rukiddingme

name:_____________________________________ ard:________ 7 back:________ 14 back:________ lastmds ard/type:__________________________ bims:________/________ mood:________/________ pain:____________________/__________________ (sect.i) active d...

I agree with the previous post. MDS nurses often do other duties such as infection control, skins, etc. Be sure to ask plenty of questions if they allow you to 'shadow' her. Depending on what exactly she's doing for the MDS position, she may not ...

Sounds like your Activity Director needs someone to come in and give him/her some fresh, new, innovative ideas for these people. We have a monthly 'auction' that the resident participate in, using 'fake' money and donated gifts that they can bid o...

This type of scenario also happened to me in a prior position. They stated I needed to be in the on call rotation, and that it was part of my new job description. I refused, and they said that if I chose not to comply, I was no longer needed - and ...

Was wondering if anyone has a simple listing of ICD-9 codes that you use the most, and would be willing to share this with me. Thank you in advance. Tara

Our restorative nurse recently did an interactive inservice - using an empty private room, and did 'mock' transfers, etc -- and explained how to code for the specific procedure done. Seemed to make them understand it better.

From what I understand: In order to have electronic records ONLY, you're software must be set-up for electronic signatures, so each team member can 'electronically sign' for each MDS you complete. Your records must also be available to floor staf...

The MDS 3.0 Track Changes are the changes made to the manual after the manual was completed. You can find the full RAI manual - including the Track Changes on the CMS website, just search the CMS website for MDS 3.0 and you will find the online RAI ...

The BIMs interview has to be done within the 7 day lookback period. The PHQ-9 should be done the day prior to the ARD, or on the ARD. (this info can be found in the MDS 3.0 Track Changes for the RAI manual) None of the interview items or informatio...

We have 90+ census, and we basically split these, so we both have long term and medicare residents. And we try to keep it as equal as possible, but we don't get crazy counting each one. We both attend morning meetings, have care plans one day per w...

No current openings, sorry. But I'd be willing to let the other one go for someone easier to work with. My facility: current census, 95. PPS residents, 7. MDS staff: 2 fulltime. We do not work the floor, do not take call, do not get overtime. W...

How can you be doing all that, and getting quality information for facility $reimbursement$ -- which should be the #1 purpose of your work.

In the school newsletter yesterday, they advertised their current school nurse/office assistant was going to retire -- so they are looking for an RN or LPN. I am currently employed @ a nursing home, as a MDS nurse, and have never worked with child...

Went for interview for the position. The Super/Principal asked me questions, the lady currently in the position was present and talked about her duties. When they got done, he started to give me the 'bones' of the position, and the benefits -- the...

We always take therapy info/participation into consideration - especially for ambulation.

My daughter (age 11) says, "Mom, you know the nurse also works in the office and helps with the library books". Which sounds pretty strange to me. Maybe because it's such a small school, she has to do these other things also. I left a voice mail f...

I'll keep my fingers crossed for all of us dealing with the 3.0 every day. It would be wonderful to have CMS change the discharge assessment process and reduce the interview needs for Medicare residents - so they aren't answering the same questions @...

Believe that you aren't alone in the 'missed assessment' problem. We're finding discharges to be a definite pain, and have missed a couple of those. Of course by the time we find one that was missed/forgotten, it's too late, so the assessment ends ...

I know with the 3.0 that we have the ability to combine assessment types....but I'm not grasping how this works. IF the ARD's are not the same, then the assessments cannot be combined, correct? So, if I have a resident with a Quarterly on 1/17/20...

Well, from what I've seen since Oct. 1st, there aren't too many places to use the 'combining assessments'. Per the RAI: when combining PPS w/ OBRA assessment, they must have one 'common' ARD. And no medicare assessments may be combined, due to ...

Still having problems with our software (glitches and programmer errors). Still hating the sudden discharge assessments - feel like their a waste of time.

Truthfully, this would be something I'd consider, at times. I may work for an agency that did this, but I don't think I'd want them coming into my building -- unless it was a dire emergency. My co-worker doesn't have much drive to continue this lin...

So am I right on the ARD thing? The ARD's for each 'assessment' you combine must be the same exact date, otherwise you can't combine.

Yep, unfortunately it was using 92nd day. Usually we don't - but this was a special circumstance due to illness w/ hospitalization.

I've also done work from home, unpaid. I'll bring home things to update, if possible. Some short-term resident have a multipage 'admission careplan' that I can do by hand at home, and their assessments for falls, norton, pain, abuse/neglect, elopem...