pixie120

Can someone give me the quick answer on this question? Our RN MDS nurses do entire MDS except for SW, Activites sections, RN does the cognition/mini-mental portion of the SW section, RN codesdietary/RD section, therapies and SW does d/c planning port...

Ok, here is my question. please check my math here" In looking at all of this, for PPS/Med A, potentially there are ONLY 4 COT's that could possibly trigger? In a perfect world: 5 day: if a COT triggered, would be a combo for 14 day, right? (No ...

I understand the floor nurses are busy, when they get a new dx/treatment, all they have to do is turn to the careplan, handwrite somewhere a new C/P: UTI goal: Resolve UTI Interventions: ABO as ordered, montior for ASE of ABO, report s/sx n...

Thanks for the information. We review all MDS data, as an IDT, every morning and do the quaterly/comprehensive assessments (Braden, AIM etc) and write an IDT note per each MDS due. We double checked, we are able to combine MDS nurse note with IDT not...

FYI, in this building we have 3 RN MDS/RCM's, is probably why they do the "extra" work that some don't? Max patients per MDS/RCM is 20, Medicare mixed thru out all caseloads

Thanks for the information. Perhaps I asked the question wrong. In our building the SW does D,E, Q Activities does F and RN/MDS does the rest....so (including CAA's) so my question is this: RN signs for and puts these alphabet letters: A,b,c,g,h,i,j...

I am wondering if any other DNS/DON's have run across this before. SO....I have MDS experience, a lot, very skilled at it actually. It helped me get the DON position. In a new facility, talking the usual MDS stuff in the AM meetings, PPS meeting and ...

Ok,good to know. Next question, the PPS folks that were "grandfathered in", they do NOT have to be looked at continously every seven days? (The folks that admitted and had their 5 day, 14 day Assessments,or even their 30 day or 60 day.. rehab is say...

Umm...exactly. and when other's won't participate, give that information, it becomes quite a quandry doesn't it? Another great thing we just had implemented, MDS nurses now have direct access to the therapy documentations and minutes, how wonderful!!...

Appreciate your post, somehow I didn't see it until today.You are so very right, I can't hide what I know....sad isn't it? I am interviewing for several jobs in the area in companies that seem to have a much better handle on this. I will make sure go...

Would you mind if I asked what your PPD is? Must be about 3 or a little under/over? (For Skilled).

Yes, in a wierd way, it does seem much more detached, and as they don't do a verbal exit everyday, sometimes you can actually take a breath here and there. Days 1-3 are not too bad, it's when they go into stage 2 that gets a little rocky. If you want...

SO it would go like this: day one, then 5 day, 14 day, 21 day possible COT, day 28 (30 day would fit here), day 35 possible COT, day 42 possible COT.....thru day 100. I though I read that a COT has to be reviewed for and done 7 days AFTER that last...

Best words of advice I ever got were 1. Never let them see you sweat 2. Tell the truth 3 Continue the best practice care that you always give, as if it were just another day!

Kudos for saying that last line, the other disciplines are kinda irritated with nursing, in our building, sort of an us vs them, "just because nursing has to do another assessment....". I think they just don't get that they are also going to have to ...

Lots of updates on the CMS sites, and this is a great resource. Good luck (I think your MDS 2.0 experience serves you well, but you gotta frame it up better that you have been studying, on your own, well aware of the LATEST changes 10/1/2011 with th...

WHen I worked Assisted Living, the pharmacy did our MAR's, and they were always written as per community prescription, ie Tylenol 2 325 mg tabs twice daily as needed. LTC: pharmacy will begin doing our MAR's when we switch over to E-Mar this month, ...

Every LTC facility that I have worked in has had many similiarities to Psych, so much of what we get is very similiar. Dementia with Behavioral Disturbances is all the psych issues rolled into one and the referralls we see now are all younger clients...

The MDS nurses are looking for this: "Resident alert to self, STM. Inc B/B. Intact skin. Surgical incision healed. 2 person assist to shower chair. On person assist to bathroom. Usually continent with phsycial assist to bathroom. Always continent bo...

Many,many people in LTC/SNF don't understand the MDS. Not newbies, but new to RN management, new team being formed, lots of reason's why. It takes a lot of knowledge and skill to figure out the MDS, especially since 3.-0. I know two 2.0 MDS specialis...

Thanks very much, great advice. You are so right, I did document, and I asked for minutes in every meeting as did the MDS nurses,and then we asked,and asked. Higher ups got it all straightened out,and we are now full speed ahead. So glad we didn't re...

Please give advice on how to improve this meeting, difficult therapy manager, does NOT comprehend the MDS nurse needs minutes, timely, in written form, not...later,...I think he/she had this many minutes.....team very inexperienced, no other nurses h...

Thanks everyone, great advice. Much appreciated.

I have another MDS question, do you print out your MDS? We printed entire MDS and kept the 15 mos parts at the nursing stations. Other building prints out nothing,here a littel confusing, printing admit sheet, d/c sheet and first and last part of mds...

Out of curiousity, did nursing do the first half of F? I have helped with some of the MDS, and I was able to do all but D,E, and F, I entered the minutes for therapy, and did A (most auto populates) and did the section at the end where the discharge ...