susanthomas1954

susanthomas1954

Assessment coordinator

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All Content by susanthomas1954

  1. hip fx vs. pelvic fx

    susanthomas1954 replied to glm777's topic in MDS Coordinator Information

    The trochanter is part of the hip. It's a hip fracture. It happens. And in over half the cases, the hip breaks and then the patient falls. Probable history of osteoporosis. An experienced DON...

  2. MDS NURSE AS DON????

    susanthomas1954 replied to texasheat's topic in MDS Coordinator Information

    If you are part of a corporation, the company can have the regional nurse in until your DON comes back. If you are not part of a corporation, there are agencies with DON's for temp service. Don't do...

  3. MDS 3.0--Training and updates

    susanthomas1954 replied to edhcinc's topic in MDS Coordinator Information

    Thank you. We have a local group that meets monthly for updates, sponsored by a physician group that provides medical directors for multiple homes in the area, and we are just taking it slow and...

  4. The best nursing advice you've ever received

    susanthomas1954 replied to findingmywayRN's topic in General Nursing

    Best nursing advice I ever received, all from the same ex-Army Nurse: Do all your housework on days when you work, so your day off is your day off Work 3-11 so you can wake up without an alarm "That's...

  5. How will I correct Prevalence of antipsychotic w/o psychosis - QI/QM?

    susanthomas1954 replied to lionjr's topic in MDS Coordinator Information

    WAIT- look at the manual. Psych dx is only counted on a FULL MDS. You can do quarterlies til you're blue in the face, but the psych dx is only taken from an ANNUAL, ADMIT or SIG CHANGE assmt. Read...

  6. Utilization Review

    susanthomas1954 replied to Sherriblu's topic in Case Management

    The company you work for will train you. You should have a basic knowledge of what a certain kind of patient needs for a certain inpatient stay. There are two online services that insurance...

  7. How long should you keep residents on PPS?

    susanthomas1954 replied to texasheat's topic in MDS Coordinator Information

    You keep the patient until there is no more skilled need. That patient, if s/he has Medicare is entitled to receive Medicare coverage until s/he has reached his/her optimal level of practicable...

  8. 3.0 seminars

    susanthomas1954 replied to rukiddingme's topic in MDS Coordinator Information

    I took the manual on disc to Kinko's, and it cost me $108.00 to print. It was worth it because I got it back to back. There was a lot of background info that I didn't need, but it's good to have....

  9. Can MDS coordinators do any charting?

    susanthomas1954 replied to texasheat's topic in MDS Coordinator Information

    I know the mind set....I hate creating my own source documentation for the MDS, because it looks like I am the only one who sees what I see. With 2.0 I have always considered the MDS an open book...

  10. Humana Discharge Planning Case Manager

    susanthomas1954 replied to arg928's topic in Case Management

    I worked for Humana supervising case managers and I loved it. They are the best at making sure you have all the training you need and providing support. One clue, though. They will interview you by...

  11. at what point can you NOT do an assessment?

    susanthomas1954 replied to crissrn27's topic in MDS Coordinator Information

    Technically, can't set the date after day 8, so my rehab director and I have an agreement that if a patient discharges before an ARD is set, we agree IN ADVANCE that the ARD is the date of discharge....

  12. 15 months of MDS ....

    susanthomas1954 replied to CapeCodMermaid's topic in MDS Coordinator Information

    15 moonths of MDS's have to be kept where they can be easily accessed. (LAW) All companies have some policy on when to start a new chart, and the bed hold really shouldn't have anything to do with it....

  13. ADON recruited for DON position

    susanthomas1954 replied to cherbRN's topic in LTC: Directors, Assistant

    Questions: 1) When was their last survey, and what were the results 2) How many DON's have they been through since the last survey 3) What is the corporatation that owns the facility promising you...

  14. MRSA colonization

    susanthomas1954 replied to Mammy1111's topic in LTC: Directors, Assistant

    The hospitals here have a cool new trick up their sleeves. They test everyone for MRSA of the nares on admission, so........every hospital patient who shows MRSA positive in a toe wound had MRSA on...

  15. education/experience requirements for DON/ADON

    susanthomas1954 replied to shelbee1084's topic in LTC: Directors, Assistant

    After thirty five years of management experience, no one who interviews me is concerned about my ADRN. I don't even put my master's on my resume because it is in an unrelated field altogether. The...

  16. State reportables

    susanthomas1954 replied to Nascar nurse's topic in LTC: Directors, Assistant

    We are just coming out of an over-reporting phase in our building. We had to report certain things because of an Immed. Jeopardy tag on our last survey. That was over a year ago, corporate brought...

  17. Salary and responsibility of MDS coordinator/ Medicare case manager

    susanthomas1954 replied to limarie's topic in MDS Coordinator Information

    There are jobs out here where we don't take call or work floor shifts. I have not been asked to hang an IV or work the floor in two and a half years now. My license is fine, but many nurses working...

  18. MDS responsibility @Triple Check

    susanthomas1954 replied to soshore's topic in MDS Coordinator Information

    Kindred has hellacious triple check meetings too! I work for an Avalon facility now, and triple check is easy because we all do our jobs right. I don't have to verify the pharmacy charges, but other...

  19. Are SNFs required to have RNs at all times?

    susanthomas1954 replied to nurseinpa's topic in LTC: Directors, Assistant

    One federal reg that hasn't been mentioned is that if a hospice wants to admit a patient for respite or routine or general inpatient care, an RN must be in the building 24/7. The HOSPICE can be cited...

  20. Falls interventions

    susanthomas1954 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Don't forget to send a UA on suspicious falls....lotta times it's a UTI

  21. The QI report is not my fault

    susanthomas1954 posted a topic in MDS Coordinator Information

    The QI report from CMS is NOT MY FAULT! Yet another management team has decided to screw with the MDS process, and when my partner and I try to explain that QI's for the next three months are going to...

  22. QI 10.1 Prevalence of antipsychotic use without conditions

    susanthomas1954 replied to carrieMDSrn's topic in MDS Coordinator Information

    Check marking the diagnosis in the I section does not "cross over" in the QI. Its a weird thing, but if a patient is on an antipsychotic you HAVE to include the actual code, even if you have check...

  23. UR question?

    susanthomas1954 replied to amglpn's topic in MDS Coordinator Information

    In all the facilities where I have done CM, the UR meeting is run by me, whether I'm wearing the MDS hat or the CM hat. The rehab manager and social services must attend. Lots of times my other...

  24. Happily Addicted to allnurses.com

    susanthomas1954 replied to tnbutterfly - Mary's topic in General Nursing

    We need to revive this for the holiday season! Three years-Jingle

  25. Can Someone Be a Nurse Without Jean Watson??

    susanthomas1954 replied to Q.'s topic in General Nursing

    When I was in school in the early 1970's, my instructors taught us that we DO NOT UNDER ANY CIRCUMSTANCES FORM RELATIONSHIPS WITH PATIENTS. You put on your nursing attitude with your uniform, and you...