crnacc

I have a 16 bed skilled area that I complete mds on. We have 160 bed facility and i can have skilled patients in any of the other beds also. I look up information on admits-dx, continency, what aides should monitor for, any restrictions; i.e. ortho weight bearing, glasses, dentures, hearing aides-write this on a care guide that is placed in room for aides to review. I complete admission care plans, entry mds, keep skilled patient log up to date along with certification QI. I also do all the interviews in my area. We have a lot of turnover, short stay patients, and I find it difficult to keep up at times so wondered if anyone had any organizational skill ideas. I recently had someone that did MDS for rest of facility and helped with my 16 bed icf unit, which i got my butt chewed out today for as now admin wants to give me more elder assessments to do, but i am not doing all of my workload. The gal that left told admin that one mds coordinator was all that was needed. So, I need some guidance-maybe I spend too much time writing stuff down, too much time on CAAs; any suggestions???? Thank you!!!!

do you have any forms that are helpful to complete these? My superiors seem to think since I do the MDS for the skilled and ICF elders I know and remember everything. My RN Manager says we are doing them together. Thanks!

I am an MDS Coordinator in a 16 bed skilled area and 16 bed icf area. The other 124 beds are also skilled certified. I recently got disciplined, written warning, for when I was ill 2 skilled assessments got done late and I could have corrected it. It was explained to me that in my job duties I should have notified the other mds coordinator. I let them know it wasnt acceptable, didnt agree with it as I feel that my direct supervisor should have a plan for coverage when I am off. Now, I am getting pulled into a meeting to complete 672/802 forms and soon to be gone, not soon enough, DON thinks I should be the one updating those every week and not my supervisor; although the other 4 supervisors dont do mds and they are expected to do their own forms. I dont mind helping, but I feel like this will get dumped in my lap when I need to get my assessments done. Does any other mds coordinator out there have to do the 802/672 and have like 4 skilled admits in one day, 2 discharges same day, etc. I am feeling like I am being set up to fail.

Can anyone recommend a good electronic medical records software for long term care? If so, can you tell me cost? Thanks!

Basically overseeing the skilled admissions and documentation, ensuring we are documenting what we need to support our services given; not a unit coordinator or case manager.

Our facility just became dually certified as SNF/ICF. I was wondering if anyone could tell me their main duties as a medicare coordinator. I just switched to this position after 13 years as an MDS nurse. My boss has not given me a job description and I would like some feedback that I can give to her to get this done. Currently I am overseeing the skilled documentation, evaluate elders for admission, ensuring physician certifications are completed in a timely manner, setting ARD dates and manage the medicare meetings weekly. Can someone let me know what other duties you do in this job? Anything would be very helpful. Thank you!

so, you date them where the physician is supposed to date and time?

do they sign for the admission date? I wish we had the luck of all of them coming within first week.

My facility just became a dually certified facility for ICF/SNF. I am the medicare manager and am in charge of setting the ARDs for these elders, reviewing our documentation, ensuring our certifications are received in a timely manner. I am having difficulty with physicians signing the initial certifications on date of skilled admission. I originally started taking the forms to the Drs offices and picking them up on same date but this took time away from other work I needed to do as I am also the Restorative RN. I am now faxing the form and I faxed one on a friday, received it on monday with dr signing monday's date. I called to see if she could change it but she stated that if she has to date and sign it she will sign it for that date, but if it is already dated she will sign it. Our nursing consultant informed us that the doctor needs to sign, date and time the initial certification. We are hopefully going to be getting a computerized system so physicians can then do e-signatures, but right now we are using the paper process. Does anyone have a suggestion or idea or a solution on how you handled this problem with your physicians, if you did have the same problem? Thank you!