Opposite: I am a Hep B carrier and stuck myself as I was injecting into an IV line. I could have infected the patient! Managed to shut off the line and hang all new tubing, etc., but the patient...
Well, all the facilites in Southern Arizona expect the MDS coordinator to case manage the Med A's which is a snooze, but the case management for managed care is a nightmare. Every payor source has a...
We also invite community case managers for third party payor sources and hospice nurses assigned to routine hospice patients. And anyone else that the patient/resident wants to
susanthomas1954 replied to VivaLasViejas's topic in General Nursing
Yes, I have worked in LTC and sub-acute for the last 10 years after being forced to "go back to work," and it's great. The worst has been that my father was placed in a nursing home 1100 miles away,...
susanthomas1954 replied to FranEMTnurse's topic in Nursing Humor
Well, there was the man who was telling me about his wife's RADIOLOPATHY... and the transcriptionist who typed that the psych patient was having DILUTIONS (that was just last week.) and recently a...
susanthomas1954 replied to toninz's topic in General Nursing
You should be able to sign a waiver, regardless. I have never had any vaccines, because they are against my belief system, and I have never had any problem getting a job. BTW, I am a Hep B carrier,...
Daily we have a brief PPS for Medicare, but it's usually just the rehab manager and myself to make sure all the Med A patients are getting the minutes that were scheduled. Also, someone from my...
If you've never had any training in case management, it is an abomination that they expected you to do this under the guise of MDS. I'm laying odds it was a Kindred
Don't forget that the nurse who signs the R line is just saying that the MDS was completed under his/her oversight. There are several ways to look at your situation. I have some social service people...
Yes, I feel your pain. You are doing CASE MANAGEMENT!!!!!! Why facilities think that MDS co-ordinators can do managed care case management is a huge mystery to me. Many of these plans do not follow...
The federal government time study estimates that an initial MDS/RAP and care plan should take 1 1/2 hours. That would also be true for annuals if done correctly, because technically they should be...
A lot of the certification respect is in the eye of the beholder. Most DON's and Administrators just want to know that YOU know how to do your job, because they don't have the foggiest idea what you...
A good administrator lets everyone know in no uncertain terms that the MDS coordinator is THE MOST IMPORTANT NURSE in the building. If everyone else wants to get paid appropriately, and stay in...
Your rehab manager probably has a chart with the rehab RUGS, and unless you can carry everyone's ADL score around in your head, I doubt a mnemonic would be of any value. The minute breakdown for...