rapkeygurl

rapkeygurl

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All Content by rapkeygurl

  1. I hate being a LPN in LTC. The horror!

    rapkeygurl replied to Plagueis's topic in Geriatric, LTC

    oh and one more thing- you have the experience of a CNA-- wish all my nurses did and understood how hard that job is. I started out as a shower aide that is back breaking/foot blistering work!! I...

  2. I hate being a LPN in LTC. The horror!

    rapkeygurl replied to Plagueis's topic in Geriatric, LTC

    do hang in there, I remember when I got out of nursing school was scared to death to call a doc I was just 19 years old. I have worked a lot of different areas of nursing, ob, med/surg, wound care,...

  3. Halloween

    rapkeygurl replied to CapeCodMermaid's topic in Geriatric, LTC

    you know that is a bit crazy not to dress up for halloween. What happened to all the new "cultural awareness" is that not a big custom in the USA?? I usually go dressed up and make a great MISS PIGGY...

  4. as DON/ADON ....do you help or hinder your staff?

    rapkeygurl replied to sasha2lady's topic in LTC: Directors, Assistant

    one more thing to say, I was doing the supply ordering, I finally got someone else to take task off my back. But I am going to tell you I have a copy of everytime I sent a copy to main office and they...

  5. as DON/ADON ....do you help or hinder your staff?

    rapkeygurl replied to sasha2lady's topic in LTC: Directors, Assistant

    you know there is good and bad with LTC, when the residents say I am so glad your on today. It is not all a bed of roses. I have worked on both sides, nurse aide, then LVN, working currently on my RN,...

  6. What would you do in this situation?

    rapkeygurl replied to arelle68's topic in Geriatric, LTC

    first assess the resident, check for any s/s , call that previous nurse and ask why he/she forgot to write the order, report to the doctor and find out if there was an order, needs to be an order...

  7. certifiation recerts

    rapkeygurl replied to luvwine's topic in MDS Coordinator Information

    pretty much if you miss a form at least in texas they will not pay you for that stay. I like the others as soon as we get a new medicare in I get the paper in a folder to the docs to sign (because our...

  8. Roster/Sample Matrix

    rapkeygurl replied to carrieMDSrn's topic in MDS Coordinator Information

    I am so glad you guys posted this. I need to talk to my Don about who will keep this thing updated. Your right it does need to be updated thanks for the

  9. Charting Frequency Long Term Care Medicaid

    rapkeygurl replied to Skeetersmom119's topic in MDS Coordinator Information

    we have a monthly charting schedule for our facility plus a weekly assessment that included the Section B documentation. I did an inservice on doing a monthly summary in the nurses notes which...

  10. Who Pays for MED A items?

    rapkeygurl replied to CapeCodMermaid's topic in MDS Coordinator Information

    we had a situation very similar they told us the resident had small stage 2 on the foot she was from a hospital 3 hours away we were told we had to accept her even before we saw her, ( I usually go...

  11. other nurses not letting you do your job

    rapkeygurl replied to karenp31's topic in MDS Coordinator Information

    funny thing is I never even got a job description. I do have one for the states nurse aide curriculum which I do follow. But.. they want to put the adon and mds duties all together and I only agreed...

  12. too specific or not specific enough?

    rapkeygurl replied to carrieMDSrn's topic in MDS Coordinator Information

    i DO CP FOR PSYCHOTROPIC MEDS BUT I INDIVIDUALIZE THEM BY PUTTING WHAT CURRENT MED THEY ARE ON. IN OUR SMALL FACILITY I CAN USUALLY REVISE BECAUSE THE MEDS DONT SEEM TO CHANGE THAT OFTEN. WOUNDS- WE...

  13. Help with Care Plans!!! What all to care plan???

    rapkeygurl replied to Illusion_mbk's topic in MDS Coordinator Information

    yes and in texas now they want you careplan PLUS all the risk factors and disease processes and advanced careplanning etc.. etc

  14. Nine Or More Meds?

    rapkeygurl replied to mdsdebbie's topic in MDS Coordinator Information

    lol - maybe we should careplan the drug reps that give all the docs those freebies lol that makes them choose the most expensive drug for our medicaid

  15. Managed care

    rapkeygurl replied to Rascal1's topic in MDS Coordinator Information

    yes they do need to chill-- and you can not squeeze blood from a turnip!! But they swear you can. They the non nurses are asking me to fax the mds over now lol not just the rug scores so she can try...

  16. other nurses not letting you do your job

    rapkeygurl replied to karenp31's topic in MDS Coordinator Information

    wow can I relate, friday I also gave our nurses an inservice on documentation, and one nurse actually told me " I dont know why you came up with this and why we have to be responsible for our nurse...

  17. Looking for Medicare Charting Templates...

    rapkeygurl replied to Katria's topic in MDS Coordinator Information

    Ah ha!! Got them thanks

  18. other nurses not letting you do your job

    rapkeygurl replied to karenp31's topic in MDS Coordinator Information

    -very good point and yes too many people think we do nothing but sit at the computer all day. I helped work the floor saturday cause someone's kid was sick made me really miss the resident's loved...

  19. need opinions please - ANOTHER consultant!

    rapkeygurl replied to glm777's topic in MDS Coordinator Information

    well I tell you what I would do , first I ask the DON, check the manual , then I call the RNC, if I still dont get a clear answer on something I send an email to the state mds coordinator. I sent a...

  20. Managed care

    rapkeygurl replied to Rascal1's topic in MDS Coordinator Information

    oh your stories of managed care certainly do not look like fun, our company has its own medicare biller but she is not a nurse, tries to tell me how to count PT minutes lol and will ask me are you...

  21. CNA flow sheets

    rapkeygurl replied to CapeCodMermaid's topic in MDS Coordinator Information

    I would also be interested in any forms to help adl scores. today a nurse brought me a flow sheet with 5 million holes and I know it is the form it is too busy for them also anyone have any good meal...

  22. Nine Or More Meds?

    rapkeygurl replied to mdsdebbie's topic in MDS Coordinator Information

    so funny today was doing rapkeys and looked back at the previous nurses careplans and what I did see but "resident is on 9 or more meds" anyway this resident is now on 5 meds this

  23. Nine Or More Meds?

    rapkeygurl replied to mdsdebbie's topic in MDS Coordinator Information

    have not seen a farting careplan but I know a few DON's and admin's that need

  24. MDS Certification class in TX?

    rapkeygurl replied to nursewiggins78's topic in MDS Coordinator Information

    yes I to am in Texas and having a hard time finding anything current did send an email to Sheri Kennedy and they are having a training near ELPaso in Dec'09 -- but I can not find it posted just got...

  25. Looking for Medicare Charting Templates...

    rapkeygurl replied to Katria's topic in MDS Coordinator Information

    Thanks a million for the info-- please keep it coming for people like me that are "mds" challenged