TigerxLiLy

TigerxLiLy

LTC-Geriatric-PPS-MDS

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About TigerxLiLy

TigerxLiLy has 7 years experience and specializes in LTC-Geriatric-PPS-MDS.


Latest Activity

  1. Hearing Aids

    I don't even bother bringing in my stethoscope to the covid rooms—- usually the cheap one inside does well enough to hear the junk in most of the lungs— plus- most of the med surg covid rooms...
  2. Hearing Aids

    Yep— mine would get twisted in the mask, slinged shot across the room or so much pressure from the mask/shields would cause pressure injury behind my
  3. Hearing Aids

    I use “in the ear canal” hearing aides now— did have the behind the ear- but with the masks they kept flying across the room even when I was trying to be careful ?? (they were 7 years old so I...
  4. Fall/New Admission/SCSA

    Sigh. Completely makes sense - especially with the certification listing the diagnosis/md signing it :). thank
  5. Fall/New Admission/SCSA

    Kinda sounds like redundancy/annoying the providers with stuff that’s
  6. Fall/New Admission/SCSA

    Read on a AANAC article that if the D/C summary states that the dx is resolved, we cannot use the diagnosis, even if the main reason needing therapy services - that a MD Query must be completed to...
  7. Peg and wellness period

    Thank you Talino. I swear i have read the medicare guidelines - guess i just remember reading it- and sorta related it to my corporate office (maybe thought it was their rules.. Who knows) Just ran...
  8. I have been told that a PEG that is giving a patient 26% or more of daily nutrition is considered a skilled service in a LTC setting. Was told that when the patient uses their 100 days that they...
  9. *Venting* We have RUGS meetings every Mon/Wed/Fri per corporate. SS,DOR,restorative, myself the PPS coordinator, Medicare part A nurse (who is suppose to document on and follow their medical progress...
  10. Restorative RUG

    Since this discussion is open... Rehab Low requirements Do your faculties mandate that the therapy department transition to RNP with each discipline doing 3 days QOD of 15min(training restorative)?...
  11. medicare A nurse/documentation nurse

    Only RNs care for your Med A's?how does that work? The have their own ward? What's your med A patient:nurse ratio? How do you deal with LTC patients that come back skilled on a different hall?.....
  12. medicare A nurse/documentation nurse

    ...did.. Answer was "I have issues at home and I have not been all there in my head"... I directed her to our DON with that statement.. If you can't focus on the patients because of "home life" then...
  13. IDT organization

    Care Area Assessment.. It's on the comprehensive MDS (Admission,Annual,Sig change
  14. IDT organization

    Hi, * I am looking for ideas to better organize our IDT team.* I know each building has their own ways of communicating and "getting things done", but I am researching and would like to know a little...
  15. Nuances of fluffed care plans

    I guess the nutritional focus will have a direct relation to DM, GERD, CDiff, anything GI