specifically is your facility...

  13. psychotropics

    katoline posted a topic in MDS Coordinator Information

    I have a question. Even though I've been doing this for a while, each facility does things differently. Is there a CMS rule for this? i realize that a medication is what it is, no matter the purpose....

  14. Long Term Care Cutbacks

    katoline replied to katoline's topic in Geriatric, LTC

    noc4senuf, where are you located? i wanna go there! maybe you should become a consultant and get things started in the right

  15. psychotropics

    katoline replied to katoline's topic in MDS Coordinator Information

    we have a medication toxicity careplan. i think maybe meds like depakote, klonopin should be careplanned there. it covers dig, coumadin, lasix some others. then have a seperate behavior

  16. psychotropics

    katoline replied to katoline's topic in MDS Coordinator Information

    no, klonopin is one of those meds like depakote that's used for mood/behavior. it's an antiseizure medication. sounds like a sedative or antianxiety because clonazepam (it's generic name) sounds like...

  17. Do you soley use Section G for careplan ADLs

    katoline replied to TigerxLiLy's topic in MDS Coordinator Information

    I was taught that a careplan is a work in progress. I often do the careplans as i am working on the CAAs simply because i work on so many and often at once, i need to do them while fresh in my mind....

  18. psychotropics

    katoline replied to katoline's topic in MDS Coordinator Information

    :)PNWB, what is the DQA website? I feel that the reason for the medication should be careplanned as well as the medication itself. I think there should be behavior sheets on the MAR if appropriate as...

  19. How do you handle this?

    katoline replied to motownrn's topic in Geriatric, LTC

    A family will never get upset if you send their loved one to the ER out of concern (unless an obvious DNR). Better have, DON, MD mad than have family sue. It's your license. Especially if the family...

  20. psychotropics

    katoline replied to katoline's topic in MDS Coordinator Information

    Thanks! What about consent forms? I've only been doing AIMS on antipsychotics since side effects for antidepressants and antianxiety meds don't include PS or TD. The same for anticonvulscants. I have...

  21. Most important thing to know in LTC

    katoline replied to beatrice1's topic in Geriatric, LTC

    Get to know your residents as people and LOVE them. Once you learn them, it's easier to see subtle changes. Get to know their families, they are sometimes difficult, but often there is a reason, like...

  22. CLONAZEPAM

    katoline replied to username33's topic in Geriatric, LTC

    I would say it's multifactorial, depending on age, size, weight, general health of the person. Not to mention what other medications they might take, the reason they are taking it and how long they...

  23. Long Term Care Cutbacks

    katoline replied to katoline's topic in Geriatric, LTC

    :saint:Oh NotFlo, I'm sorry to say, i believe you may work for the same company i do. too many similarities. Love the people i work with and the residents, but i have to wonder when is the line drawn...

  24. Long Term Care Cutbacks

    katoline replied to katoline's topic in Geriatric, LTC

    I came across this before i left for work this am. Oh ug! What next? WASHINGTON - As the deficit reduction supercommittee hunts for $1.5 trillion in additional savings, US hospital executives are so...

  25. Is AANAC certification worth it?

    katoline replied to lvnlrn's topic in MDS Coordinator Information

    AANAC is great for recogniton, networking, new information and CEUs required. They post positions online and send you offers by mail. I just got recertified for 3.0 last fall and took online classes....