catnip3

catnip3

Long-term care, home health

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  1. care plan notices

    One of the secretaries sends case conference invitations to families via mail. Also, our social worker gives the residents a cute personal invitation that looks like a party invitation. Our response...
  2. Don't you just love the "team player" expectation? We get that thrown our way a lot,
  3. For an idea of what an RNAC does, read the posts under the MDS coordinator forum. I've been an RNAC for 8 years and it really is my "niche". It sounds like you're seeing a lot of negative in the...
  4. Uniforms

    I just ordered from Salus and am very pleased. My order arrived in less than a week, the prices were great, and the quality is nice. Only disappointment was that they didn't have some colors in my...
  5. I, too, work Mon-Fri, hours are pretty flexible (a GREAT + in my job!), and no weekends, holidays, on-call, or supervisory coverage. The DOH was in recently and though they came on my day off, I...
  6. I was curious about what your work environment is like. Do you have your own office, or share an office with others? Or do you work directly on your unit? I currently share an office with 3 other...
  7. Nine Or More Meds?

    It's really an alert to assess residents for polypharmacy- do the residents REALLY need all those meds? We cover it with the pharmacist's monthly review- he has a special form for this
  8. I was just wondering what all of you RNAC's/MDS Coordinators wear. Our dress code is business casual, but I honestly wouldn't mind wearing scrubs. In street clothes, I don't feel I'm easily...
  9. State audits of MDS

    Yes, thankfully UMR gives us a 1-2 week notice before they come in, and they give us a list of the MDS they will be
  10. State audits of MDS

    The UMR team from the Dept. of Health and Welfare come in quarterly. They used to do MDS reviews twice- 15 records one time, and 5 another (They focus on billing and OBRA also). Now, they review 20...
  11. coding meds. ?

    Though Depakote is often used as a mood stabilizer, the RAI manual states that for section O4, the medication is to be coded for its pharmacological classification, NOT for how it is
  12. Pressure relieving devices, etc

    I'm sure nurses do that almost everywhere (sign ahead), but our aides and restorative aides are good about letting the nurses know if a cushion or heel protectors have somehow grown legs and walked...
  13. Pressure relieving devices, etc

    We document our pressure-redistribution devices on the TAR each shift, thus we have proof that they are being used. Our restorative nurse tracks the devices each resident
  14. What's the worst weather you've gone out in?

    The Blizzard of 1996 in the northeast........I actually got my visits done in the morning before the brunt of the storm hit, and made it home in a foot of snow. Shortly after that, we had freaky warm...
  15. Mds

    I went into long-term care as an RNAC with NO experience! I was a home health nurse for 12 years, and the agency I worked for was closing. The facility I now work for was advertising for an RNAC. I...
  16. After reading some of your replies, I guess I'm pretty lucky, and believe me, I have bad days, too! Our facility has 183 beds and 4 RNACs- 1 full-time Medicare, and 3 part time long-term caseload,...
  17. AANAC?

    I've had the AANAC certification for several years, and it's definitely worth it. The course is excellent, and their website is very useful. Our facility highlights the fact that all its RNACs are...
  18. Where do you keep your care plans?

    We keep them in 2 places. It may sound confusing, but it has worked for us. We keep "critical focus" care plans in separate binders on the unit. These care plans address current, acute, individual...