cadburypam

I am 1/4 Eastern Woodland (Pocomoke/Assateague). It was thought that all of the indigenous people had died off, however when I was young my father did a geneology search and found that my great grandmother was a "free black" which is what the natives...

I know the frustration of LTC nursing. I have been a geriatric nurse for 23 years. It seems that you didn't choose the right specialty, however due to the lack of qualified nurses in the LTC setting it makes everything difficult for everyone. The mos...

The reason we look at these medications is to determine if there is a need for further evaluation and development of a care plan to address the problem. For example if the resident is on a diuretic they have the potential for a fluid volume excess an...

What I write is a brief synopsis of the quarter. I.e. Resident showed no significant change, continues to require assist of 1 with completion of bathing, dressing and grooming. Ambulates ad lib with walker, uses wheelchair with staff assist for long ...

I had at one time both AANAC and NASPAC certifications, The AANAC one I feel is better since you have support of the listserv and the opportunity to check the education site for new material. It seemed to me that after I got the NASPAC cert they just...

I agree RAPs are cumbersome and a pain in the you know where, but to me it rounds out the MDS process. I am fortunate that I am in a very small facility and have had the opportunity to "train" my nurses. We are a brand new facility (took our first re...

Wow, I guess I'm lucky, or mean:madface:, I make my nurse's read the RAPs. I also make them read the care plans and review them with the aides. That way they know the resident, know what I do and how I pull all the information together from everywher...

I would be interested in participating. I think changes need to be made to the current RAPs, adding some and possibly deleting or combining others. Pam

It would make sense to care plan for the type of medication prescribed i.e anticoagulant, insulin, etc...than to specify a particular medication. The only medications I care plan is anticoags. The others I don't. We have enough to keep track of to ca...

why would you be responsible for updating all the careplans? Are you on the unit providing care? I would stand my ground and point out to my Director that the nurses are the ones who are 1. noting the physician orders, 2. seeing the resident daily, 3...

Go to www.aanac.org they have an online certification program for MDS coordinators. Very intensive, very good, plus you can join AANAC and have a good resource of information from MDS coordinators throughout the country along with experts in the fiel...

I know what you mean about boring...I lost interest half way through and just went through the slides and half listened to the presentation. As far as the 112 minutes, I guess I have it easy, my facility has only 40 beds, all private rooms, right no...

Me too, I could have gotten all of the information (and did) from printing out the power-point slides from the CMS website. I wanted to know a little more about the history for the change and what impact (other than decreasing the time for completion...

I'll be there too, can't wait to hear what CMS has to say.... On another note...Anyone going to the AANAC Spring Conference in Baltimore, MD in February?

Depends on the problem. It also depends on the resident. If they have specific approaches I need to add then it can get a little long. You have to be careful though, you can paint yourself into a corner with the state survey team with care plans beca...

I found when the MPAF came out I had a hard time using it because it seemed like I was "cheating" on the information I was giving, but now I wouldn"t trade it for anything, I hope they don"t do away with it with the 3.0...

Unfortunately that is the nature of the monster:oIf you do a comprehensive assessment with your 5 day you can use an MPAF form with the remainder of the assessments, that way you aren't doing a full assessment each time, just the info needed to calcu...

lpnbecky123-I don't think they know what the new RAPs are going to look like. It seems that they are still working out the "bugs" with the whole system. From what I gather they are going to be the same as the present ones with the addition of pain, a...

Wow! I was reading through the posts about the variety of salaries throughout the country what a BIG difference. In Delaware, MDS coordinators with experience are so hard to find I guess we can name our own price. I make $31 and hour plus benefits 3 ...

I got one for you... When I was put in charge for the very first time, I assigned a nursing assistant to administer a fleets enema to a resident, I asked if she was comfortable doing so since she was a new employee and she said yes, she had done it b...

To be eligible for a new benefit period the person has to not have received any skilled services within a 60 day period. It falls under the spell of illness regulations. Because the resident with the feeding tube will always receive care at a skille...

Isn't listing the side effects on the care plan a little redundant? The nurse's are monitoring for them during med pass. To list them on the care plan is silly. Plus, it is esentially useless information. To apease the consultant I might add an appro...