toicole

Took the NCLEX on Wednesday, did the PVT as soon as I got in the parking lot and got the good pop up. Called the license line the next day and it said I had a Registered Nurse license. Checked BON website today and my license is on there. Officially a RN!!

I need a little help please. What if they refuse to follow or cannot do the restorative plan? Please someone shed some light.

When coding for resisting care. If a resident refuses to take a whirlpool or shower, but does take a sponge bath. Does that resident still need to be coded for resisting care? Also if a resident refuses to get out of bed. The resident does have a bed bath and gets ready for the day. She just refuses to get out of bed. She would rather stay in bed and watch TV. Does she need to be coded for resisting care? Another question about Podiatrist visits, do we need a care plan for that or adding it to the ADL care plan is sufficient. Thanks in advance.

Hello all. We had a resident sent to the ER for a fall, he was dx with a fx and also a Fecal Impaction. I am doing a significant change on him. Do I have to capture the fecal impaction? I would like to give him 14 days to see how he is doing and in giving him 14 days the fecal impaction will not be in the look back period. They resolved it in the hospital. Not really sure where to go with it and we really question the "fecal impaction".

Do you guys do a seperate care plan for the podiatrist or do you just add it to the ADL Care plan? Thanks.

I care plan wound treatments and just as a side note we just had an inspection. The wound nurse did not do a wound sheet or tx order. I was not aware of the wound and got a ding from the state for not having a care plan. Good luck.

Is there a place on the MDS to code for ileal conduit? If the person flags for delirium and you don't feel they are in delirium how can you justify this in your rugs, other than declining health or they have an illness?

Scrubs all the way.

Congrats!!!!!!!!!!!!!!!!!!!!:yeah:

I am sorry you didn't pass. I think you will figure out how to get control of your nerves and be successful the next time.

Good Luck!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:yeah:

Merry Christmas and Congrats!!!!!!!!!!!!!!!!!!!!!!!!!!!

Congrats!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Congrats!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

EXCELLENT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:yeah::yeah:

This may be a stupid question but here goes. When coding for ambulation or locomotion on an ambulatory wandering pt. can you use "supervision". They don't need supervison for walking, they need cueing because they don't know where they are going and as wanderers they really need to be supervised. Can someone shed a little light.

GOOD LUCK TO ALL. YOU CAN DO THIS :yeah:

Good Luck !!!!!!!!!!!!!!!!!!!!!!!!!

Good Luck!!!!!!!!!!!!!!!!!!!!

Good Luck!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

I don't think you are being super sensitive, I would like these "surveyors" to walk a mile in our shoes. We are over worked and unappreciated. I mean MDS Coordinators have a lot of work to do, papers to see and information to collect. So give me a break if you accidentally mixed them up, it is called a mistake that can be corrected. Think of it this way if we didn't make mistakes, they would be out of a job. Just kidding, they keep us on our toes. They have a job to do too, I guess.

Good Luck!!!!!!!!!!!!! You can do this.:yeah:

Congrats!!!!!!!!!!!!!!!!!!! You deserve it. :yeah::yeah:

I was recently dinged for the RAPS, I didn't indicate where to find the information until I got to the narratives, basically I have to shorten some stuff so it can all fit. But here lies the problem for me, I was trained to do them wrong. I am having a problem grasping this. I was even given a orientation by our consultant. The problem I am having is, in the RAP SUMMARY you say where to locate the information, in the NARRATIVE you are explaining the triggers and whether or not to care plan, but do you also list dates. Example: Behavior is triggered, you indicate SEE RAP NARRATIVE 11-13-08, in the Narratives do you discuss the behaviors and reference any nurses notes. It would make sense to put the dates in the Summary, but 2 or more dates won't fit. I have been doing it this way for awhile so it seems strange to change. Please any advice. Thanks

Good Luck!!!!!!!!!!!!!!!!!!!!!!!