GRACERN47

GRACERN47

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All Content by GRACERN47

  1. Sure hope they have an MDS person familiar with 3.0 when and if they make changes
  2. Discharge before 5-day assessment

    I just had a patient return from the hospital and did an entry and then she went back out 2 days later. My software would not let me do a short stay and discharge but I was able to combine a 5 day and...
  3. I so agree with you ! I recently went to a seminar on 3.0 given by ACHA and most of the questions asked could not be answered by the speakers. So, my question is how can they give a cite in MDS 3.0...
  4. Seeking guidance on tricky situation

    So very sad when residents are mad at their families for "putting them in a nursing home" and they pick out one person to blame. Unfortunately it is usually the nicest or prettiest or whatever...
  5. My facility has given us enough help but the pay is way below what MDS coords are paid. I have been with same company as director of the dept for 11 years and my friend just started a new part time...
  6. That is crazy, I bet if you give notice things will change. Hope they are paying you guys big bucks ! Impossible to keep that pace and remain in compliance with regs. Good luck
  7. Boy, talk about a way to get "cites" ! You poor thing ! If it wasn't broken, why fix it. No way would I work under those conditions. It's not fair to the patient nor the staff. I am sure with your...
  8. So true, with the managed care that leave before the 14 th day, you are actually doing a whole assessement with this new crazy, ridiculous discharge assessment. We have had as many as 10 discharges on...
  9. We are a 173 bed facility and we have 3 full time RNs and 1 part time. We have part A, B managed care and medicaid. I do all the PPS with a low of about 12 up to a high of about 27. One full timer...
  10. If there is , Please let me know because I know my whole department will participate. There are 4 of us
  11. ARD's, care plan dates & information

    We copied the actual pages from the MDS for each department and they use it as part of their admission assessment . It is kept in the resident's chart and we put that info into our computer by the...
  12. The whole 3.0 thing is crazy ! The full assessment is fine but all the rest like the discharges is a waste of time. The surveyors better not pick apart what all of us are trying to keep up with...
  13. nurse certified coder

    I am an MDS Coordinator and I am responsible for all coding of every admission. I recently got the ICD 9 for 2011 and there are some changes that go along with 3.0. It is not as easy as one thinks as...
  14. Rug calculations on Validation reports

    My team is also having all sorts of problems with not only Rugs but dates etc. I think ours is a program related problem Good luck , know how you
  15. MDS 3.0 coding question

    I don't know anyone that doesn't hate 3.0. I pray everyday that someone with really good insight will realize how ridiculous this extra paperwork is. The word nurse has been taken out of nursing and...
  16. mds coordinator

    Wow, That seems almost impossible! We our a 173 bed facility and we have 3 full time RN's and 1 part timer and we are just holding our own. You poor thing, I hope they are paying you a lot of money...
  17. Newgrad RN LTC or hospital ?

    You really should get some acute care experience before you jump into LTC. I have been a nurse for over 40 years and tried my hand in all areas. It paid off later on when I had small children and...
  18. unable to find MDS job...

    Trust me I have been doing this since day one(when things were much easier and more patient focused instead of paper focused) There will be plenty of jobs soon . The head hunters call all the time....
  19. Team MDS

    I guess I am one of the lucky ones, my team consists of 3 full time and 1 part time, all RN's. We all have very different personalities but when it comes to getting the job done it's a total team...
  20. mds 3.0 - what WERE they thinking??

    The way I understand it is if the resident is admitted to the hospital not an observation you must do a reentry and a 5 day. If it is just an observation then no, you would just continue
  21. HELP! Loosing my job!

    I am an old timer, Take it from me, do some acute care nursing (ie: med/surg etc) before you decide on your field. If you don't get some hospital experience it may be hard for you to further your...
  22. mds 3.0 - what WERE they thinking??

    The discharge MDS is the CRAZIEST thing anyone could have ever thought of . If the resident goes home, they have obviously met their goals. If the go to the hospital and come back you have do another...
  23. MDS 3.0 Discharges

    A group of us went to the 3.0 training and were informed that we should forget using grace days under 3.0. We understand the start of therapy but our new rehab director is using a grace for every new...
  24. MDS 3.0 Discharges

    This whole MDS thing has gone way to far. I think a full assessment upon admission is a good tool but does anyone really believe that the floor nurses have time to read or even will read all that...