NurseMomDori

Susan, I recently quit as MDS coordinator and thought about just traveling even to fill in for sick or vacationing MDS coordinators around our state. On our monthly MDS call before I left, I mentioned it and the response was an overwhelming "YES, PL...

With the short time period, can't you just use the same information...as your lookback period is nearly the same? Take this in a common sense format. Who looks at the info, who uses it for anything worthwhile? I am not saying to falsify info at al...

I did the same with short deadlines for the shorter sections. Soc Services, dietary, and activities start their interviews during the AR period. Our ARD is Wednesday, family conference is the day before. We try to address the family concerns, and car...

Here's a funny: our new DON charted about "advantageous" lung sounds! I guess I would say those would be inspiration and expiration! When I summarize for the quarterly MDS, I get to read over the nurse's notes and chuckle. So a sign for me would ...

Sharon, I made a sheet with all of the residents' names for the nurse who gave the flu shots this year. She dated when she gave the shots. I gave a copy to our billing dept so they could bill them all, and I kept a copy so I have a quick glance for...

We print the MDS four pages to one sheet and most of us can still read it. Noone does except survey team anyway! Also, use the dash now that it is an option. Pain interview on DC to hosp--dash all except meds given in last 5 days. Also, most of t...

Simple. Nature of the problem: Acute pain following joint replacement Causes/cont factors: surgical repair, arthritis, delayed healing due to poor nutritional intake...etc. Risk factors: increased fall risk,impaired physical mobility, risk for const...

Hey, I just spent way too much time finding out that the magic number of dashes for A2400 (end of medicare stay) is eight!! If your resident is still on medicare at the time of the assessment, you should enter dashes. The new manual reads.... (----...

Karen, If you explain the problem simply, you are meeting the requirements. Example: "Jane had a total knee replacement on 10/10/10, and continues to have complaints of pain when ambulating. She participates in PT 3x week and nursing rehab walking ...

The MDS coordinator enters the completed box on the summary screen then presses the audit button. We use Keane care and I have to be logged in to sign the complete date. Then the MDS is locked and ready to submit to EDS. You can email me for more ...

We are printing the MDS 4 pages to a sheet. You get 4 small pages but you can still read the print and it saves a ton of paper! Our state (Montana) survey office said it is okay for us to place "See IPN dated 10/05/10, DW (initials)" in the CAA doc...

Katoline: Our software is Keane care, and we have a section for IPNs in addition to the Assessment and Care plan sections. We each type our IPN (activity, nursing, SS, and dietary) and then print them out and put them in the chart with the paper cop...

Katoline: Chief Operating Officer (former HIMS manager who now is in charge. We have a CEO who is mostly absent.) is the one who submits my MDS, and the IPNs are the interdisciplinary progress notes we write to summarize each MDS. I cover pain, med...

Dont you have one of those MDS wheels where it shows grace days etc.??

To katoline: I wish no clinical call! Our DON quit--walked out in the middle of her shift, and I am working the floor this whole week!! My COO submits the MDS, but I get it ready and audit. Our software for 2.0 used to do that too, so I type my IP...

To mdsnut: Enter exactly eight dashes. That is the magic number. I just figured that out after trying 100 different answers before mine would accept without error messages. Also remember you must be the final person to enter info and sign off.

I have a form for the new 3.0 in word I created. Email me for a copy [email protected]. Dori

I would like to hear back any comments on the worksheet I sent to some of you. Is it helpful in your world? I used it on a few, but wonder how it could be better. Any out there who are trying it out? Thanks, Dori.

We are using grace days to extend our Medicares so that our AR date falls on Oct 1 for the 3 that are within range. Also, try to work your skilled ones in as soon as possible if in the middle of say a 30 and 60 day. This will minimize your default ...

Under what category at Briggs?

Lucky! Our night shift is one LPN, two CNAs for 40 residents and 8 assisted living residents. If we are in dire need, we can call the pharmacist at home and he will call the hospital and tell them to give us the much needed med. We have a 6 bed ru...

To rukiddingme, My social services will do the BIMS-or mini mental, Activities will do the act preferences and mood, and I will do the pain assmt. We have talked about having one person asking all of the questions so that the resident won't have to ...

Pammy, I sent the checklist to you today. I hope it helps to get all of the info in one place. I have done it on 10 or so and I just circle or fill in the info. I only do the G, H, I, J, N, O, P sections, and coordinate the rest. For the intervi...

Interesting...I work in LTC in a rural area. Our pharmacy closes at 5 on Saturday and opens again Monday morning at 9. When the nurse forgets to do the Friday med order, or meds don't come for whatever reason, meds run out. I am tasked with writin...

ADN makes the same as BSN==RN. Down the road you can look at it again if you want to move into management. Go out and get some RN experience. DO IT!!