catlady

catlady BSN, RN

Member

  • Content

    678

  • Visitors

    7,311

  • Followers

    0

  • Likes

    3

All Content by catlady

  1. please help!!!

    catlady replied to WI_cna's topic in Geriatric, LTC

    I taught pharmacology to LPN students. Some of them were very sure of themselves--"I pass meds in my job"--until they actually had to learn all the information I was teaching them. Then they were...

  2. MDS Roll Call Responders

    catlady replied to Talino's topic in Geriatric, LTC

    nope. see my previous answer. it all depends on where they fall in the case mix index, and in the examples talino gave, the iv abx case brings an se3, which is reimbursed at a higher rate than...

  3. medicare coordinator

    catlady replied to robynrn2b's topic in General Nursing

    Bump. This thread seems to have

  4. medicare coordinator

    catlady replied to robynrn2b's topic in General Nursing

    My title is Clinical Reimbursement Coordinator, which ends up being very similar to the description that Talino provided. But massaging MDS/PPS is only part of what I do. I also make sure the...

  5. MDS Roll Call Responders

    catlady replied to Talino's topic in Geriatric, LTC

    We don't get NYC rates. I wish. I know what you are saying about the ADLs, but if we're talking a 5-day assessment (rarely do we get SE3 or SE2 beyond the 5 day, because of therapy), they're almost...

  6. MDS Roll Call Responders

    catlady replied to Talino's topic in Geriatric, LTC

    1. SE3--extensive services due to the IV abx: impaired cognition, IV abx, Special care for the two decubs, and clinically complex for the order changes/doc visits gives a score of four. 2. RHA for...

  7. monthly summaries in LTC

    catlady replied to ktwlpn's topic in Geriatric, LTC

    If the nurses are documenting consistently on their residents, then I agree that monthly summaries are a waste of time. But on a stable resident where nothing "exciting" happens, that monthly summary...

  8. Agency nurses in LTC settings

    catlady replied to PBU's topic in Geriatric, LTC

    When I worked agency, I was simply sent to the unit and never received any kind of orientation. After a year or so, they asked me to sign off on all the paperwork showing that I had been

  9. Mds Job

    catlady replied to Purple_RN's topic in Geriatric, LTC

    I'm not the person you asked, but I am the cliinical reimbursement coordinator at my facility (read: Medicare queen), so I have to scrutinize the MDS very closely. Our CNA flowsheets are coded for...

  10. Don't you love it when the doctor compliments you?

    catlady replied to deespoohbear's topic in General Nursing

    Had a consulting neurologist ask me who wrote the nurse's note on a particular ICU patient, because it told him everything he needed to know....after I got over the amazement of a doctor even reading...

  11. Anyone involved in a lawsuit?

    catlady replied to Jas honey's topic in General Nursing

    I wasn't suggesting anything of the sort. It is my belief that when you try to "refresh" your memory by using charts, thinking hard, or whatever, that your memory begins to fill in with an alternate...

  12. Pixis for everything?

    catlady replied to NSDRN's topic in General Nursing

    NSDRN: The perceived benefit of the Pyxis or Omnicel for supplies is not just that the patient gets charged for charge items, but when you charge other items, it comes out of a computerized...

  13. Anyone involved in a lawsuit?

    catlady replied to Jas honey's topic in General Nursing

    I had to testify at a deposition last fall. I was the recorder at a code about six years ago where the patient expired. Not my patient, and somehow they expected me to remember the situation. The...

  14. Pixis for everything?

    catlady replied to NSDRN's topic in General Nursing

    Even with a Pyxis system, you should still have a well-stocked crash cart for

  15. Benefits vs no benefits. I have a ? for ya.

    catlady replied to st4304's topic in General Nursing

    Maybe you ought to think about switching coverage from your husband's employer's plan to yours. When you go for a CBC, you're not an employee, you're a consumer of services. I don't know any...

  16. consequences of medication errors

    catlady replied to babsRN's topic in General Nursing

    I was charge nurse one night when a nurse (who was already on pretty shaky ground) came to me about her patient who was becoming extremely lethargic. He was a CAPD patient who had received a couple...

  17. Dubhoff insertion???

    catlady replied to VickyRN's topic in General Nursing

    Is that a nursing function now? It was always the doc's job when I was an ICU nurse. We put in Salem-sumps but that was

  18. What or who was your inspiration for becoming a nurse?

    catlady replied to fedupnurse's topic in General Nursing

    I had recently gotten out of the military, during a recession where it was very hard to find work, and I was visiting my grandparents. Somehow, my aunt, an RN, started talking about nursing. I don't...

  19. Anyone a ACLS instructor?

    catlady replied to askater11's topic in General Nursing

    I used to be an ACLS instructor. I wanted to be an instructor so I'd never have to go through the course again! :) I hated it when they "dumbed down" the standards. Not that I wanted to make...

  20. Maggots?

    catlady replied to nurs2bhopefully's topic in General Nursing

    Have been an RN for 17 years, did med-surg, ICU, geriatrics. Have yet to encounter either a maggot or a tapeworm in any clinical area. Leeches, yes, for wound care. Everyone has their creepy....

  21. Pittsburgh, UPMC announces layoffs?

    catlady replied to colleen10's topic in General Nursing

    I went to nursing school in Pittsburgh. I am not a native of the city, but I would have stayed there if I could have found a job. I had to move 500 miles away to get my first nursing job. I've...

  22. Lethal injection nurse???

    catlady replied to Zhakrin's topic in General Nursing

    Physicians aren't being asked to administer lethal injections. It would violate their Hippocratic oath to do no harm. We should not have any lower standard for nursing. We aren't some cheap...

  23. Hospital Pay vs. Private Office Pay??

    catlady replied to MELIS0106's topic in General Nursing

    Huh? What hospital in Connecticut is paying its staff nurses $30-40 an hour? Not any place I've ever

  24. Do you watch Medical shows?

    catlady replied to old-master's topic in General Nursing

    I never watch anything associated with medicine or nursing. I don't consider being reminded about work "entertainment." I did watch St. Elsewhere when I was a nursing student a million years ago,...

  25. Has anyone here worked the night shift as a single parent?

    catlady replied to peaceful2100's topic in General Nursing

    You may find that when you are ready for grad school that they will look at your overall performance and not just the total GPA. If you show them you've been getting better and better, and have good...