nursekara78

nursekara78

LTC & MDS Coordinator

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About nursekara78

nursekara78 has 10 years experience and specializes in LTC & MDS Coordinator.


Latest Activity

  1. What do u do as a rn in a ltc facility??

    Our RNs start at $30/hr. In addition to the pronunciation, RNs are the only nurses able to care for all central IVs, and the LPN can care for the peripheral lines. ALL assessments MUST be done by the...
  2. Need some advice - LPN first, then RN?

    I graduated high school as an LPN (they offer vocational school w/ junior and senior yrs). I went to college right away and worked part time as LPN. I am glad I went that route. I think it is a good...
  3. Lpn in ltc assessment

    We don't have that tension between titles in my facility. We are all NURSES, we all worked hard for our license. All of the nurses are a TEAM. However, it is against the NYS regs for LPN's to assess....
  4. IV in LTC?

    We have had to draw our own blood for a few yrs. now and we are just begining to do IV's. The MD's would NEVER do either of these
  5. Raising CMI

    What systems do you have in place....tracking ADL's.... ADL's are usually the most undercoded. Does therapy screen res. upon return from hosp. They can usually justify therapy for a few wks. Often...
  6. Blood glucose protocol in LTC facilities

    I agree with oramar. it is ashame that you facility does not have a better P&P. You could ask your medical director. Maybe he can discuss this with the DON or the MD's to routinely include...
  7. MDS Asmt Days Wheel?

    i found that wheel on med-pass.com. it is called mds navigator. there also is a site..... mdsschedule.com..........you just enter the admit date and it gives you all the dates for medicare mds'. hope...
  8. What is your work setting?

    I have a small office that I share with my assistant, during the day. It is also the supervisiors office (for the 3-11 and 11-7 suprv.) and has the emergency boxes and lab printer in there. I don't...
  9. Couple questions

    Delirium can also be triggered if you check 'decline in cognition' in B6 on a comprehensive assessment. Section B5 also triggers if any are coded as a 2. For all RAPS it is a good idea to identify...
  10. Responsible for being on call ?

    I am on call once a month, with no extra pay. How do you get some extra compensation for being on call? I have brought it up and it seems to be a "sore subject" and "the
  11. Nine Or More Meds?

    I don't care plan for this either. We document in our care plan meeting notes that......Res. cont. on # meds, meds are reviewed q month by MD and cont. to be necessarry to treat mult. Dx. We also have...