montecarlo64

montecarlo64 BSN

ED, Long-term care, MDS, doctor's office

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All Content by montecarlo64

  1. Specialty certifications - Better to obtain after getting a BSN or same as w/ADN?

    montecarlo64 replied to MiaLyse's topic in Diploma, ADN, BSN

    I am also ASN & I have been debating whether to do BSN or not...I have decided to pursue it, even though I am 47 years old...My passion is to work with critically ill patients in a hospital...

  2. Need advice please

    montecarlo64 replied to montecarlo64's topic in Diploma, ADN, BSN

    thank you

  3. Need advice please

    montecarlo64 posted a topic in Diploma, ADN, BSN

    I need some impartial advice please...I am 47 years old..I started as a CNA, then I was an LPN for 17 years..I completed an Associate Degree & passed my RN boards in May 2010...Like so many others...

  4. Need advice please

    montecarlo64 replied to montecarlo64's topic in Diploma, ADN, BSN

    Been there, done that: MDS (minimum data set) is a comprehensive assessment which is required by state and federal agencies and this is the tool which my state of Indiana bases the reimbursement...

  5. Need advice please

    montecarlo64 replied to montecarlo64's topic in Diploma, ADN, BSN

    I am currently working in LTC...I was working a weekend option plan as an LPN (which has now been discontinued). So, I while in RN school I was working as 'PRN' status as LPN which was $3 more/hr...

  6. Fairly new MDS nurse...has questions.

    montecarlo64 replied to idahomdsnurse's topic in MDS Coordinator Information

    You are in a situation where failure is inevitable. You definitely need another full-time MDS nurse to help. Do a time study for a week & present this to your administrator...If management does...

  7. Do Not Send to Hospital From Nursing Home

    montecarlo64 replied to toughjob,nurse's topic in General Nursing

    You did the right thing...Even if this patient had an order not to send to hospital, the patient has the right to participate in his care and make health care decisions, including the decision to seek...

  8. Nurse market saturation 2015 and beyond ?

    montecarlo64 replied to GOODMED's topic in General Nursing

    I would not recommend med school due to decreasing reimbursement for services and huge student loan debt...I would suggest respiratory therapy or physical or occupational therapy route, have her get...

  9. Medicare Cuts and Future?

    montecarlo64 replied to MusicEMT's topic in General Nursing

    I also believe there will be cuts which will be unprecedented..Unfortunately, patient care will suffer substantially and the economy will further downturn due to an increase in unemployment of nurses...

  10. really?

    montecarlo64 replied to crazyforthis's topic in MDS Coordinator Information

    I too have used a combo 5 day and DC for overnight or stays for less than 24hours...I use the DC day for the ARD....I also do not think you can refuse to take him back, unless his hospitalization...

  11. How much should I get?

    montecarlo64 replied to Llam86's topic in Nursing Career

    I agree with the other posts...$10/hr is NOT WORTH the risk...I would take a minimum wage non-nursing job before I would risk my license for a company who wants a half-price deal for nursing services!...

  12. PT eval day count as missed day?

    montecarlo64 replied to kavdah's topic in MDS Coordinator Information

    I don't think that the 3 day rule doesn't apply for the 5D assessment..That's why we set it on day 8, so that therapy has time to get orders, eval and then get 5 days of treatment before the

  13. Excessive smoke breaks

    montecarlo64 replied to ProgressiveActivist's topic in General Nursing

    I agree with kooky kooky...Find out the exact policy regarding breaks and follow it to the letter..not just with this aid, but will ALL who you supervise...Let them know that this is how it will be...

  14. Need Advice!!! RN or LVN!? Pls read, very complex situation!

    montecarlo64 replied to claudia1986's topic in Pre-Nursing Students

    Even though my hourly rate is slightly higher as RN, I had way more opportunity for income as an LPN (working 2 jobs if I wanted and all the OT that I needed..In my area, there is an over saturation...

  15. Managing nurses that used to be your preceptors

    montecarlo64 replied to dableaper's topic in LTC: Directors, Assistant

    When I was an LPN, I trained many of the new nurses...Some of these nurses have excelled to management and one is almost finished with her masters' degree for nurse practitioner...I now have many...

  16. MDS nurse needs a break

    montecarlo64 posted a topic in MDS Coordinator Information

    I have been an MDS coordinator for almost a year. I have had a one week vacation a few months ago & I never call in...I have requested a 4 day (I worked previous weekend as manager) & a 5 day...

  17. RN aphabet letters for MDS completion

    montecarlo64 replied to pixie120's topic in MDS Coordinator Information

    I do A, B, G, H, I, J, L, N, O, P... social services (there are 2 in my building & just 1 of me) do C, D, E, & Q...activity does F, dietary does K...Wound nurse does M...Dietary does nutrition...

  18. Do you soley use Section G for careplan ADLs

    montecarlo64 replied to TigerxLiLy's topic in MDS Coordinator Information

    I don't backdate anything..The care plan does not have to be done on the same date as the MDS...When you do the CAAs and choose the option yes that you are going to care plan the trigger, then you...

  19. Do you soley use Section G for careplan ADLs

    montecarlo64 replied to TigerxLiLy's topic in MDS Coordinator Information

    When I do my careplans, I make them to reflect on how the patient is the day that I do them, not just what the MDS reports...Often, the rehab to home patients do improve quickly..I was always told the...

  20. Coding patient in LTC

    montecarlo64 replied to username33's topic in LTC: Directors, Assistant

    Too funny!! That would also be a state reportable I'm

  21. 14 day vs DC vs COT.... lost here

    montecarlo64 replied to crazyforthis's topic in MDS Coordinator Information

    Crazyforthis: I also agree with Memesha and Andy K... ibtootie: I believe that you will need 2 separate assessments. I count that the 14 day can be set between 10/4 & 10/9 (days 13-18). If...

  22. 911-ing a resident out, requires an order?

    montecarlo64 replied to NurseLynwood's topic in Geriatric, LTC

    If your supervisor wants an order, tell her she can write it since you did not get the order...In the good old days, an order was needed for every transfer (and often obtained after the patient was...

  23. DNS/DON question

    montecarlo64 replied to pixie120's topic in LTC: Directors, Assistant

    I would just give a list of the minutes I need, with due dates, to the therapy manager and the administrator & l ask the administrator to help track so that you do not get default days..I would...

  24. How many COT's?

    montecarlo64 replied to pixie120's topic in MDS Coordinator Information

    I was also trained that there will be a COT assessment period EVERY 7 days throughout their stay & if the COT coincides with the PPS can be combo...I hope it will not be as bad as what it

  25. Long Term Care Cutbacks

    montecarlo64 replied to katoline's topic in Geriatric, LTC

    My facility has made extreme cut-backs in the past few months...Eliminated a whole nurse for a unit, which is now divided between the remaining 2 nurses, who have their own units...CNA assignments are...