sls73

sls73

Geriatrics

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All Content by sls73

  1. Accepted DON Position!

    Congrats! I agree with the above post about not making changes right away. You need to learn the processes and procedures before you make improvements. Do not forget you have three shifts you are...
  2. FMLA

    I took 6 weeks off under FMLA for a hip replacement. I had to report it to the state for length of time I was off and had an interim DON cover me. She was not the ADON, but someone who worked in staff...
  3. Halloween Fun

    We have staff dress up day and then we have trick or treat. Staff bring their children and residents hand out candy for about two hours. We were supposed to do it tonight but due to the hurricane it...
  4. Heights

    We just finished our annual survey. We are still a traditional state, and they spent 4 days in our facility. We came out OK- infection control and heights are our two concerns. I will take it in the...
  5. Heights

    Well citation is in- we did get cited for F 0226 on accuracy of heights. Scope and Severity- D. On with the POC. I guess if that's the worst they could find I should be happy, it's just
  6. Heights

    We didn't used to measure again either after the admission height was obtained. When MDS 3.0 came into effect the dietician was asking us to do so. It is part of the RAI manual in section K 0200 that...
  7. How many days of orientation?

    NA/LPN 2 weeks minimum, sometimes if you are new I find you need more help with time management then I increase it to make it 3. If you are a RN it goes 2 to 4 weeks. The new RN's from school...
  8. Side duties of MDS/PPS coordinators

    Our building is 59 beds. We only average around 7 on Medicare A caseload. I have one MDS nurse, but she does not complete the MDS/Care plans in their entirety. Social Services, Restorative, Wound...
  9. What's All the Fuss

    We do not treat MRSA of the nares or give a private room. We just use good ole precautions like
  10. What exactly is so bad about LTC??

    You have to work where your heart is- for me that is working in LTC. I have had multiple job offers at hospitals but have turned them down- it just didn't feel right. I have always worked in LTC-...
  11. Not sure

    Sorry answering your question- I would probably say Yes. Since this is an Assistant Director of Resident Services I would compare it to a ADON. I hope the position is everything your looking for-...
  12. Not sure

    I am from PA and it appears they are having you taking a Assisted Living Administrator exam- basically you would be able to practice as an Administrator in Assisted
  13. MDS Coordinator Certification Program

    I also received my certification through AANAC. I took mine on-line by reading the material and taking the quizes and final at the end. The on-line learning is a self-taught course as you just...
  14. Oxygen Tanks

    [color=#545556]we are looking at various types of oxygen (concentrators, portables, battery packs) for a skilled nursing facility. i have worked facilities that switch everyone over to tanks and...
  15. Inactivation

    A resident goes out to the hospital on private pay and returns 3 days later as a Medicare Part A. She is admitted 3/27 and they complete a 5D assessment on 4/2/2012. Her 14D assessment was completed...
  16. Inactivation

    Put a paper MDS in your admission packet and have the nurses fill out three items- name, date of entry and the ARD. They can pick any date up to day 8 for the 5 day that way you can say it is set. You...
  17. We are in the middle of construction and are buying new equipment. I was curious to see what others were using and what they liked/didn't like. I am also interested in how they are holding up for you....
  18. Inactivation

    Thanks for the information, much
  19. Inactivation

    Thanks! Are you combining your 5D with the sig change? I read in an AANAC newsletter that CMS is billing default rates if you combine these two assessments- due to a computer glitch. I wasn't sure if...
  20. Thank you to the best staff ever!

    Congratulations!
  21. Most of my RNAC experience is with 2.0 and the billing person and I worked together to have the billing completed by around the 5th of the month. Now things happened and there was generally one or two...
  22. I love my job, but...

    It depends on the area you live in- where I am nurses in the LTC setting make more then hospital
  23. We are looking at going with versatile workers. They spend 80 percent of their time in a designated role such as NA and then 20 percent of their time in a role of their choosing be it dietary,...
  24. SigmaCare

    Let me hammer mine out and then I will share them with you- it may not work with your DOH, but I will share. Yeah- I have already told the administrator I am taking vacation when we implement all...
  25. should a RN be a med tec for a LPN

    I knew of a RN that only wanted to pass medications as she only worked every other weekend which left the LPN in charge. This was a mutual agreement and the facility knew this. Something went horribly...