txdon

txdon

Member

  • Content

    82

  • Visitors

    4,366

  • Followers

    0

  • Likes

    0

All Content by txdon

  1. Careplan Intervention Help

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks for the responses. This clarifies for me how to properly write a careplan. If I have a resident who has had another fall and interventions are in place is it necessary to add a new...

  2. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks for clarifying the POC process. We did get our 2567 back and were recited on two tags, one recite G, 1 new G tag with 4 D tags. The problem is once we're cited in a specific area, everything...

  3. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    I miss spoke, we received an E tag for 309. The G tag was in the category of special needs. This was the revisit for that we got recited on 3 out of the 7 original tags. We are waiting for the 527....

  4. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks for trying to help me understand this. This tag was generated by a complaint, it was not due to a regular survey. The complaint visit revealed holes in MARS and TARS which was tagged...

  5. New Hire Orientation

    txdon posted a topic in LTC: Directors, Assistant

    I need some suggestions. I am in the process of conducting my first new hire orientation next week. I am debating as to if the orientation should be 2 half days or 1 full day. If I did the 2 half...

  6. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks for clarifying that. So in otherwards, the quality of care tag just has to show an error since it's not under the medication tag regulation? I was hoping by showing the complete picture of...

  7. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Where can I go to find the specific tag references? I looked on the CMS website and couldn't find them. Also, if we got a tag for 441 - infection control (uncovered linen cart) does this open my...

  8. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Yes, it is F309. The original tag was based on documentation only. This was the revisit to clear and he did the same thing again, but this time took a smaller sample of flowsheets to look at....

  9. Documentation after shift ended

    txdon replied to new_worker's topic in Geriatric, LTC

    Very informative post! I am impressed with your organization skills and how you've found a system that works for you. When you speak of slashes, are you referring to slashes on a separate sheet of...

  10. State Calculations

    txdon replied to txdon's topic in LTC: Directors, Assistant

    It was tag F306. The surveyor didn't "watch" med pass. He requested particular residents diabetic flowsheets and discovered errors on 3 out of the six flowsheets. I'm confused because he rated the...

  11. Can't get a hold of Dr.!

    txdon posted a topic in Geriatric, LTC

    Recently there was a resident w/a bs of 489. The agency nurse called the dr. but never received a call back. The sliding scale calls for give x amt of insulin and notify dr. The nurse called the...

  12. Better Communication System

    txdon posted a topic in LTC: Directors, Assistant

    Can anyone share ideas on how communication is done when care plans are updated. Our current system is totally uneffective. Nurses and CNA's are "expected" to look in the chart I guess every shift...

  13. Need a plan

    txdon posted a topic in LTC: Directors, Assistant

    I have been an ADON for only a couple of weeks now. I was told I would have atleast one month orientation but just hit the ground running. The facility is a total mess. I work for a large corporation...

  14. Verbal Abuse Allegations

    txdon posted a topic in LTC: Directors, Assistant

    I have had several AAO residents express concerns regarding allegations of verbal abuse by several different CNA's and nurses when they ask for help. Most of the concerns involve residents being...

  15. Better Communication System

    txdon replied to txdon's topic in LTC: Directors, Assistant

    We have a Kardex system for our CNA's but it is rarely looked at. I will try the binder method.

  16. AIMS?

    txdon posted a topic in LTC: Directors, Assistant

    I was asked to review an admission and one section asks it check for AIMS. I think that involves psychotropic drugs but not sure. What exactly constitutes

  17. AIMS?

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Just to clarify my original question, when we get a new admission we have to verify an AIMS test will be conducted if residents are on antipsychotic medications. I was unfamiliar with AIMS so thanks...

  18. HELP! Need help with documentation of blood sugars and sliding scales.

    txdon replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    My facility was cited a F tag for just this very thing. I don't get how nurses can't follow a simple sliding scale. I can't believe this is an issue but it is. We require nurses to verify with...

  19. MED A DOCUMENTATION

    txdon posted a topic in LTC: Directors, Assistant

    The nursing staff has very poor documentation when it comes to Med A charting. Multiple inservices have been done, but apparently nothing has changed. Our facility requires documentation per shift....

  20. Need a plan

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks so much for your ideas. I am going to use the priority system. I can see how prioritizing could reduce stress and set a clear vision as to how to prioritize my day, particularly when I'm...

  21. Need a plan

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks a lot for your words of encouragement. What you said makes sense. Thanks again for the advice. Things are getting a bit

  22. MED A DOCUMENTATION

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Thanks for the advice. Besides having the MDS coordinator communicate the importance of documentation for reimbursment, do you provide your nurses with example documentation? I know some facilities...

  23. Holes in MARS

    txdon posted a topic in LTC: Directors, Assistant

    I recently accepted a position as an ADON and have the responsibility for auditing MARS/TARS for holes. Our agency has received multiple deficencies in this area. At my previous facility our practice...

  24. Holes in MARS

    txdon replied to txdon's topic in LTC: Directors, Assistant

    We did that at our last facility and the problem we ran into was overtime and nurses complaining about how much longer it took with shift change. I really like the idea of writing a list of nurses...

  25. Holes in MARS

    txdon replied to txdon's topic in LTC: Directors, Assistant

    Do you have any suggestions on how to improve better documentation and prevent this prevelance of holes in the