rapkeygurl

rapkeygurl

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All Content by rapkeygurl

  1. Staff RN doing MDS

    rapkeygurl replied to RNMLIS's topic in MDS Coordinator Information

    We-I lol do our own in our facility, I do ask nurses stuff and ask about things they code in the weekly assessments like putting someone as no short term or any memory problems and hello -- they have...

  2. state survey and a bad reputation

    rapkeygurl replied to dulcemorena's topic in Geriatric, LTC

    we just has state in and ended up in imedieate jeapary and was finally cleared after 5 days. the big problem that hurt us so bad it that we did report it and the state surveyor even told us, you did...

  3. MDS 3.0 Data Specs (Final) 10/30/09

    rapkeygurl replied to Talino's topic in MDS Coordinator Information

    yeah that is how my cooperate people are too!! when I mention a new training they say sure we want you to go to that but never say anything about covering the bill. and I have printed off some stuff...

  4. Things you don't want to hear your Aide say

    rapkeygurl replied to readytoroll's topic in Geriatric, LTC

    I guess what gets me is when they code the adl sheets that the resident is independant when they take 2 people to get there big hiney in a chair. etc.. and they code that they have not had a bm in 7...

  5. We're out of ideas.....can you help?

    rapkeygurl replied to laurasc's topic in Geriatric, LTC

    Well one of the things works with and old coot we have ( no offense please I love this old coot) He would not get a bath or a shave and he was starting to look like Charles Manson and smelled like a...

  6. ADL care plan

    rapkeygurl replied to nyteshade's topic in MDS Coordinator Information

    oh susan I could just hug you!!! I so understand I tried to just get the nurses to pull out preprinted cp's on antibiotic therapy. that was a nightmare then I am trying now this new form to notfy of...

  7. Does allnurses.com make you a better nurse?

    rapkeygurl replied to Brian's topic in General Nursing

    yes , if you have seen my post you realize this LTC 20 year nurse vents a lot and I think that helps and I really am glad I am a nurse and I am going back to RN school and it is great to get feedback...

  8. ADL care plan

    rapkeygurl replied to nyteshade's topic in MDS Coordinator Information

    well Yes I do update the CNA careplans also, and I just finished looking at the nurse practice act in our state and we had a survey team in and I asked the surverors and of course they told me I could...

  9. Survey is coming!!!!!!

    rapkeygurl replied to wooosp's topic in Geriatric, LTC

    no kidding seems like they always over staff these days also lol, One big thing is if you have g-tube feedings make sure you do it by policy- take some time out to read your disaster policy, remember...

  10. ADL care plan

    rapkeygurl replied to nyteshade's topic in MDS Coordinator Information

    yes this is a problem I have also, as an LVN -- I really do most of the careplanned and raps and then do the careplan to the best of my ability. Seems like everyone keeps wanting me to change the way...

  11. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    oh gosh I wish I could work with you guys, would love to work with nurses that still give a dang for a change.... yes seems like corporate loves to throw you under a bus many times. I have been...

  12. Are LTC facilities still hiring LPNs?

    rapkeygurl replied to Ling07's topic in LTC: Directors, Assistant

    I am an LVN have been for 20 years now working on my RN, I really have loved ltc, but... seems like most everyone lately does not have the work ethic as I have seen before and that is depressing. I am...

  13. DEA States that LTC Nurses Are No Longer Agents Of The Prescribers

    rapkeygurl replied to chase4myheart's topic in Geriatric, LTC

    See the OBRA ACT of 1987 says we have to give pain meds and reassess the effectiveness in a timely manner ?? hm and we have to make a doc call the pharmacy ours is 4 hours away. WE dont have an e-kit...

  14. DEA States that LTC Nurses Are No Longer Agents Of The Prescribers

    rapkeygurl replied to chase4myheart's topic in Geriatric, LTC

    yes another example of tying the nurses hands behind her back!!! You better give that pain medicine!! but how you get it is beyond me lol. I have never looked as myself as an "agent fo the prescriber"...

  15. MDS 3.0 Data Specs (Final) 10/30/09

    rapkeygurl replied to Talino's topic in MDS Coordinator Information

    cant get anyone to do there part now in documentation, let alone do anything about section E or the new depression stuff yes I can not understand why more is better. what is sad to me is that this...

  16. MDS 3.0 Data Specs (Final) 10/30/09

    rapkeygurl replied to Talino's topic in MDS Coordinator Information

    thanks for the

  17. Activities for Confused Adults

    rapkeygurl replied to Amy2005's topic in Geriatric, LTC

    We usually also taylor activities to each resident individually, aromatherapy is good, the soft music great, Having a conversation we call it Memory Lane - we talk about things say like that happened...

  18. LPNs called to come in and work as Aides? Is this common?

    rapkeygurl replied to lisaannjamRN's topic in Geriatric, LTC

    We also use nurses that are willing to work as cna's on the floor to do direct patient care. Being a nurse is one of those jobs that as so much in need of more recognition and better salaries etc.....

  19. Range of Motion, Contracted Patients, and the Elderly

    rapkeygurl replied to Harparia's topic in Geriatric, LTC

    Yes that is a good practice q 4 hours for Passive ROM, Do you have a physical therapy department in your facility? IF SO, ask a therapist some things you can do to help your residents they might even...

  20. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    OH that is such great advice Cape Cod, In my facility I have been the ADON, but after my son was born I told them I could not do that so no one else can catch on the MDS so I am doing that and...

  21. New LPN starting LTC job in Alzheimers unit

    rapkeygurl replied to 1uvakindmom's topic in Geriatric, LTC

    I to also want to congratulate you and really hope you will enjoy your job. I have worked off and on in LTC since the beginning of my career. I even works as an assistant activity director before...

  22. Charting Frequency Long Term Care Medicaid

    rapkeygurl replied to Skeetersmom119's topic in MDS Coordinator Information

    anyone got a good monthly summary form ours stinks- they are making the nurses do weekly summarys but it is just check off list and they dont do a summary of what happened with the resident all month...

  23. The QI report is not my fault

    rapkeygurl replied to susanthomas1954's topic in MDS Coordinator Information

    Yes - I got screamed at by a previous administrator that I dont know what in the h### I am doing in the mds because of the casper reports. She was so upset that according to the report it said we have...

  24. Halloween

    rapkeygurl replied to CapeCodMermaid's topic in Geriatric, LTC

    hm maybe you can dress up as HIM sounds pretty

  25. Tonight I was literally pooped upon

    rapkeygurl replied to SuesquatchRN's topic in Geriatric, LTC

    I just started a new nurse aide class and they worked this past weekend after there first 16 hours, anyway the first thing they tell me in class is " I had no idea there was so much poop involved in...