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Unfortunately I am salary. Yes the regional and corporate is all aware. Basically they say its our time management and everyone is busy. What?? It is a revolving door there with admissions and discharges. Our casemix is low but who has time to go out and check charts for orders and visits let alone redo the assessment. One would think that the regional would come help out with that but unfortunately not the case. Just frequent emails that we need to get it up and what to look for. Like we know what to look for but who the time.

I have been an mds nurse for a very long time. Recently changed jobs several months ago in order to spend more time with the family. What a joke. We have a census in the 170's and 2 mds nurses. We have skilled in the 20's. We do all the insurance updates, morning meeting last 1 1/2 hrs per day, careplan meetings twice a week, therapy meetig daily for 1/2 hr, UR weekly, reports completed weekly and sent to the regional, responsible for updating all the careplans from the telephone orders, in addition to all the other mds duties. We are to do room rounds daily and pass bkf and lunch trays. Working 60-70 hrs a week and still behind 40 assessments and we are told that everyone is busy. There is 8 nurses on duty as well as 4 unit managers but mds still has to update all the careplan from telephone orders. Good luck with getting wound or fall reports let alone immunization info. Computer system moves extremely slow which makes completing mds's difficult. Heaven forbid if you voice how overwhelmed you are because you will be told that you are negative and not a team player. I think it's time to start looking for a new job, maybe even take a break from mds for awhile.