TigerxLiLy

TigerxLiLy

LTC-Geriatric-PPS-MDS

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All Content by TigerxLiLy

  1. Cdiff and med A- would you skill?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    May I ask what the GIFT

  2. Cdiff and med A- would you skill?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Exactly what I feel..because we have had cdiff needing way more nursing interventions... Just wish the MD/NP would consider stopping abt and seeing if stool starts to form...kinda like the other...

  3. Cdiff and med A- would you skill?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    According to the cnas and nurses she does...they say it's putty

  4. Cdiff and med A- would you skill?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    ** dates are not accurate... Heh.. I'm to tired to be THAT accurate

  5. Lessons on why not to "Assume" things.

    TigerxLiLy posted a topic in Geriatric, LTC

    Got to work at 11AM and read over our facilities "Communications" board. Noted that one of the Part A residents had a medical decline over the weekend according to some of the notes ("Ms.X is noted to...

  6. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    your completely right. we have some really good cnas too. I really don't know what happened over that weekend sadly. Just glad the patient outcome was good and we can figure out what the...

  7. Did you know this on Humana patients?

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    .....huh... As of now my BOM thought it was only in humans contract... I guess we better start asking questions on all our managed cares...

  8. Did you know this on Humana patients?

    TigerxLiLy posted a topic in MDS Coordinator Information

    I just want to throw some information out there for the PPS coordinators just in case some are not aware: If your humana patient had Hospice prior to entering the hospital and they enter your...

  9. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    it is frustrating- Especially when I just relay to the supervisor of things that she needs to know when I review charts for my med a patients and go over therapy minutes with the DOR ---exhibit A:...

  10. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Patient is baaaaack! :). Good outcome.. For the most part... Just much weaker of course... But overall back to the same

  11. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    There is multiple documentation entries from myself and the supervisor (after finding the problem) of trying to contact the family prior to sending the patient out to try to see what their wishes were...

  12. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    nah, I'm not running. I'm a MDS coordinator.. This patient wasn't fully under my complete charge (all the patient's in the facility are "mine" per se..but I did not have direct charge over this...

  13. Can wound care nurses answer this ?

    TigerxLiLy posted a topic in Geriatric, LTC

    1. What is your system in getting the MD to give dx of stasis,diabetic,arterial ulcers? (Do you have a form u fill out for the MD with determining except and symptoms?) 2. Do you get the MD to dx...

  14. Can wound care nurses answer this ?

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    *Determinig dx and symptoms that he can just sign to

  15. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Have full rights. No issue. Our facility contracts with the hospital in question. We get most of our admits from it. We use the progress notes,therapy notes,labs,dc summaries, h&ps, consults, etc...

  16. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    ABG after 12hrs sending over to hosp= pH 7.5, pCO2 32.2, pO2 116.. I have not read a ABG since school (been a nurse since 2008 but have worked in LTC since) Just know that is alkalosis... MD note...

  17. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Just wanted everyone to learn like we did at our facility. I wanted nurses to learn the importance of always looking at documentation if things are "abnormal" and to take action, not just wait for...

  18. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Still hanging in by what I could read in the hospitals computer system. Still not voiding (GFR is 6 ). Still no complete indication of exactly what happened, MD notes pt had a history of the patient...

  19. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    I just wish that our PCC system would make the alerts pop up on the nurses MAR - forcing them to acknowledge that the patient "hasnt voided in 8hrs" or "no BM in 48hrs"--- instead of relying on the...

  20. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    She was a Part A resident- documented on daily. The baseline and change was obvious only after reading the first 2 notes at the top to the previous 4 prior to the weekend commotion... I would have to...

  21. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Nothing in the notes said anything about contacting the family or if the family saw her that weekend. Tried contacting the family (only one contact listed) 3x in 25min prior to sending her out. no...

  22. Lessons on why not to "Assume" things.

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    I doubt it is... The H&P note looked pretty grim...minus the fact that patient isnt going into respiratory distress just yet (her O2 sats went to 97% with 3L in ER ) and b/p went up to 110/54...

  23. No meds on 11-7

    TigerxLiLy posted a topic in Geriatric, LTC

    Opinions please on the following: 1. Is it possible to eliminate scheduled meds for 11-7 shift (GERD, Synthroids,etc) -- do you guys believe these meds could be taken on 7-3/3-11 and still be...

  24. Non-Direct Care Staff

    TigerxLiLy posted a topic in MDS Coordinator Information

    How many other PPS coordinators are considered "Non direct care" staff. My administrator always tells me "You should not be doing the nursing care for these residents, I should answer the calllight...

  25. Non-Direct Care Staff

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    addendum: to the DOR stating "Pts doing great, still making gains in therapy"-- the medicare nurse would just nod her head in agreement when asked "and nursing shows improvements?"... Back then tho.....