Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. Salary and responsibility of MDS coordinator/ Medicare case manager

    Rexie68 replied to limarie's topic in MDS Coordinator Information

    catching up.... ccmermaid, we usually agree, but when you wrote "can't even sign the r2b." it offended me a bit. i know i'm not an rn and can't sign the r2b (yet....220 days until graduation!!) but i...

  2. Turned in my Resignation

    Rexie68 replied to rukiddingme's topic in MDS Coordinator Information

    i couldn't even imagine trying to work the floor in addition to your own work schedule. doesn't management understand that you are responsible for making sure things get done right for reimbursement?...

  3. LPN to RN how long can you wait?

    Rexie68 replied to Butterflybee's topic in LPN to RN

    Sorry for not explaining. Credit by portfolio just meant that I'd been an LPN for more than 5 years and had worked at least 1000 hours/year during that time. If it had been less than 5 years, I...

  4. LPN to RN how long can you wait?

    Rexie68 replied to Butterflybee's topic in LPN to RN

    Gosh, I've been an LPN for 20 years, and I CLEPPED, was awarded credit by portfolio for two others, and tested out of PEDS and OB. Penn State wasn't concerned about how long I've been out of school,...

  5. Help with HESI EXAM

    Rexie68 replied to South Texas Breeze's topic in LPN to RN

    Pardon my ignorance....what is a HESI exam? Is it like an ATI exam? Thank

  6. what was the biggest adjustment from LPN to RN?

    Rexie68 replied to picurn10's topic in LPN to RN

    I'm 236 days away from graduation LPN to RN. I've been an LPN for 20 years and finally went back to school. For me, the biggest difference is critical thinking skills. The classwork and clinical...

  7. Reference Materials For Peds/OB/Geriatrics

    Rexie68 replied to Kylea's topic in LPN to RN

    I was able to test out of OB and Peds by studying ATI books and NCLEX review books. Geriatrics is my specialty, so that was easy. Just do a lot of practice questions. Good

  8. Nursing Theory: Are these folks crazy?

    Rexie68 replied to nerdtonurse?'s topic in LPN to RN

    just wondering why you had to take fundamentals? if you're already an lpn, you should get credit for that! i'm 248 days away from graduation from penn state university, and they gave us lpn's credit...

  9. Yall will think that this is stupid....

    Rexie68 replied to nursewiggins78's topic in MDS Coordinator Information

    *smile* monthly staff meetings? we don't have staff meetings very often....and even when we do.....not much seems to apply to the me, as an mds nurse. it's usually teaching the floor nurses basic...

  10. how do you divide the load?

    Rexie68 replied to amglpn's topic in MDS Coordinator Information

    we have 139 beds, same medicare/skilled load as you....anywhere from 20-40 skilled at a time. 1 rnac and myself, the lpnac. i do all the mds'......medicare, hmo, annual, significant change,...

  11. Anyone using Care Tracker and will it change with 3.0?

    Rexie68 replied to mdsmadness's topic in MDS Coordinator Information

    You (or whoever your facility chooses should have access to that function) can edit entries...you just have to put in the reason you're editing it. I only do that when it's a very obvious error, such...

  12. Anyone using Care Tracker and will it change with 3.0?

    Rexie68 replied to mdsmadness's topic in MDS Coordinator Information

    we use caretracker, and it has definitely helped adl coding. since the staff can't see what the person charted before them, they can't just fill in the blanks by rote...they have to answer the...

  13. Signing Assessments, is this wrong?

    Rexie68 replied to mdsmadness's topic in MDS Coordinator Information

    i think i mentioned how we do it at my facility in another post, but i'll repeat here. i know that some disagree with it, but umr and doh have never had a problem. we date the working copy for the...

  14. July Update: MDS 3.0 Implementation Timeline

    Rexie68 replied to Talino's topic in MDS Coordinator Information

    i just see the raps as unnecessary. i already know what needs care planned, and constantly typing in the whereabouts of the documentation (which never changes..."7 day assess, nn, caretracker" for my...

  15. July Update: MDS 3.0 Implementation Timeline

    Rexie68 replied to Talino's topic in MDS Coordinator Information

    keeping my fingers crossed that the raps won't be included in 3.0. i participated in a cms survey that asked our opinion on raps, and i strongly expressed my dislike for them. hopefully not seeing...

  16. OH OH! Heres the question I wanted to ask for the day....

    Rexie68 replied to nursewiggins78's topic in MDS Coordinator Information

    .....and then they'll change the

  17. how do you all ahndle signing the MDS?

    Rexie68 replied to glm777's topic in MDS Coordinator Information

    2-3 days after the ard? gosh, that must be nice. i'm happy that we have 14 days to get them done (except for admission) because if we have 20-30 mds' with ard's in one week (less or more depending...

  18. Yall will think that this is stupid....

    Rexie68 replied to nursewiggins78's topic in MDS Coordinator Information

    wow...double whammy....a new nurse and a new mds nurse. god bless you!! as cadburypam said, the reasons for checking psych meds is d/t qi, behaviors and physician documentation. i certainly...

  19. how do you all ahndle signing the MDS?

    Rexie68 replied to glm777's topic in MDS Coordinator Information

    i'm not certain i understand the question, but i'll do my best. when a resident is due for an assessment, one of the disciplines (whoever starts first) puts the mds in the chart and completes their...

  20. How do you get your MDS done?

    Rexie68 replied to flashpoint's topic in MDS Coordinator Information

    tinytoo, that sounds wonderful....but impractical in many facilities, and would eat up a lot of time for all disciplines. i know i'd get antsy waiting for others to do their sections while i could be...

  21. Rnp

    Rexie68 posted a topic in MDS Coordinator Information

    i don't know if it's the same in every state, but here in pa, case mix has a lot to do with out medicaid reimbursement. restorative nursing programs can help. we just hired a new nurse supervisor...

  22. An apology

    Rexie68 replied to LesMonsterRN's topic in Geriatric, LTC

    there will always be some controversy somewhere. just stay in your/our scope of practice and knowledge and we'll be fine. i'm an lpn who is quite comfortable starting an iv or dropping an ng tube,...

  23. Propanolol as an antipsychotic adjunct

    Rexie68 replied to Woodenpug's topic in Psychiatric

    We use it to help prevent some of the side effects of antipsychotics...it works to help prevent some of the tremors. No clue if that's FDA approved or not.....but it works for some. Of course, we're...

  24. FDA ALERT: Antipsychotic Drug Use

    Rexie68 replied to Talino's topic in Geriatric, LTC

    I agree with Furwillfly. Any medication can have a side effect. And guess what?? Elderly people will die. I don't know if they die sooner with an antipsychotic than without, but perhaps they're a...

  25. Golden Living Centers

    Rexie68 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    i haven't heard anything negative since the switch, but it's going to take a while for beverly's reputation to subside. we did receive a resident today from a golden living center, and i must say,...