ltcconsultant

ltcconsultant

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All Content by ltcconsultant

  1. Concentrated Care Nightmare

    ltcconsultant replied to nay537's topic in MICU, SICU

    I actually attended a conference session once on something very similar: variable acuity patient rooms. It was a slightly larger private room that was wired the same way an ICU room was -- extra O2...

  2. My Inventory of Nursing Books for Excelsior

    ltcconsultant replied to Lorie P.'s topic in Online Distance Learning

    The only thing I used for the nursing concepts test was Kaplan's NCLEX review. I also went to the library right before a test and flipped through an appropriate text just to look at the pics and...

  3. LTC Documentation Newbie

    ltcconsultant replied to *Pepper*'s topic in Geriatric, LTC

    Just found this terrific resource a few minutes ago -- apparently AHIMA has created a documentation and medical records manual for long term care and made the thing freely available on their website...

  4. LTC Documentation Newbie

    ltcconsultant replied to *Pepper*'s topic in Geriatric, LTC

    CapeCodMermaid is right. Your documentation needs to serve as evidence of justification for the level of care being provided, which is going to be more important for skilled units. Charting also...

  5. Culture Change In LTC?

    ltcconsultant replied to RN 4 Life's topic in Geriatric, LTC

    Dream'n, I agree with you wholeheartedly. What I see as a major problem is that nursing homes don't even make an attempt to understand the law. They don't realize that the MDS can legally replace at...

  6. Culture Change In LTC?

    ltcconsultant replied to RN 4 Life's topic in Geriatric, LTC

    IMHO, culture change doesn't happen when a facility fully embraces the Eden Alternative and totally redesigns the place. Culture change happens when administration stops acting like a-holes (from the...

  7. need advice on handling a difficult CNA

    ltcconsultant replied to PIANISTRN's topic in Geriatric, LTC

    I have some stuff on human factors in patient safety violations and on coaching supervision. PM or email me if you would like me to

  8. need advice on handling a difficult CNA

    ltcconsultant replied to PIANISTRN's topic in Geriatric, LTC

    I would start off by asking her how things are going at work. After shutting up and listening, I would then bring up the incident about the vital signs in a non-judgmental manner and then say...

  9. I need help!

    ltcconsultant replied to jpav33's topic in MDS Coordinator Information

    CMS has a free online training program at http://www.cmstraining.org/. There is a section there on how to work with PPS. Also go to http://www.providers.ipro.org/index/nhqi-conferences-mds and...

  10. Infection control

    ltcconsultant replied to angelaQAICnurse's topic in Geriatric, LTC

    I have an infection control manual for NHs that was created by a state health department. It's about 150 or so pages. Send me a PM or email and I'll send you a

  11. ? RE: Starting A Restorative Nursing Program

    ltcconsultant replied to julie1014's topic in Geriatric, LTC

    The State of Kansas has a regulatory compliance newsletter for nursing homes in that state. http://www.agingkansas.org/ProviderInfo/Newsletters/Sunflower/2005Jan.pdf has the MDS requirements for a...

  12. ? RE: Starting A Restorative Nursing Program

    ltcconsultant replied to julie1014's topic in Geriatric, LTC

    Last year I found a document on the internet called "The Restorative Nursing Toolkit" that was a 50 some odd page manual put out by one of the QIOs. It was a great resource that provided all the...

  13. Am I eligible for CNA Exam?

    ltcconsultant replied to studentnurseNTN's topic in Tennessee Nursing

    The TN Healthcare Facilities Commission regulates CNAs, and they will allow to challenge the CNA test without actually taking a CNA course if you provide transcripts from a LPN or RN program that...

  14. RNAC/MDS Coordinator

    ltcconsultant replied to RNACChicora's topic in MDS Coordinator Information

    CMS has online MDS training at http://www.mdstraining.org/ . You have to register but it's free. IPro, which is New York State's quality improvement organization had Andrea Platt (one of the big MDS...

  15. Nursing Home Activities

    ltcconsultant replied to Vicki30CNA's topic in Geriatric, LTC

    In the summer of 2006, CMS significantly revised the activities rules and require a very detailed assessment and emphasis on individualized activities and a de-emphasis on groups. They are only now...

  16. Jacho

    ltcconsultant replied to marya's topic in Quality Improvement

    http://www.4nursingmanagers.com/Policies/rn/asp/ID.30/pt/ViewInCat.htm this website has some really good joint commission stuff, although some of it is a bit

  17. How to find a QI job??

    ltcconsultant replied to shortstuff31117's topic in Quality Improvement

    Most help-wanted websites for nurses have at least one or two QI positions available. Additionally, you could check the websites for either the National Association for Healthcare Quality...