mdsdebbie

I work M-F 8-4:30, no weekends or Holidays. I am salary, so I am expected to stay as all department heads are until after the state leaves each day, and we have had our department head meeting about what the state looked at. I will be called in if they come and I am off, and they have been known to call the departments who are on vacation also. I also am on call every 5th weekend, and have had to come in on the weekend as supervisor. Again becasue I am salary, am paid nothing extra. If a nurse is needed to do floor things I will also be asked, such as body audits, assessments for falls etc, and to supervise in the dinning rooms or 4-7 supervision when no one else is availble. This is the worse part of my job, I am pulled for everything else, told it is team work, but no team is behind me when I am here late at night, doing my MDS's:banghead: Am thinking of becoming a Mortician! LOL:eek:

Thank you so much Lisa. You are so right, some where along the line the true meaning of care planning was lost, now it's all CYA. I am just as annoyed when the DON wants to CP something totally off the wall, but she tells me, she has been a nurse for 38 years, and is the way she wants it.

I so totaly hear that, but it comes up on our QI's, so the DON wants us to have CP in all charts . Extra work, but what makes "DON" happy makes everyone "Happy".....LOL Have a great weekend Debbie

Hello all my wonderful MDS friends, Could someone share with me, their Care Plan for a resident on 9 or more meds? Our's is almost not there, lol, a bit embaressing. LOL Thank you for helping me Debbie in NY

I too will be having a change. :bugeyes:I have been alone, in this small office, with a huge window that I can open for a breath of fresh air. I so enjoy not having to turn the light on, and the view from my window is at times what keeps me sane. :loveya: The powers that be, have decided to put my into a huge room with the other MDS nurse ( I do PPS and Contracts, she does Annuals and Quartelys). IT will be very open, very noisy, and ohhhh willl I miss my own space. The other nurse is very loud,:chuckle has to address everyone, and is a smoker.. I am not. THis isnt going to be very good for me, I do the money makers and have a condsultant come in once a month to review all my work right down to every dollar sign. Why isn't it that when decisions like this are mad, we the ones involved are not invovled. I feel like a pee-on here.:smilecoffeecup: Good luck with your move, maybe ear plugs will help.

I am so jealouse, good luck girl....hope you get it? I am the lowest paid RN here, salary, and on call weekends every 5th. I am also the managed care nurse for insurance and contract people, plus when they need me to be a team player, I also am expected to help out on the unit. I'm thinking about leaving, as I am here 50+ hours to get my job done. I am so happy for you.

Hello ladies, I too am from Upstate NY, make 28 bucks an hour, and am the lowest paid RN in the building. I take on call every 5th week, pulled to do supervision if they are short, becasue of salary, am paid nothing extra. I am dragged into all the meetings, and given chores as seen fit at them. I do all PPS MDS's, RAPS, run medicare meeting, rehab meeting and do Managed care of all payment scources, speaking to the familys when they are going to be cut funding. Im also one of the first people to get the team work lecture if another part of nursing is not running right, and expected to help fix it, yet no team work is ever given to me when I am running around crazy for a dead:cry:line. I do not have to push a med cart, and have to say at that I would draw a line. My knees are so arthritic, that if I pushed the med cart for 8 hours, I would need 16 to recover...(am getting old and not very graceful) I do wish I worked in a place that recognized my importance to bring in the bucks, just the importance of what I do. and sure wish I made 78 grand (am very jealouse) LOL

What is a Baylor weekend, Bedpan? LOL I'll say a pray for you this weekend to. I love that shadow idea. I figured it out, I have to attend 3 days full of meetings every week. Leaving me 2 days to do my MDS job, and they recently were kind enough to give me, Case Management of Insured and Cut letters contact. Lucky me....dont all of you be jealouse now....:redpinkhe

We have a consultant group, that comes in for 2 days every month, and picks apart all the MDS's that I completed, finding where we could of made more money if I changed the ARD, sometimes they spend hours reviewing and digging to find a MD appointment I missed in the consult papers that didnt make it in to the chart. Then they present their findings in front of me to the DON and the Administrator. It makes me feel so degraded. I try to tell myself that the consultants have to find something to keep their job, and sometimes they want me to code ADL for higher points that I will not, and it always makes me look bad. Like I dont have enough stress with dead lines. My boss tells me that the consultants are here to help and for me to learn from, yeah right, they put me on the defensive, can't learn in that environment. I love digging and making that extra point, I started this job thinking each MDS was a challenge, now I sort of face it with regret. I feel like a lone nurse, not sure where to fit in. I can't fit in with the nurses on the floor, because I dont do "all"they do, and they don't understand "all"that I do. We are a good bunch, we the money maker, MDS nurse. I want to feel appreciated, but I do only when we all talk to each other. Sorry that I rambled on a bit, but it is so easy when you have others that understand, and I know you are reading this and nodding. :typing

I too have to be part of the rotation, but after reading above, am very lucky it is about once every 6 weeks. I am also asked to be supervisor if they are short, usually for the next shift. I also am asked to help with admissions and accidents when RN is out . I feel this is out of my comfort zone, I have very bad arthritic knees, hence why I went after this MDS job, my knees just can't take pushing the cart and walking the rounds. I would like to come into work and only do just my job. I hear alot from the others here, about team work, but that seems to only work for them, I never see any team work when I need help.....ohhh well, Im sure you all know that. Happy Monday to everyone,

We keep ours in the MDS section of the chart. I like it that way, to have everything all together is very convient, and everyone knows right where to look. freezing in NY Debbie

Hi I am the Medicare nurse and run from 14-30 PPS residents. They just hired a second MDS nurse for the LTC, they give her 20 hours, then an additional 20 hours to do Restorative nursing. We are a 120 bed home. She has apx 90-100 to do, depending on the moment, she runs the Care COnfrence, but is not responsible for Care plans or submission. Hope this helps Debbie:clown:

Good Morning My Fellow MDS Peeps, LOL Seems every week my MDS position gets added on to, and I was wondering what other duties you all have been asked to do? What work groups, positions, details, have you been asked to do, and did it come with another title and more money? We just hired another MDS person. We are 120 beds, I do all the PPS and she does all the OBRA residents, and will be in charge of the Casemix stuff, she also will be starting up the Restorative program. So they added to me, one day of supervision per week, meaning I take the supervisor keys from 7-3:30, even though my hours are 8-4;30, and now I am also the Managed Care person, dealing with insurance company's, faxing paperwork, and calling families with cut off dates. And no additional money. I am feeling pretty low right now, and wondering if things are better ont he other side, and if I should stay or go! Please talk to me you guys...:typing I know I am not alone! Debbie

I am so sorry to hear about you being fired. Wish we were closer, I need another MDS person. Sounds like you are better off than in a place where your not appreciated. There loss. hugs Debbie

Hello everyone:typing Would someone please share with me their confrence letters inviting the family's? The one we are using is awful, and I would really like to breath new life into our RCC. Thank you so much Debbie Heck:nurse: