donna17

I recently went to a seminar where it was suggested that MD needs to document need for observation and assessment for ____________ (reason they were in hospital). I discussed this with our medical director and he does not feel that it is necassary, other than the certification, states that record from hospital should document their reason for skilled care. Anyone care to share their feelings regarding this ? do I continue to fight this, does it do any good for me to document it in a progress note? How do I handle this ? For example the reasident I brought to him was hospitalized for urospesis, returned with PICC line and IV antibiotics, was not seen by her primary upon return becasue he was out of town for vacation. He does not like NP to see his residents, He did give verbals orders for resident upon admit. I was asking the Med director to document that this lady needed observation and assessing for diagnosis of urosepsis and risk for recurrent symptoms as well as risk for local infection at PICC site. He would not do it. instead said we needed to look at our certification process, which I am doing but was I wrong to ask this ? Do anyone have any examples of completed certifications and what they should look like (what should be on them, all my facility has been putting is the reason they were in hospital should therapy be included ? Thanks for all your help Donna

Megan could I also have a copy please!!! [email protected] Thanks

Does anyone have any information, cheat sheets, tips they are willing to share in regards to monitoring and increasing CMI. Anything would be greatly appreciated Thanks Donna

Do you have any information that you would be willing to share regarding CMI?

I do not do all assessments just the ones for my 48 bed unit. with occassional help I just enter the assessments for the other 3 48 bed units. thansk for your input

I insert the dates for the MDS' (open them so staff can start working on them) I do not at this point set the MED A dates that comes from ADON and therapy at this time with therapy adjusting as needed. I am the only RN at this time doing MDS' on my unit where the majority of MED A residents are. I do feel like I am doing 2 jobs and not doing the floor any justice. There is no one else that wants this position and I already do so much I was looking at it as being easier than what I am cuurently doing ( I hope) though I know I have much to learn need to learn more on RUGS and CMI anyone got ideas where I can learn more about thses areas. Thanks

Could someone give me an idea of what a "MDS COORDINATOR " would do. I currently do MDS' and am the go to person for everyone's questions. I already insert all MDS' for our 190 bed unit. I run a 48 bed unit 24 of which are rehab. Many of which are Med A and am sinking in MDS 3.0 not being able to keep up right now. They are trying to help by getting an MDS COORDINATOR position but wondering what that really entails, and if that is something I would want or to stick with my floor. Thanks for any input.

I also would love a copy of these forms please and thank you [email protected]

I have a resident that ambulates short distances with a hemicane without hands on assist but is to have w/c to follow what would the correct coding for this be ? Thanks