jaimemds

Where I used to work, the nurse who was orienting me had put in her two weeks notice and went for exit interview. She was honest about why she was leaving and was told not to come back or finish her two-weeks.

Never chart I in reference to yourself, only in quotes as the resident stated it. never chart told resident to go to room, or put in room to calm down. this is considered isolation. Never chart med errors. And never include in the note any staff's qu...

what must be looked at with skin breakdown is checking/changing Q2H and whether or not ALL shifts do this. Also look at how often they are being washed. Just one shift failing to properly cclense and wash a resident can result in skin breakdown. Clot...

My facility makes it a practice to give yogurt at least BID w/anyone on ATB's. If they will not eat it, we have the MD order acidophillus QID. We also have the person with C-diff use a BSC. A word of caution though, alcohol hand wash DOES NOT kill th...

I am using the directed learning system through Rue. I know my learning style, and I cant just dowwnload an outline and go. I know there is a lot of debate about publishing companies, but it works for me. Got a B on my first exam. i know I didn't stu...

Take it from someone who was sabotaged. If you feel you are being sabotaged, you are. LEAVE, ASAP!!!!!!!!!!!! I had the feeling for months, but did nothing and ended up fired. Shortened version of the story, The nurse I replaces on the unit, came bac...

management must follow facilty P&P, starting at step one. They cannot jump to termination. Management must also look at everyone for the amount of calloffs, because if they just go after her, it can be seen as favoritism. there may also be speci...

I usually put "resident will not receive serious injury r/t accidents" or "resident will utilize all safety equipment (i.e. body alarm, walker, etc) with staff supervision and education daily" sometimes you have to get very creative. I have also put ...

I think we need a forum just for MDS/PPS. There are so many times when I would love to bounce info off another coordinator and there is noone else in my facility who knows anything about it. There are so many knowledgable MDS people in this forum!!!

You have to have two nurses sign for insulin before you give. Is this just in Texas or other places too??

I started my own MDS QA which I turned in at the monthly QA meeting. At my facility we go around to each department and bring up any problems. So I would rattle off, Activities was late on 19 out 0f 20 ax's this month. SS late 15 times, etc. After a...

I am also an LPN/MDS coordinator and do it all!!! i love what I do and love care planning. My DON signs R2b, but I do all the scheduling, care plans, raps, pain and restraints ax's, etc, etc, etc!!! Not to mention keeping my Administrator in line. I ...

Being an MDS coordinator for years, I have to say that ANY time a resident rolls oob, even if to a blue matt or blue matt to floor, is a fall. Any time a resident stumbles or trips and needs staff assistance to prevent them from falling to the floor,...

OUr act. dept. talks to pts. about past events. They try to stimulate their long term memory. Say, the depression, games they played as children. Dementia pts. usually remember events of LONG ago. Try asking them about their first job/life's work, f...

If I were you, I would report the med error per policy. You don't want it to look like you are trying to covering anything up.

state wants to make sure you are following the 5R's with med passes, knocking on the door and privacy for inj. and FSBS. With wound care they want to make sure you are following the order, changing gloves between old and new dressing and privacy. ALW...

Look for inservices in your area regarding MDS and PPS. Autumn Enterprises has a good program it's called the ABC's of MDS, I don't know if I would have made it without that course. Does your owner own multiple facilities? If so, see if one can train...

worst: a laminated poem that was printed off the computer and some candy! best: a keychain cpr mask

I had an elderly woman in a skilled LTC unit. She had MRSA and was on Respiratory isolation. This was Christmas time. She has to spend all day every day in her room. She was sad and depressed. She would sit in her room writing Christmas cards, all th...

I usually use my right hand to separate the upper and lower lids and use my left hand to instill the drops. You have to be careful not to apply too much pressure to the lids. And, reassure the resident the the drops might sting at first, but not for ...

Generally the Ax coordinator is responsible for updating careplans. They need to make sure that the care plans meets the pts current needs. I personally update the immediate needs care plans, adl's and long term care plans on a daily basis.

Also LPN and currently making 21/hour in southeast Ohio. If you are able to push for extra tools i owuld suggest the MDS 2.0 book from briggs. They send you undates to the manual automatically. i would also suggest a membership to AANAC, American Ass...

Enulose

Please do not feel like you murdered your mother. You did what you thought was best for her. You need a hug right now. do what you feel is best for you regarding the drug test.

My LTC facility uses the 3 colors to indicate the shift the med needs passes on on the MAR. We only chart in black ink. We used to chart in colors,but it made it easy for State to see when an entry was missed.