b3nch08

Hi, Admin and DNS talked to me today. Never wanting to let me go because according to them... I've done more and did my job well comparing to the other MDS they had. ofcourse, I dont do a sloppy job. They gave me a choice to resign or just be on the floor. When I chose to resign, they wouldnt allow me. well,,, our conversation ended as me, having to think about the whole thing this week and they expect me to be there on Monday. I dont want to give them high hopes though . This day was somethin' else.....

well, being new in MDS is quite overwhelming. Monday: Skin and weights meeting. Tuesday: UR/medicare meeting. 1st wednesday of the month Triple check, Thursday: fall /restraint meeting. Friday: psychotropics meeting. I come to work 7:30 or 8am and leave at 6:30pm or 7pm. I am salaried ...so no over time. 9:00am everyday, Stand up meeting & then proceed with other meetings.There goes the first 4 hours. ...in-services on varied hours and days. 78 bed facility. I do all MDS,PPS,LTc,Careplan meetings Thursdays as well. When I was away for a 3 day seminar, I left everything under the care of the DON as she told me she'll handle it. But, heck... nothing was done. That's why I was cramming when I got back. Then,, friday she told me to make sure all my weekends are open so if somebody calls off and wont go to work. i need to cover the floor. i told her I cant do it coz I basically work 12 hours in a day , no over time pay. She told me, NO, you must make sure you will be available .As she is also making herself available as well as the DSD. Well, not me. Is she going to give me a day off on the weekday after i cover the floor on the weekend? well, no because I have to conduct the daily meeting. Or when Im off, who's gonna do the MDS? I dont want my facility to get a default rate on Medicare while Im away. She does not have any ON CALL nurses on the list. That's why she needs to hire more nurse. I got so frustrated last friday , I just closed the door of my office and cried....Im thinking of resigning already. Talked to my administrator about my DON's decision but he told me,as a nursing leader, I must be available all the time and support the DON. I frankly verbalized that I am not willing to work on weekends as ON CALL. Im already salaried and I'll be giving more free hours? And how about my days off? So anyway, I left the facility with a heavy heart. I didnt talk to my DON anymore that night.She called me on my celphone but was not able to answer it as my phone was on a silent mode,,,, received a text Saturday morning and she told me that She was able to do 8 BACKLOGS for the MDS that's it. Ok, She can do it ....they dont need me anymore. So Im thinking of quitting monday. Salary? I earn more when I was working on the floor. But Im not afetr the money when I accepted this job. It's the experience. Im leaving not because I cant do the MDS job. Im deciding to leave because I feel like I am being obliged to be ON CALL every weekend starting 5pm friday and ends 6Am Monday every weekend. Im not a robot. I have a family. i have a husband, a 1 year old and a 4 year old that I also need to spend quality time also................

oday I was able to finish an MDS Assessment with RAPS and doing the RAP summary consumed most of my time. It was my first time to do it though but I really had a hard time. Do you have any suggestions on how I could improve on. Maybe you could give me a sample on how you would do it? On the areas ADL, PRESSURE ULCER,FALL,INCONTINENCE,PSychotropics... etc. Im learning MDS slowly, but I want to learn it the right way. I still call the resource nurse everyday although sometimes I think i do bug her a lot. But what can I do.... I need to ask questions and look at the RAI manual as well. My DON did one MDS backlog awhile ago and called her MDS guru friend. My DON has done MDS but she told me she did it 12 years AGO. Anyway, they will be sending me to a 3 day seminar on the last week of February. So hopefully everything will work out well. i will always be appreciative of you guys if you could give me samples on how to do RAPs. THANK YOU!

Today I was able to finish an MDS Assessment with RAPS and doing the RAP summary consumed most of my time. It was my first time to do it though but I really had a hard time. Do you have any suggestions on how I could improve on. Maybe you could give me a sample on how you would do it? On the areas ADL, PRESSURE ULCER,FALL,INCONTINENCE,PSychotropics... etc. Im learning MDS slowly, but I want to learn it the right way. I still call the resource nurse everyday although sometimes I think i do bug her a lot. But what can I do.... I need to ask questions and look at the RAI manual as well. My DON did one MDS backlog awhile ago and called her MDS guru friend. My DON has done MDS but she told me she did it 12 years AGO. Anyway, they will be sending me to a 3 day seminar on the last week of February. So hopefully everything will work out well. i will always be appreciative of you guys if you could give me samples on how to do RAPs. THANK YOU!

Thank you sooooo much guys:) I REALLY appreciate it.....

Thank you so much Talino...i really appreciate your help:)

nice to know...I do have question re: a resident who is readmitted as MedA. On Peg feeding,but may eat puree as tolerated wound care for stage II. Has ST order, but ST only comes 2x/week. Do you know how to increase RUG score?Thank you...

Me too.... can i also have a copy:) Thanks [email protected]

Just want to vent out.... I officially started my MDS training Feb1,2010. Im new with MDS... had 2 days of physically working with a trainer and when I got back to work this morning... found out they fired my trainer. I was shocked. I was like teary eyed when I heard coz Im at a lost. Had to attend Stand up meeting and Utilization review followed and so basically, got busy for 4 hours with it. Had lunch and I just want to scream!!! Anyway, they gave me a number whom to call as my resource person for MDS and guess what? She is in Washington & Im in California. So anyway, we run the MDS due date report....wow! backlogs backlogs backlogs .... 18 backlogs on MDS since December??? Showed it to my DON and Admin..... ofcourse, they told me Im gonna be fine...I dont know if they care. that I dont know what to do anymore. What I did is that, I cleaned the office where the old MDS Coor left some mess, fixed some binders so Im gonna have a system, organized my calendar. Now its Friday,glad Im off the weekend and just wanna be tough these coming weeks to fix up somebody else's mess. I dont know if Im gonna quit or Im gonna take this as a challenge. but if I have to ask myself, Im willing to learn the MDS & willing to "fix" as long as I am gonna be guided accordingly. Just want to ventilate.......any words of encouragement? what should I do? Thank you so much!

Me, too...Im a new MDS/ADON. Need a lot of guidance. Thanks a lot.

HI,,,,Just started as MDs/ADON......newbie here. I would gladly appreciate your guide for the chart review. Thanks a LOT:)

Hi, Newbie at MDS. May I also have a copy of basic essentials....Thanks..email [email protected]

Hi, Im new with MDS...Can you pls email me the PPS sheet too. Thanks.