TigerxLiLy

TigerxLiLy

LTC-Geriatric-PPS-MDS

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All Content by TigerxLiLy

  1. Hearing Aids

    TigerxLiLy replied to canoehead's topic in General Nursing

    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

    TigerxLiLy replied to canoehead's topic in General Nursing

    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

    TigerxLiLy replied to canoehead's topic in General Nursing

    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

    TigerxLiLy replied to Liza22's topic in MDS Coordinator Information

    Sigh. Completely makes sense - especially with the certification listing the diagnosis/md signing it :). thank

  5. Fall/New Admission/SCSA

    TigerxLiLy replied to Liza22's topic in MDS Coordinator Information

    Kinda sounds like redundancy/annoying the providers with stuff that’s

  6. Fall/New Admission/SCSA

    TigerxLiLy replied to Liza22's topic in MDS Coordinator Information

    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. Side duties of MDS/PPS coordinators

    TigerxLiLy posted a topic in MDS Coordinator Information

    Does your facility have side jobs for you guys? Such as rounding,MAR audits and following up with every single problem you find? (irks me how if i find a med error - i just cant bring it to that halls...

  8. Peg and wellness period

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    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...

  9. Peg and wellness period

    TigerxLiLy posted a topic in MDS Coordinator Information

    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...

  10. RUG meeting disaster today..sigh

    TigerxLiLy posted a topic in MDS Coordinator Information

    *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...

  11. Restorative RUG

    TigerxLiLy replied to tammyloumc63's topic in MDS Coordinator Information

    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)?...

  12. IDT organization

    TigerxLiLy posted a topic in MDS Coordinator Information

    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...

  13. Nuances of fluffed care plans

    TigerxLiLy posted a topic in MDS Coordinator Information

    I am currently researching ways to change my facilities mindset on the amount of focuses that we have in our care plans that MAY can be included in other focuses. My facility has individual...

  14. Daily Documentation..how do ensure you get it?

    TigerxLiLy posted a topic in MDS Coordinator Information

    How do you guys ensure you get daily documentation on the nursing skilled DX that you put on cue sheets for floor nurses? My issue for example: I put out cue sheets for each skilled patient (updated...

  15. medicare A nurse/documentation nurse

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    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?.....

  16. medicare A nurse/documentation nurse

    TigerxLiLy posted a topic in MDS Coordinator Information

    Do any of your facilities have a nurse designated for Mon-Friday looking at skilled pAtients and documenting on them? We have one. (Had a good nurse who knew each res. And did the job very well,but...

  17. medicare A nurse/documentation nurse

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    ...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...

  18. IDT organization

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

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

  19. Nuances of fluffed care plans

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

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

  20. Chf/pneumonia and antipsychotics.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Her baseline status was thinking she was in the cia and was undercover and talking to her dead realities- wasn't combative at baseline... Didn't have any psych meds ordered. When she started getting...

  21. Chf/pneumonia and antipsychotics.

    TigerxLiLy posted a topic in Geriatric, LTC

    What are your thoughts on this patient: Admitted Med A to SNF with hospital Dx: pneumonia, uti. Hx of delusions on going with dementia(delusions were noted by psych Dr to not interfer with adls in...

  22. Daily Documentation..how do ensure you get it?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    I guess what I really am wondering--- what are you guys expectations on daily nursing documentation on surgical sites, pneumonia,chf, cdiff, staged wounds?maybe I'm expecting to much... Unreasonable....

  23. Daily Documentation..how do ensure you get it?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Seems like absolutely nothing to me. My hands are tied with that tho. I can only present it to my DON of the inadequacy. "Have you educated the specific people and got them to sign your in services?"...

  24. Cdiff and med A- would you skill?

    TigerxLiLy posted a topic in MDS Coordinator Information

    Patient admitted after her qualifying hosp stay for Dx. Of ankle fracture and cdiff in on 10/23 PT deferred gait training on day one due to NWB status for 6 weeks. Resident was on flagyl in hospital...

  25. Cdiff and med A- would you skill?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Right.. I never click isolation unles I meet all requirements.. Which I Will never be able to most likely due to our corporate policy states they can cohabitate long as the roommate has no open...