ibtootie

ibtootie

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All Content by ibtootie

  1. 14 day vs DC vs COT.... lost here

    Okay, Different scenario...Pt admitted on 9/22 for IV antibiotics and surgical wound care post laminectomy and discitis with no need for therapy as Pt is ambulatory and independent with walker. On...
  2. How are PPS MDS affected by LOA?

    My understanding was that even though it does not affect the assessment schedule, you can not bill for that day
  3. Day in the Life of a Case Manager?

    I was an RN Case Manager in a large healthcare system for 10 years. The biggest challenge I faced was the expectation that I could perform magic and pull resources out of thin air! . One Halloween...
  4. I doubt there is a single area of nursing that is completely free of stressors, but every individual nurse has to find her niche. I know several NICU nurses who would rather leave nursing than leave...
  5. MDS 3.0 Use of Dashes

    I use JRAVEN and it has an option for "Not assessed" as opposed to dashes. Can we not use that function in place of dashes in instances of unplanned weekend
  6. PPS-Triple check tool

    Could I have one too please?? [email protected]
  7. Any MDS data collection forms?

    I would love a copy of the template too!
  8. MEDICARE HMO'S

    What is the appropriate eval for a patient with a Medicare HMO? PPS or
  9. CAA Summaries

    When I was trained in MDS 2.0 our SNF was a tiny, hospital based facility and the documentation system was the same system as the Acute Care's documentation. Suffice it to say that it didn't work...
  10. Having hard time coding Section G

    It seems that the Therapy notes reflect what the resident can TRULY be capable of. We nurses are trained from day 1 to make every accommodation for our patients and we just naturally see them as...
  11. Can someone give me examples of when to use a Discharge Assessment versus an OMRA end of therapy Discharge assessments? I thought if the patient was Medicare we are supposed to use the OMRA end of...
  12. Correct Discharge assessments

    Would there be many instances when I would need to combine the EOT with the DC
  13. My biggest complaint is the vast amount of paper used for the eval's. I'm considering making an investment in a paper company. You would think that with all the planning done for this change,...
  14. Having hard time coding Section G

    Does anyone use therapy evals for Section
  15. Care plans for short stays

    Thanks, I had a feeling I was making this out to be harder than it really
  16. Patient admitted to facility post Closed Head Injury. After his arrival it was determined that he was much more lethargic than admission info indicated. He was transferred back to Acute Care within...
  17. I have a Medicare patient that was admitted to our facility for 15 days. Although I usually combine the 14 day and discharge assessments in cases like this, I miscounted her days and submitted a...
  18. Forgotten Assessment

    Yes, it was a new admission. Wow, there is so much more to MDS than anyone outside the business realizes. This certification needs to be more than just a few days. I'm still trying to wrap my head...
  19. I've been an MDS coordinator for 6 months in a very small, hospital based facility whose average LOS is 30 days and we use JRAVEN. The previous MDS coordinator suddenly resigned, so I pretty much had...
  20. We had a patient admitted to our facility from the hospital. Within 1 hr it was clear that she was not stable and she was sent back to the ER where she was placed in OBSERVATION. Within 24 hrs she...