sls73

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 responsible for, not just dayshift. Come in during the...

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 development part time. She had been a previous DO...

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 has been post-poned. I believe the residents enjoy...

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 scheme of things as I know we are not perfect, nor ...

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 irritating.

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 states "for subsequent assessments(after the admis...

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 generally need the 4 weeks. I always tell the staff though...

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 Nurse, Activities, and Dietary have their own section ...

We do not treat MRSA of the nares or give a private room. We just use good ole precautions like handwashing.

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- first as an aide, then as a LPN, then as a RN who even...

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- Personal Care and Assisted Living are getting to be t...

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 Living.

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 read/study the materials and take the quizes/tests, but i...

[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 others that have left them on the concentrator. the bat...

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 on 4/9/2012 and her 30D assessment was completed 4/...

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 can adjust the date when you come back to suit yo...

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. The items we are looking at are beds and lifts. W...

Thanks for the information, much appreciated!

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 it was better to split the two apart and submit se...

Congratulations!

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 assessments that had to be completed later based ...

It depends on the area you live in- where I am nurses in the LTC setting make more then hospital nurses.

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, housekeeping, and activities(but will also have employees...

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 these programs on the SAME DAY(flexible medications, n...

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 wrong one weekend which involved the state health...