TigerxLiLy

TigerxLiLy

LTC-Geriatric-PPS-MDS

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All Content by TigerxLiLy

  1. Therapy schedule

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Our facility is 110-- avgs 23-25 med a patients... I have talked with a few PPS in our company via email-- it seems like a "acceptance" that therapy just doesnt give schedules in our company... There...

  2. Therapy schedule

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    It just seems our therapy is random... i have requested a certain patient be seen between 1-2pm per their request or another patient said she wanted her therapy schedule--- however therapy DOR has...

  3. IV fluids and section G

    TigerxLiLy posted a topic in MDS Coordinator Information

    Ok- I have a corporate person telling me that on our case mix score for RUGS 3 allows IV fluids to give is 3 extra points in the eating ADL... is this true? My coworker who has been a MDS nurse for 6...

  4. IV fluids and section G

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    In the instance if the person ate, yet required it IV fluids for dehyrdration, do you code eating as extensive or does it automatically give you the points towards it? We have not been coding...

  5. Restorative Nursing

    TigerxLiLy posted a topic in MDS Coordinator Information

    Can restorative start a program without training from a therapist? Example: OT therapy trained restorative for ROM and d/cd-- and due to nursings mistakes did not make therapy transition also to...

  6. Pressure ulcers vs skin at risk

    TigerxLiLy posted a topic in Geriatric, LTC

    Ok. Been battling this with myself for a while. Have a pt that has 3 open areas to coccyx,rgt and lft buttocks- on a pt that stays up in w/c or on their back in bed (they literally refuse to turn)....

  7. Pressure ulcers vs skin at risk

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    Sorry! Iphones messing up. (Hands on the chin) She developed a "boil" on her elbow.. On a boney prominence that has pressure on it all the time from the pts cognitive status and COPD status.. Its...

  8. Therapy potential

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Reason why i ask: we have "discharge pathways" that our therapist use to make goals for medicare pts-- when therapy says they have met their goals- we are suppose to go over the pathways to make sure...

  9. Therapy potential

    TigerxLiLy posted a topic in MDS Coordinator Information

    What tools do you guys use to make sure therapy has met all the pts goals to return home? Is it reasonable to expect them to reach standard goals "toileting,showering,upper/lower body dressing,...

  10. Nursing skilling

    TigerxLiLy posted a topic in MDS Coordinator Information

    If you have a LTC pt that comes back from hosp after a qualifying 3 day hosp stay (at a psych ward) on medicare A-- they go thru therapy for 4 weeks and meet their prior lvl of independance and have...

  11. Question!

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Thanks! I thought I had it right- thanks for the reassurance. I gotta go talk to the BOM- cuz this lady gots a new 100days! When they said she only has the remaining 50. Thanks

  12. Question!

    TigerxLiLy posted a topic in MDS Coordinator Information

    If medicare pt was deemed unskillable and had Last cover day on the 39th day of medicare- she reclassed to medicaid.. If said patient met her 60day wellness period then went back out to hospital for...

  13. QM's and Pain

    TigerxLiLy posted a topic in MDS Coordinator Information

    As we all know with 3.0 there were changes on how we interview pts and their pain-- the patient gives a subjective view only. This overall affects our QM ratings. How are you handling the influx of...

  14. A-fib pt

    TigerxLiLy posted a topic in Geriatric, LTC

    Situation: pt has chronic a-fib with new orders to hold Coumadin x4 days.. Its been held off and on the past few weeks due to PT/INRs. Walked down hallway to talk to nurse and found said pt...

  15. A-fib pt

    TigerxLiLy replied to TigerxLiLy's topic in Geriatric, LTC

    It seems our nurses are relying on the pulse ox monitor to give them the pulse instead of actually listening to the apical

  16. What is ur facilities interventions for afib?

    TigerxLiLy posted a topic in MDS Coordinator Information

    Situation: pt has chronic a-fib with new orders to hold Coumadin x4 days.. Its been held off and on the past few weeks due to PT/INRs. Walked down hallway to talk to nurse and found said pt...

  17. Side duties of MDS/PPS coordinators

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    And i guess you understand that we now have to track our minutes more thoroughly, that our administrator is on us with ensuring that our medicare pts are given ALL medical care in house as possible...

  18. Side duties of MDS/PPS coordinators

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    We are not under nursing payroll. And our DON doesn't even have a CLUE what MDS is really... Shes new... From the hospital system- so she knows DRGs... Which have some aspects... But still! So, no.....

  19. Side duties of MDS/PPS coordinators

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Dang! Bingo?!? Ha. That would be the straw that broke the camels back. At least the rounding and audits are nursing related - bingo for the public not so much!... Even every wednesday on one person...

  20. What exactly is so bad about LTC??

    TigerxLiLy replied to MaybeaNurse7's topic in Geriatric, LTC

    Im 5 yrs grad from RN school-- went straight to LTC after graduation due to 9months of trying to get in hosp but no bites. I have started IVs almost every week, deep suctioning (which our LPNs cannot...

  21. RUX

    TigerxLiLy posted a topic in MDS Coordinator Information

    How many RUX's do you guys get on avg? We just got 3 this month due to MRSA and proper documentation. Im just curious to know what the "rate"

  22. RUX

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Curious how you guys treat shingles-- got a new admit tonight with 5 day old dx shingles with her torso wrapped with gauze... Strict isolation? (i did not stay to see if wounds were open due to it was...

  23. RUX

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    I was just concerned due to the fact that the person before me (just took the PPS position in april) who has been PPS coordinator for 4yrs nvr got a RUX, yet i was able to get one with much planning...

  24. Careplans and personalization

    TigerxLiLy posted a topic in MDS Coordinator Information

    Have you guys ever been told that stating "administer docusate sodium per md orders" on careplans is not acceptable? I did it this way because Our orders were not matching the careplans as the nurses...

  25. Careplans and personalization

    TigerxLiLy replied to TigerxLiLy's topic in MDS Coordinator Information

    Not computer generated/entered?? Just paper care plans? We have "interim" paper care plans that are on the chart when they first admit til we can do the admission comprehensive and get the CAAs. The...