mdecastronp

mdecastronp

LTC, Magt, family practice, legal nsg

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All Content by mdecastronp

  1. Sex offenders/ residents screening?

    mdecastronp replied to CoffeeRTC's topic in Geriatric, LTC

    if you have a social service consultant, i recommend discussing your resident with hx of being a sex offender. i was consulted once on a case in which the ltc did not know the resident was a sex...

  2. Need spreadsheets or worksheets please!

    mdecastronp replied to soshore's topic in LTC: Directors, Assistant

    i requested information from this website http://milvalihealthcare.com/Guestbook.php... they have good tools and

  3. Infection control logs

    mdecastronp replied to texastea's topic in LTC: Directors, Assistant

    please email me or let me know your email... you just need to save it on 2003 excel to ensure that you have the format correct... as you add months and information into it, it will automatically...

  4. What will make your MDS job easier?

    mdecastronp posted a topic in MDS Coordinator Information

    What are things or processes or procedures, you would like to see offered, started to make your daily work easier as the MDS

  5. to my fellow filipina/filipino nurses working abroad

    mdecastronp replied to nursey2008's topic in International Nursing

    I've seen these situations happen over and over again. I've worked mostly in the management, corporate level in my career. I've been asked by fellow Filipinos whether I still or even understand the...

  6. Seeking guidance on tricky situation

    mdecastronp replied to Nascar nurse's topic in LTC: Directors, Assistant

    grievance or complaint form - usually we think this form is only for residents, but this system is for everyone. this will start the ball rolling. you can also place a complaint with your HR...

  7. Seeking guidance on tricky situation

    mdecastronp replied to Nascar nurse's topic in LTC: Directors, Assistant

    i would start a log of your whereabouts when you are out on the floor. avoid interactions with this resident without anyone present. request that your DON have a meeting with family to indicate what...

  8. Fall Risk Assessment

    mdecastronp replied to rukiddingme's topic in MDS Coordinator Information

    please google national patient safety and also enter Morse scale... you should be able to get the website that includes the protocols that goes with it and the assessment also includes intrinsic and...

  9. What pay are nurses making these days?

    mdecastronp replied to BeOne77's topic in General Nursing

    CA - Difference between North and South is 20% (that is due to cost of living)... just want to correct prior post - highest paid in CA - SF, although it can be insanely high in Sacramento area or...

  10. a state resurvey for an F tag?

    mdecastronp replied to aiker31's topic in LTC: Directors, Assistant

    that depends on which State you are in. In CA, F does not triggered a re-survey. only when you have a substandard care (G) triggers re-survey. if you would like to see the guidelines on re-survey, cms...

  11. MDS 3.0 software patches

    mdecastronp replied to golflinda2214's topic in MDS Coordinator Information

    Your software company is correct. If you look at Appendix H on the RAI Manual for NQ (nursing quarterly), Section F is not included. Only Section S and the RUG scoring (which is in Section Z) are...

  12. What are legitimate MDS Certifications and How?

    mdecastronp replied to j.zeus's topic in MDS Coordinator Information

    There is no board approval here in CA also, but inorder for the training to be called a certification training, the Board of Nursing has to approve the class as a certification class versus a regular...

  13. What are legitimate MDS Certifications and How?

    mdecastronp replied to j.zeus's topic in MDS Coordinator Information

    I am wondering why you asked? In CA, to get a course certified, it will have to be approved by the Board of Nursing. It is the same application as CEU provider except with a

  14. ADL CAA

    mdecastronp replied to ejpip1's topic in MDS Coordinator Information

    Your BIMS score was lower than 5 to trigger ADLs. Although you may need to care plan the ADL need, it does not trigger on the new MDS 3.0 unless your BIMS is at least 5. I quoted below Chap. 4 from...

  15. MDS 3.0 software patches

    mdecastronp replied to golflinda2214's topic in MDS Coordinator Information

    i worked with several software and each one received several patches already. one software has not been able to resolve the issue of CAT logic up to this point and I was told it will take a

  16. MDS Assessment Questions... help I am so confused!

    mdecastronp replied to brandnew2mdsrn's topic in MDS Coordinator Information

    readmission/return is a PPS assessment and has the same ARD and grace period rule. and yes, PPS assessment can be combine - the rule is any unsceduled PPS assessment can be combined wuth scheduled PPS...

  17. MDS 3.0 software patches

    mdecastronp replied to golflinda2214's topic in MDS Coordinator Information

    i think that is vendor specific... the lastest updated from CMS was released

  18. CAT & CAA's...help!!!

    mdecastronp replied to MystyDreamer's topic in MDS Coordinator Information

    That's too bad that your corporate office makes you do the 4-6 pages of CAAs. CMS does not endorse the CAAs but merely uses it as a recommended format, if your company is not using evidence based...

  19. No experience with MDS, can you learn it?

    mdecastronp replied to erinp88's topic in MDS Coordinator Information

    I have taught MDS training from basics and seen that it can be done by someone that had to learn it from scratch. You will need tremendous patience and great organizational skills to do MDS when your...

  20. MDS Assessment Questions... help I am so confused!

    mdecastronp replied to brandnew2mdsrn's topic in MDS Coordinator Information

    first question: yes... do entry tracking for resident that was out less than 23 hours, granted resident was out at 12 midnight (midnight rules applies). then 'readmission/return assessment' next...

  21. MDS Assessment Questions... help I am so confused!

    mdecastronp replied to brandnew2mdsrn's topic in MDS Coordinator Information

    Here's my response: 1. You will have to do an "entry" assessment. This is required for every admission and re-admission. The entry tracking cannot be combine with any assessments. If your resident has...

  22. Who is your software vendor for 3.0?

    mdecastronp replied to Ruas61's topic in MDS Coordinator Information

    I have worked with several different software and was also instrumental in setting a new system from scratch. I have seen this problem when a software does not carry over the information from a prior...

  23. MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

    mdecastronp replied to Talino's topic in MDS Coordinator Information

    I agree on the AANAC training. I attended the training in Las Vegas from AANAC, and 2 others from our company and felt that it did not meet its goal. I spoke with other nurses who went to the same...

  24. mds 3.0

    mdecastronp replied to luvwine's topic in MDS Coordinator Information

    Answer to rukiddingme: Here's the answer to A2400: This section is used to: 1) Identify when a resident is receiving services under the SNF PPS. 2) Identify when a resident’s Medicare Part A stay...

  25. mds 3.0

    mdecastronp replied to luvwine's topic in MDS Coordinator Information

    Originally Posted by afolmsbee What, if anything, are facilities using to help capture and document pain and behaviors??? Anyone willing to share? Thanks! As a consultant, I do not expect my...