katoline

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 condition with Interdisciplinary Team reviews etc.) Al...

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. Making Assignments The LVN's duty to patient safet...

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 wondering.

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 chemo or radiation for palliative reasons, to shrink o...

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 office with not only her own things, but that of a...

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 or hardened. Please don't do that. Just from readin...

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 case manager who really Coordinated the tasks to be...

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 manage my time. i wasn't even shown how assessments a...

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 line) i have started my position as MDS Coordinator ...

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 day requirement (7 days after the 14 day deadline ...

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 busy. Staffing is always less than ideal. In all ...

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 effected? Are you seeing staffing cuts, supplies, dept....

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. That said, depekote for mood stabilization is not ...

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

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 careplan.

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 lorazepam (ativan) they are both benzodiazepines. ...

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. if things change the day we actually go to careplan...

:)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 well. What i am confused about is our quarterly an...

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 wants them sent out. Our medical director gave us a...

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 recently been adding medication toxicity careplan...

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 they feel guilty they can't care for their family ...

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 have been taking it. Being a polypharm myself, i'm ...

: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 where some top execs have to say to shareholders, ...

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 worried about having their payments cut that they p...

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. I wish I had purchased the modules for printout or...