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kavdah

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  1. Resident had a PT & OT evals on 10/28/11 (day of admit) only. No minutes Did not recieve any minutes 10/29, 10/30/11 due to refusals/confusion Recieved therapy 10/31/11 Boss says do not need to count 10/28/11 as a missed day as he got Therapy service (the evals) I say no, you count minutes as day of therapy so i10/28/11 s a missed day and therefore had 3 days in a row missed and needs a EOT R. What does everyone else think? Thank you for your help
  2. Resident Admit 10/2/11 Picked 5 day to be 10/9/11 (8th day of admit) 14 day pick to be 10/16/11. This will also be first day for rolling assessment Therapy ended 10/14/11 So need to do an EOT Can I combine 14 day (10/16/11) with my EOT (2 day after therapy end) and On 10/16/11 combine with a COT since therapy ended and rug will change? Thank you for any help, Karen
  3. Any good ideas on how to explain locomotion when a resident is in a w/c to your CNA's. I say total if you escort them all the time Extensive if they do it part of time Some say should be limited since no weight bearing by CNA Thoughts? Thank you :redpinkhe
  4. Good morning, Could you please email a copy of your triple check tool? I need all the help I can get with doing the MDS. Thank you Karen email is khouseholder @milebluff.com.
  5. Hi, Hard to believe you still have your sanity! Unfortunately, it seems like less and less staff everywhere with more and more work on those remaining. I am so frustrated that I just stick to the job, do the best I can do and work no more than 10 hours in a day. Usually, 9 1/2. I figure if it comes up that work not being done, MDS's being late, etc etc then maybe the ones above might see the system is not working the way it is set up. I figure if I just keep killing myself, stay late and do weekends to get caught up they will not recognize there is a problem and keep expecting me to do what I am doing. Management can only squeeze down on us so far before we blow out the sides! Do the best you can do but keep yourself sane by not overworking yourself. Everyone needs a life outside of work and the time to do it. Good luck.:)
  6. My facility wants us to follow the following format: So when I try to address each area the wordage mixes me up. Does anyone have a way to clarify what should go in each area. I cannot just write a summary as the boses say NO but to follow this. Nature of the issue or problem Causes and contributing factors Complications affecting or caused by the care area Risk factors related to the presence of the condition Analysis of the identified triggered area
  7. Hi, Does any one have templates for the CAAS triggered areas. IE for pain - What are causes and contributing factors, Complications affecting or caused by the care area, Risk factors related to the prescence of the condition. I am having difficulty and am mixing myself up as well as repeating my self because of difficulty understanding the terminology. Can any one simplifiy this for me? Thank you. Karen
  8. Is there any way one more copy of your template could be sent out? [email protected] Thank you so much!!
  9. When doing nebulizer tx our nurses leave the room after doing assessment and setting up/starting treatment. My boss is saying in that case we need to have an assessment that shows pt can self administer medication to show they understand tx and will keep it on/turn it off etc. What if pt is not cognitively aware to teach but always leaves the mask on until nursing comes back to take it off? I know if you have a confused pt who takes mask off you need to show he is getting all medicine but how do you come with the time to stay with that pt? Thank you for any help, Karen:nurse:

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