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! Averag...

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...

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".............. con...

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 tr...

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...

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 wil...

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...

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.......

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 laugh...

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 a...

No question is stupid, never esitate to ask.........Choking and DNR have nothing to do with each other. Choking is usually resolved fairly easily, causes are different...... DNR is for cardiac arrest, respiratory arrestand so forth....... interventio...

Do I understand the option grid correctly? We can choose same date for 2 separate assessments in some cases? Ex: adm to Med A 9/9, 10/2 ARD can be used for both a 14 and a 30 day? Obviously 2 separate assessm but it would cut down on #s of assessm ...

had some additional training today, still have concerns....somewhat confused about when to check "yes" for short stay assessment. What makes it a short stay assessment? Can anyone help?

same here, on our own, but let something go wrong, guess whose fault is it?

we once told a couple of new grads, first day on the job, that their drug test had to be repeated and that our hospital had a specially trained nurse for it. So off they went to pee in their specimen cup which we then put in the fridge. Here then com...

The typical LTC facility does not exist anymore, unless it's a stand alone privately owned one that doesn't have to answer to a corporation. CENSUS is of primary importance. When census drop then we HAVE to take anything that knocks on the door. Yes...

Gosh....where to begin?! What programs do they have to support you in managing falls, contractures, pain, wounds? Are they going to be able to provide appropriate staffing? Do you live in an area where therapist are scarce? Will they actually going ...

what about if resident only got out of bed once in a 7 day period with full mechanical lift and assist of 2? not a 4/3, not a 3/3, someone suggested 0/3? but it seems too strange...... thanks

Thank you for your reply. agencies were contacted and the directions above were given, but there is confusion within the agencies and they are giving conflicting directions. I guess we need to follow up higher up.

I have conflicting information about what happens to the MDS process in the following scenario. LTC facility evacuated r/t fire, residents are dispersed to 6 other LTC facilities in the area for approx a month. Directions from management company are ...