fluffwad

MDS coordinator, hospice, ortho/ neuro

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All Content by fluffwad

  1. fluffwad

    dnr in geriatrics

    It's usually the families that won't allow the DNR. Too many think it = "leave them in a corner to die". I spend A LOT of time correcting misconceptions about
  2. Ditto to all of what Angie said + the realiztion that we are not responsible for the function of the universe or almighty enough to make sure everything goes right. Everything happens for a reason,...
  3. In LTC, it's not unusual for the folks to go in batches......esp. when the seasonal viruses start coming thru, but also at the change of seasons. We just lost 9 this month (10% of census).......all...
  4. fluffwad

    Psychosocial care plan for dementia

    potential or actual alteration in psychosocial function / status related to [whatever is making her delirious] resulting in impaired social interaction / mood changes / impaired emotional control you...
  5. fluffwad

    MDS Coordinators on call question

    At my facility, the MDS nurses have no on-call, no weekends, no
  6. fluffwad

    Has anyone taken the CRRN exam lately?

    How did insurance changes effect CRRNs? I've had my CRRN since about '97, but I have to say I rarely ever meet any other CRRNs. I absolutely agree that you should get the core curriculum from ARN. The...
  7. fluffwad

    What is a compounding pharmacy?

    It's a pharmacy that can make special preparations themselves...not just sell prepackaged medications, we have one here that makes a topically applied cream with Ativan in it. (They don't manufacture...
  8. fluffwad

    Anger management

    I just finished doing a 25 hr home-study course on Anger Management for my CEUs. I wish I'd found this book 20 years ago! Everyone I know could benefit from this kind of thing.......the stress I've...
  9. fluffwad

    Pureed Sweet & Sour Pork and other Reflections on LTC

    I agree that the pendulum has swung rather far in the other direction.....but I was doing LTC when half the patients were zorked on Haldol, people used restraints on anything that moved and tied the...
  10. fluffwad

    mds coordinators

    I've been at it 7 years. At least 4 months is right, maybe a year before you get the sense of the finer points of the thing. Get yourself sent to training / seminars / etc. Subscribe to AANAC, take...
  11. fluffwad

    How do I get my job back after resigning?

    if that's a phrase that the nurse managers used i would just move on before things get
  12. fluffwad

    mds coordinators

    My typical day is lots of assessments, lots of meetings, keeping an eye on all kinds of stuff. Ever done the MDS before? OCD is a plus here, being well organized is a must. check out
  13. fluffwad

    I cant shake this feeling...

    Sounds like you need a change of pace / scenery / co-workers. Consider a different unit or facility. Some companies just have a 'mentality' that runs thru the whole place, sometimes just in certain...
  14. fluffwad

    Should I tell my friend or not?

    Don't say anything to her now. It's not your place, and it would just create problems. If they don't keep her and she brings the subject up afterwards, be
  15. fluffwad

    NO weekends,puhleaseee!

    MDS coordinator....although, sometimes I miss having a weekday off........it's tough to get appointments on the weekends or after
  16. fluffwad

    Ready to Give Up

    Almost every nurse I know came out of boards with brains fried and thinking they've blown it...... besides, you get another chance ( or 2). Test anxiety is not unusual.......besides you just put a ton...
  17. fluffwad

    Just graduated GPN-can't find job!

    When I graduated (1983) you could get a job as a graduate nurse until you got the boards results.......boards were only done twice a year back then and the wait for the results was long. Now, you...
  18. fluffwad

    Anyone else with Acid Reflux?

    I've had symptoms since I was a kid......but it didnt become a problem until i was 40. Water just spreads the acid around more. Find a GI specialist / get a second opinion from some other doc..... I...
  19. what year did you graduate? 1983 what was your first job out of nursing school? nursing home skilled unit how long did you stay there? 3 yrs why did you leave? better pay elsewhere, wanted other...
  20. fluffwad

    How opposite are you and your mate?

    After being married for 27 years, we're 2 sides of the same coin. When they meet him, my co-workers tend to say things like "OMG there are 2 of
  21. fluffwad

    Cleveland New Grad Needs Advice

    Working for an agency as a new grad is a mistake. You will be expected to hit the floor running and will not be given any support....you need to get a couple years experience in a steady job
  22. fluffwad

    Please help define Palliative Care

    It means keeping them comfortable, not to neglect them until they die but it also means not getting too aggressive with interventions or trying to prolong their life. Without any kind of info on the...
  23. fluffwad

    Anger management

    Managing Anger, A Handbook of Proven Techniques
  24. fluffwad

    Excelsior LPN-Rn Accepted in Ohio?

    One of my co-workers got her RN here in Ohio thru
  25. fluffwad

    Web based system for MDS

    How are you submitting your MDS info to the state? W use Accumax to fill out the MDS / write care plans / submit data to the state. Our aides input data on ADL's , weights, intake, etc. into a...