Magaly63

Actually, if your printer allows it in "properties", you can print 4 pages on each side of the paper. That's what we do....it's a little on the small side, but doable, and even better for the sake of space and storage.

Def being taken advantage of by clueless NHAs and DON......2 of us in a 150 bed facility, both FT, VERY high acuity...all vents, trachs, GT, wounds, TBIs...with a very high rate of D/C to hosp, average 50/month, HATE those revolving doors d/c! Averaging 10 Med A and 10 Managed... We split morning mtg, PPS, QA, CP, reports and everything else pretty evenly. Takes a little getting used to but doable, of course you have to be lucky enough to have an equal, cooperative partner. No other duties unrelated to MDS, simply wouldn't have time for it. Absolutely not on call, it's already hard enough to take a day off as it is now. Vacations are hard, we plan them, and shuffle assessments around but the other person has to work extra hours. While is it generally understood that our job is strictly MDS, sometimes new duties are mentioned, it is then up to us to educate and explain that it just not feasible and be firm about it. We are not primadonnas, just aware of our duties, responsabilities and VALUE. About a market study in your area?? Can you poll other RNAC on their duties, hours and such then present it to your NHA? Salary is on the low end also, but that could be because of the area you are in Average work day is 8.5 hours but we don't fool around, we are busy. We do get everything done, how it's done it's up to us...

should only be a 5 day assess combined with a D/C return anticipated.........no need for SOT or EOT and not a short stay. Happy Monday, at least it's a short week..........which only means work later to be able to take thursday, friday off......still have to take friday as a vacation day, even though i'll probably be there untill 8pm tonight and tuesday... HAPPY THANKSGIVING TO ALL, FORGET THE MDS, FOCUS ON FAMILY!!:heartbeat

Readmission IS the new 5 day assessment................ if this was a brand new resident first time in the buiding a 5 day assessment is coded as "1"........then he goes out, comes back resetting PPS, readmission/return codes as "6".............. continue to ask questions and process the info in your mind......read manual.....it will make sense.......eventually!:)

It may help you to think of the readmission/return assessment as a return to PPS. it restarts the PPS process with another 5, 14,30 and so forth as long as they have balance days left. If a resident is sent out to hosp, not in bed at midnight, the trick is in knowing if admitted by midnight or not. If held under observation and not admitted, returns to your facility next day, your PPS schedule is not reset but adjusted by one day (LOA day). Everything moves over a day. If admitted then a D/C is needed, upon return an entry and then a readmission/return (5 day). Confusing I know........

While there tends to be a certain "circle of friends", the line should not be crossed as to blindly favor one over another coworker without thought for ability and skills. I have in the past warned a coworker and a friend that I would hold interviews for a certain position and if a better candidate came along, then I would have no choice but to give the position to the new person rather than her. She understood......But I have also witnessed inept staff move ahead strictly because of connection or just because they new how to play the game and knew how and who to kiss up to. Like Dave said, there is the perfect world, then there is the real world...........

talking with some other RNACs....some were having trouble getting validation reports from CASPER because they were entering the old facility ID and password instead of the MDS specific ID and password recently issued. With the old facility ID it will not show you the folder VR....just a clarification.

THANK YOU! as always, your help is much appreciated.

Talino, Can you please point me to where in the manual it says that an admission is not needed if D/C before day 14? I swear I am so fried that it's probably staring right at me and I just don't se it! Thanks

I have warned a few people to keep comments non specific and general....It is easy to gradually get too comfortable with FB and not realize the widespread implications and how many friends of friends of friends are out there....and how fast words are shared around......Funny though, I have had staff call out sick and post on FB about how sick they were, I think just to support their "true" sickness.........

Also having trouble with CAAS.....software remains problematic.... is anyone aware of "sample" CAAs that can be used for reference? The CAAs from our software do not pull any information and navigating them takes forever. Thanks

Agreed, who ever did this hasn't ACTUALLY worked in the average NH. Golden Standards Nurses?? Software this time really messed up, no prior testing, still having major issues, still can't work on D/C.....No one knew 10/1/10 was coming up I guess.... I have never felt this stupid before..........

Understanding that every other person is just as overwhelmed and trying to do their best. I have asked that they do their section first thing in the morning before all the craziness takes over. Umor helps, we divide our time between cursing and laughing at every little thing. Taking turns at supporting each other, hoping that the day never comes when we ALL are in the "down" mode....But we are lucky, we actually like each other and help each other.........99% of the time!

let me whine please, 8 discharges since friday AND can't do them because of software issues.......lots of software issues.....

:nono:To sziq9: Your remarks are highly offensive to those of us that take pride in the care provided. Like some of the others have mentioned, if you have not worked and are not aware of LTC regulations and settings, this is not the post for you. I also have sent residents to the hospital with intact skin and had them returned with pressure sores. At the moment in my facilty we have 1 in house acquired PU, and this person is terminal. All of our residents get incontinent care, get out of bed daily and our CNAs are very attentive to skin issues, they know that they increase everybody's workload. I have worked in both hospital and LTC settings, tipically in the hospital the care was focused on the admitting diagnosis, everything else was an afterthought. In LTC we take care of the WHOLE person, including the families, not the Dx. This is the main difference. Both settings are difficult and challanging and we need understanding and respect for all, especially if you have not walked in someone else's shoes. Apologizing might help.....