robin_mds_nurse replied to pageplace's topic in Geriatric
I have been an MDS nurse for 3 years. In the last 1 1/2 year or so, I have only worked the floor about 4 or 5 times, and that was when I was on call. We take call for a whole week at a time, every 5 weeks. I find that so many of the nurses have ...
robin_mds_nurse replied to sassyASC's topic in MDS
Hi Mermaid, since I know you & I work for the same company, I will tell you what I do. In datawarehouse on Knect, I print the 100 day scheduler for Medicare residents. It gives you the range for all the assessments. I pick all the dates for the ...
robin_mds_nurse replied to CapeCodMermaid's topic in Geriatric
I agree with the previous posts. I make sure all my Raps are covered, and even then I combine problems as much as I can. I also care plan anticoagulants, dig, etc. OMG, the care plans would be 500 pages long if you careplanned every med & dx!
robin_mds_nurse replied to surfnbeagle's topic in Geriatric
I have been a MDS coordinator for 3 years. It took me a good 3 months to really know what I was doing, and another 3 to get comfortable. It is too bad that the other MDS coordinator is not willing to help you. This job is not for everyone! Tomorro...
robin_mds_nurse replied to CoffeeRTC's topic in Geriatric
We wrote a policy a couple of years ago that states cnts may apply some topicals to unbroken skin. So if there is an open area involved, the TX nurse or nurse assigned must do the applying. Also, we don't get orders for barrier ointments, it is on t...
robin_mds_nurse replied to anc33's topic in Geriatric
I do the admission process from start to finish. I do the pre-admission screening, list diagnosis for Health Information to code. If they are not in for some reason, I have to find the ICD-9 codes. I do a 6 page nursing assessment, plus the suppleme...
robin_mds_nurse replied to momrn50's topic in Geriatric
OMG this PHTLS person is obnoxious! Get over yourself! I have worked in LTC & acute hospitals, and have never pre-poured meds! When I worked the floor, I developed a routine. In LTC, you have the luxury of knowing how your residents take their me...
robin_mds_nurse replied to NE_Chris's topic in Geriatric
My facility has a full-time admission director. When she receives a referral, the business office manager screens insurance, & I reveiw the clinical info. If I question if we can take a patient clinically, I have the DNS review it. Amen to the pe...
robin_mds_nurse replied to Chad_KY_SRNA's topic in Geriatric
That girl needs to seek employment elsewhere! She is putting the rest of the staff, residents, and visitors at risk. I would be afraid to work my shift!
robin_mds_nurse replied to FrazzledRN's topic in Geriatric
OMG I am glad that I don't work for your DON. The DON I work for is always asking everyone what she can do to help! I wonder if your administrator & DON have ever heard of a DAVE audit! If you don't have the time to make sure the MDS is filled ...
robin_mds_nurse replied to MQ Edna's topic in Geriatric
We go over what needs to be charted at our weekly Medicare meeting for the SNF residents, and the skilled charge nurses come & take notes. But it is still an ongoing problem. CapeCod is absolutely right in that you need to chart according to what...
robin_mds_nurse replied to FrazzledRN's topic in Geriatric
I work for Kindred Healthcare. Yes, the test was intense. We went for 2 days. The first day we covered the RAI manual page by page! The second day was the test. I am glad they did it, to make sure everyone is doing the mds correctly. I was named MDS...
robin_mds_nurse replied to FrazzledRN's topic in Geriatric
Our facility has 128 beds. 38 SNF & 90 ICF. We have 2 MDS coordinators. Myself ( I am an LPN), and a RN. We split the building in half. We each have 1 SNF hall, and 2 ICF halls. We do everything on admissions, plus the MDS, careplans, & raps....
robin_mds_nurse replied to lpn1313's topic in Geriatric
We can wear any colored scrubs. I do MDS/Care Plans, and I wear scrubs too. I was an aide for 10 years, and then worked as a floor nurse for 8 years, so when I first started in the office, I wore street clothes. That lasted for about a year. It gets ...
robin_mds_nurse replied to autumneve's topic in Geriatric
Our DON told the nursing staff she is going to hire 2 nurse managers. One of those will be full time on ICF for 4 halls. The nurses each have 45 residents. The other will be part-time for SNF, for 2 halls/38 residents. One of the ICF Lpn charge nurse...
robin_mds_nurse replied to CapeCodMermaid's topic in Geriatric
At the facility where I work, we have 7 nurses that take call. Myself, the other MDS coordinator, ADON, TX nurse, and 3 of the day shift nurses. We used to have only 3 that took call, and that was including the DON. That really sucked. We couldn't tr...
robin_mds_nurse replied to GrassHopper2's topic in Geriatric
could i have a copy of your pps charting form? we are having a horrible time with pps charting! our district has had several audits, and so our consultants are on us to make sure documentation between therapy & nursing matches. i was a floor nurs...
robin_mds_nurse replied to yasmina's topic in Geriatric
Yasmina, I asked my consultant today about the waiver you mentioned. I don't know who told you that, but I don't believe it is a real thing. I also want to mention something about a previous post about OMRA assessments. The reason you do an OMRA 8-1...
robin_mds_nurse replied to Traveler's topic in Geriatric
No, we didn't spend much time in LPN school on Care Plans. I learned on the job. I actually spent time as a MDS/Rap/Care Plan trainer when our facility was part of NHC. I have always been a person that wanted to learn more, so it came in handy when t...
robin_mds_nurse replied to Traveler's topic in Geriatric
I am a LPN, and I pretty much run the show as far the MDS office goes. I am responsible for the Medicare A residents, and we just promoted up an RN to take over my former position MDS Coordinator for the ICF residents. While it is true that a RN has ...
robin_mds_nurse replied to ParrotHeadRN's topic in Geriatric
I live in rural, and I do mean rural Tennessee. The pay is better at the Nursing home by about $ 3-4/hr. The nursing home I work at has very low turnover. Most of the nurses have been there over 5 years. But recently, we did have a couple of day posi...