mdecastronp

mdecastronp

LTC, Magt, family practice, legal nsg

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All Content by mdecastronp

  1. Sex offenders/ residents screening?

    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 offender until his parole officer called. i consulted w...
  2. Need spreadsheets or worksheets please!

    i requested information from this website http://milvalihealthcare.com/Guestbook.php... they have good tools and forms...
  3. Infection control logs

    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 calculate the number of infections and will do the sort...
  4. What will make your MDS job easier?

    What are things or processes or procedures, you would like to see offered, started to make your daily work easier as the MDS Coordinator?
  5. to my fellow filipina/filipino nurses working abroad

    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 language, in which, I always reply "yes". Following ...
  6. Seeking guidance on tricky situation

    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 department, so that information is on record. if you have a...
  7. Seeking guidance on tricky situation

    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 was said. BTW, you can also file a grievance/compla...
  8. Fall Risk Assessment

    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 extrinsic factors which is answers the information ...
  9. graduated from BSN at 19 1/2 and graduated at 29 for my master's. two years later i went back to get certification in legal nursing. another 10 years later, now back in school trying to finish JD program and hopefully graduate and BAR eligible in 201...
  10. What pay are nurses making these days?

    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 Reno, only because of the shortage in that area. SF (n...
  11. a state resurvey for an F tag?

    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 just release in october the new survey guidelines...
  12. MDS 3.0 software patches

    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 "State" specific.
  13. What are legitimate MDS Certifications and How?

    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 CEU class. I attended the AANAC training and was n...
  14. What are legitimate MDS Certifications and How?

    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 twist.
  15. ADL CAA

    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 RAI. Hope that helps. Goodluck! The new CAT logic do...
  16. MDS 3.0 software patches

    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 while.
  17. MDS Assessment Questions... help I am so confused!

    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 assessment as long as the ARD falls within the sa...
  18. MDS 3.0 software patches

    i think that is vendor specific... the lastest updated from CMS was released 10/28/10.
  19. CAT & CAA's...help!!!

    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 assessment. There are a lot of talks on when to use or...
  20. No experience with MDS, can you learn it?

    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 beginning and lots of cheat sheets!
  21. MDS Assessment Questions... help I am so confused!

    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 question: john doe, who is out before the 30 days is up...
  22. MDS Assessment Questions... help I am so confused!

    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 no change of condition, you can continue the same...
  23. Who is your software vendor for 3.0?

    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 MDS. I have not seen a software that completely tr...
  24. MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

    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 training, and was told they had to attend and pay for...
  25. mds 3.0

    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 begins and ends. 3) The end date is used to determine ...