sharlynn

sharlynn

ICU, CCU,Wound Care,LTC, Hospice, MDS

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All Content by sharlynn

  1. What is the best mds cert to have?

    sharlynn replied to cherubhipster's topic in MDS Coordinator Information

    My employer paid for the 3 day certification course. I passed the regular MDS part, but failed Medicare. The instructor actually said "I can tell those of you who only do MDS by the glazed look in...

  2. After 2 months..what do you think of the MDS 3.0?

    sharlynn replied to Nascar nurse's topic in MDS Coordinator Information

    We've taken MDS off the chart entirely. It was just too cumbersome. They are kept in file cabinets in a separate room. As for 3.0, it still has many problems in my opinion. The wound section leaves a...

  3. Barrier Cream

    sharlynn posted a topic in Wound, Ostomy, Continence

    My DON wants to switch to Vaseline as a barrier cream for incontinence as a cost saving measure. Does anyone else have experience with this? We were using Smith -Nephew, but switched to Medline and...

  4. How will I correct Prevalence of antipsychotic w/o psychosis - QI/QM?

    sharlynn replied to lionjr's topic in MDS Coordinator Information

    On quarterlies, if you go to the last section under diagnosis with the drop down boxes and list the psych diagnosis first, it will clear it from the QI/QM. If you do that on the annual, it is...

  5. MDS Coordinator sub-forum

    sharlynn replied to Nascar nurse's topic in MDS Coordinator Information

    I am an old nurse, but new MDS Coordinator. I have a question about the pain section. Sorry, I don't know the exact section, but it has No pain, Daily pain or pain less than daily and goes on to...

  6. What does a Medicare Manager do exactly?

    sharlynn posted a topic in Geriatric, LTC

    I 've been offered the position of Medicare manager. Everyone tells me it's stressful, but no one can tell me why or what I would be doing. Anyone ever done

  7. What does a Medicare Manager do exactly?

    sharlynn replied to sharlynn's topic in Geriatric, LTC

    Thanks! That gives me an idea of what I'd be in for! Now to decide if the extra pay is worth the

  8. Soap for Restless Legs Syndrome?

    sharlynn replied to SCRN1's topic in General Nursing

    I tried it for leg cramps after reading about it in Dr. Gott's column. I just put the soap under the fitted sheet ( no baggy). The soap moves around in the bed. I can't swear that it helps leg cramps,...

  9. *Weird* Patient Allergies

    sharlynn replied to cherrybreeze's topic in General Nursing

    My favorite is

  10. supplemental O2???

    sharlynn replied to sweetieann's topic in General Nursing

    Does she have sleep apnea? Just went thru this with my husband. When he finally decided to believe me and got tested, he was dropping to

  11. LVN WCC Wound/Sharp Debridement California

    sharlynn replied to hotelmez's topic in Wound, Ostomy, Continence

    Check with your state. Each state has different regulations. I was allowed to in NE as an RN. Not sure about LVN,

  12. Best Holiday Gift Given by Your Hospital

    sharlynn replied to zoopnever's topic in General Nursing

    I agree! Actually , I once worked at a place that gave us a turkey. But otherwisw everywhere else, it's

  13. You need an order to remove a fecal impaction digitally right?

    sharlynn replied to lashuna1028's topic in Geriatric, LTC

    I've never worked anywhere that required an

  14. would you rather..

    sharlynn replied to glamgalRN's topic in General Nursing

    I agree with doing what is best for you. For me, the third night is terrible. When I worked in ICU, I felt it was hazardous for the patient to have me as a nurse on the third night! I still prefer to...

  15. A question for the wound experts. :)

    sharlynn replied to SillyStudent's topic in Wound, Ostomy, Continence

    In general, when a blister develops it started 7 days before. Ask yourself " where were they a week ago". If the heel is kept offloaded and the skin does not break, the fluid will resorb and the skin...

  16. Were YOU educated in nursing during the 1950's?

    sharlynn replied to scrubs2716's topic in General Nursing

    Good grief! A nurse educated in th e fifties would be in her 70's now.

  17. shaving cream for peri care???

    sharlynn replied to mel1977's topic in General Nursing

    I also learned about this in nursing homes. It's great for any really stinky area, especially contracted hands on stroke

  18. Unstagable/Suspected Deep Tissue Injury

    sharlynn replied to LTCRN4LIFE's topic in Wound, Ostomy, Continence

    I agree with

  19. Skin Prep and Duoderm

    sharlynn replied to bshaw96's topic in Wound, Ostomy, Continence

    Tegaderm is air and gas permeable

  20. Should all states require CEU's for registration renewal?

    sharlynn replied to paperdreams's topic in General Nursing

    I was required to have them first in Nebraska after moving from a state that did not require them. When I returned to Arkansas, both had become compact states and I did not have to have them until...

  21. Should all states require CEU's for registration renewal?

    sharlynn replied to paperdreams's topic in General Nursing

    When I lived in another state where CEU's were required, the area hospital gave free inservices to employees for CEU's. Those of us employed elsewhere had to pay to attend. It was pretty disheartening...

  22. "no further hospitilization" order

    sharlynn replied to ktwlpn's topic in Geriatric, LTC

    so have i. also "no antibiotics per family

  23. irrigate or not to irrigate wounds

    sharlynn replied to Randa74's topic in Wound, Ostomy, Continence

    Wound Wash Saline is great! It is usually cheaper than bottles of saline (which should be discarded after 24 hours) and gives the proper

  24. Sub Acute .... LTC

    sharlynn replied to LPNscottnj's topic in Geriatric, LTC

    Wow! In my opinion, 12 subacutes would be more than enough for one

  25. 4 : 1 nurse patient ratio for med surg???

    sharlynn replied to student456's topic in General Nursing

    Where I worked (past tense) it was 6:1 with one aide for 2 nurses. I've heard they've gone up to 7:1 since I left. It wasn't