susanthomas1954

susanthomas1954

Assessment coordinator

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All Content by susanthomas1954

  1. CAT & CAA's...help!!!

    The paper is very problematic, IMHO. We are not printing anything except the actual plan of care. We have paper charts, no EMR's yet, and the thought of cramming another 60 pages for a full...
  2. MDS 3.0 Discharges

    Congratulations! I have 38 years of experience and will have to work at least 12 more years to retire. The software we use is slow, as well, but speeding up a little by Friday. The discharge MDS...
  3. Oh, yeah... friday my company had a webinar and gave us a spread sheet of exactly which "option" to use for every date of admission since July whatever that will be 100 days by Oct. 1st. Then after...
  4. 60 day wellness period/part B benefits

    Our company says that part B doesn't demonstrate a DAILY skilled need, thus when the med A exhausts and rehab picks up for part B, the pt can be skilled again after sixty days if no hospitalization in...
  5. I'm outta here!

    Good luck. As an MDS coordinator with home health PT for a hip replacement, my therapist was SOOOOOOOO Happy to let me do my own OASIS. It was a lot easier than an MDS. AND it actually included...
  6. Leave me alone when I'm passing meds!!!!!

    A way you can help yourself not to be interrupted during med pass is to take the time to "make rounds" quickly before you begin. Then you have a list and the patients know you know what they need....
  7. Monthly summaries

    Wow! Our monthly summaries loosely follow our MDS calendar for quarterlies and annuals. We really need them to be done during the look back period, so MDS assigns them. Then we see the nurses doing...
  8. In the last two years, I have not been asked to work the floor or take nursing call. I absolutely could not focus on re-imbursement or care planning if I were worried about patient care. The only...
  9. Is there any weight to MDS "certification?"

    Just to clarify...with 8 years of MDS experience, I feel that just about anyone who is motivated can learn to do an MDS, but it takes a lot more than that to do MY JOB! I have had the courage a...
  10. Communication Section of MDS

    Actually the Activity Department in our building is doing Section F, Customary Routine and Activities, and I believe it is a part of EVERY assessment. In 2.0, the activity section is abbreviated in...
  11. MDS 3.0 sub-forum

    I believe it's a good idea. I know our local study group is very helpful. The AANAC test is a little harder than I thought it would be, and it would be good to share tidbits about that, I think....
  12. mds 3.0

    Got the corporate train the trainer stuff for 3 days, then got a nifty little flash drive with all the info on it. Then had the regional nurse come and watch me use the train the trainer materials...
  13. Discharging a resident who does not want to leave?

    Short stay patients with a Medicaid payor source (emergency acute insurance) frequently have come from the street, and our administrator really doesn't like seeing them go back to the street, so we...
  14. Med B what will it pay for?

    Facility pays for Med A meds. End of story. Managed care will often carve out, but not Med A. ALSO, don't you have to have to have a specially trained nurse to give a $16,000 med? Patient needs to...
  15. MDS..Where do I start?

    What do you know about the Minimum Data Set? Are you already working in LTC?
  16. MDS 3.0 team training

    Our company did a train the trainer, then we went back to the buildings and did specific discipline training. I think it's a little early, as things keep changing. They are putting the 7.5% wt loss...
  17. Is anyone else having to get wound certified

    Interesting-they backed down from that right away. They realized it costs way too much to train someone for wound care, and that person not have enough time to do it. They came to their...
  18. lMDS Folks: I was informed last week that I will have to become wound certified in order to continue being an MDS coordinator for my company, when 3.0 arrives. When I protested that all I need is for...
  19. Rn's are better than lpn's???

    In LTC, LPN's are frequently required to do a lot more "work" than RN's, physically taking loads that are monstrous, and when an RN does that same work for the same shift, the difference in pay is...
  20. How long does it take to learn your job

    There's a big difference between learning how to do an MDS, and knowing the job of the MDS coordinator. Take a job doing MDS's and get really good at it. (Two years or 200 MDS's, whichever comes...
  21. This is the only way to cover yourself. i do make it very loud and clear that I hate creating my own "source documentation," though. do you think this will change with 3.0? It seems we will be...
  22. Where do all the MDS Coordinators live?

    I'm in Arizona, Tucson, with about 20 facilities. Whenever one of us quits, we all shift jobs. (Most of us about every 18 months) keeps us all fresh, we all know each other, we have great...
  23. MDS 3.0

    I will not have any ARD's set between Sept 27 and Oct. 2, by using early days or grace days, but this will be an organized process if it kills me. Bearing in mind I have a 200 bed facility, this will...
  24. MDS 3.0

    At first blush, I thought 3.0 would be a lot more time consuming. However, putting some of it into practice has been a little refreshing. First of all, please note the LARGER PRINT, as a deference...
  25. MDS 3.0 Certification

    AANAC was the least expensive and has the best track record. Also, a couple of the other places seemed to have regional appeal, but AANAC is everywhere. I have had several other courses, but AANAC...