amylpn24

My opinion is this. The AANAC certification is great but.....I do not believe that if you do not have any experience in the MDS, you will understand it. The best thing for you to do before taking a class such as that is get yourself an MDS 3.0 manual...

Well, All I can say is be glad that you have any help at all!! The only reprieve we have been able to get is "don't put the MDS/PPS Coordinators on call for three weeks". Grrrr

Don't let the 3.0 scare the life out of you. When you look at the big picture, it is not really THAT different. What is different is that now instead of interviewing the staff and forming your own opinions about what you think the residents need...yo...

Supervision with set up. 1/1. Using your eyes is considered supervision.

I am an MDS nurse with several years of experience and thoroughly trained in the 3.0. Willing to travel, do freelance work for the right price. Hold compact license.

Time to get a new job!!! MDS Coordinators can and will have more of an opportunity in with the 3.0 to write their own ticket. Get out of there.

I believe the answer to this question depends on facility policy. We do keep the chart for 30 days and start over after that. As far as the MDS's being on the chart, I'm not quite sure what one has to do with the other. If the patient has been discha...

In this case, you would change the ARD to the day of discharge. There is nothing in the RAI that says that the MDS nurse must do an or the assessment. You just use what information that you have from his six day stay and hosptial records and answer t...

All I can say is WOW! I too have a lot of additional responsibilities and it makes me crazy!! In my opinion, any administrator and DON should be well versed in MDS and realize that it is US who are generating the revenue. More time equals more time ...

Yes, it does matter. This is how you make the money and if you understand nothing else about the MDS/PPS, learn this. Do you have a RUG crosswalk? If not, ask your corporate MDS nurse, she or he should have one. Think of this as the bookmark for you...

yes, that is correct. Never be too specific in a plan of care. If it changes, which it does frequently and no one gets to the CP to change it, you've got yourself an F tag.

It may be the "norm" these days as facilities are struggling to make and save money however able. The problem is, they need to take a step back and realize that the MDS or PPS nurse (THE REIMBURSEMENT NURSE) should do only that. Nothing else. When y...

just keep in mind that you may not move the ard date once an assesment window has closed, or if you have already picked an ard date and that date has passed. example: last quarterly r2b was 2/1/09, rug = pa. next quarterly r2b would be due on or ...

Treat every payor source as if it were medicare or medicaid. This will save you a lot of pain in the long run when you find out that the resident was actually medicare and NOT private insurance.

Exactly what was said previously. Do not care plan for the state, care plan for the resident. You will never master what the state is looking for because, A) It varies B)It depends on the surveyor and what type of mood they are in. In a nutshell, c...

I want to just clarify the reply i made yesterday. When I say write your own note if you have to, what i mean is after talking with direct care staff, document what they say. Just make sure you do it before the ARD so you can count it.

ADL's are by far the most miscoded item. Behaviors as well. You must do education continuously with your nurses and CNA's. I don't know what kind of program you have, but the one I use calculates the ADL score when it calculates the RUG. I think mo...

The fact is, it is different in every building. I have been in buildings where medical records was responsible. I am currently employed as a PPS Coorinator and it is my job. As far as them being late, there is a place on the certification to expla...

Hi everyone!!! I will be moving to katy a month from now. Looking for a good job that pays decent. Anyone have any ideas? I am an LPN with greater than 16 years exp. Currently Nurse manager/MDS coordinator for LTC facility. Exp. in psych and corr...

You're right, we do careplan potential problems but taking nine or more medications does pose a potential problem, that's why it is a quality indicator. Not sure about other states - but Kansas wants to see this careplanned...if not there, they are l...

I am sure that I am beating the dead horse here but the question still remains. What happened to nursing? I have been a practicing LPN for greater than 14 years. In this short amount of time, I have gone from nurse to secretary, private investigator...

We have to careplan for this as well. This is a quality indicator and if it is not careplanned you are likely to get a tag. At least here in Kansas. My careplan goes something like this; problem: Potential for complications related to multiple dx's a...

I agree whole heartedly!!!! It's like this; NURSE= ONE WHO CAN BE VERBALLY ABUSED AT ANY TIME AND FOR ANY REASON. THERE WILL BE NO REPRECUSSIONS. (Did i spell that right?) Anyhow, I too wish there was a way to scream to the world about this very sam...

Get a new job

I dont know if they still teach this but use SOAP notes. Subjective, Objective, Assessment and Plan. What the pt. says, what you see, your assessment of what you see and do and what you plan to do. This is very easy. Another thing I do is just go f...