Medicarenurse1

Medicarenurse1

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All Content by Medicarenurse1

  1. MDS - Where to Begin?

    Medicarenurse1 replied to janlem's topic in MDS Coordinator Information

    Talk to your current MDS coordinator(s). There are big changes coming on October 1st, which may make some facilities not want to hire a new person until after the dust settles. Also check out:...

  2. Only Crusty Old Bats will remember..

    Medicarenurse1 replied to Pepper The Cat's topic in General Nursing

    Evening shift gave backrubs to all with one bottle of lotion, not a glove in sight. Taping hip to a full side rail, with buttocks exposed to the door so that the heat lamp could be on the sacral decub...

  3. Ridiculous medical mistakes on TV

    Medicarenurse1 replied to adventure_rn's topic in Nursing Humor

    I liked House, where the doctors were always giving meds. Yeah,

  4. Questions for an acute care nurse.

    Medicarenurse1 replied to dudette10's topic in Geriatric, LTC

    Hi, I'm an MDS coordinator, and as an acute care nurse, you would have no reason to know what that is, but my job is to provide clinical information to CMS for reimbursement. We have several levels...

  5. Restorative right or wrong??

    Medicarenurse1 replied to 120961mykel's topic in Geriatric, LTC

    In a perfect world, the floor CNAs would be able to do restorative programs, most especially ambulation, brace/prosthesis assist, feeding and actually all of them. The CAVEAT is the charting for both...

  6. section L and M question

    Medicarenurse1 replied to dianediane90's topic in MDS Coordinator Information

    If the Braden is 18 or less, I proceed even if I don't think the person is really at risk, and I do that to cover my clinical decision. However, I care plan almost everybody except ambulatory psych...

  7. No pain meds in ER??

    Medicarenurse1 replied to ShaneTeam's topic in Emergency

    Went to an ER six months ago with an acute kidney stone, 200 + miles from home, knowing it was probably a kidney stone. Drove to a hospital I was familiar with in the area (I travel the state as a...

  8. Facility refuses to give raises

    Medicarenurse1 replied to baygrl11's topic in Geriatric, LTC

    One community where I worked, people in my position would step sideways every two years for this reason. I am an MDS coordinator, so when one facility lost an MDS person, we all moved over one...

  9. Guilty and relieved at the same time

    Medicarenurse1 replied to mtjoanna's topic in Geriatric, LTC

    Well, I've been in LTC now for the last 16 years. What I have seen is that facilities ebb and flow in quality. I have worked at 5 Star facilities and 1 Star facilities, helped get a de-certified...

  10. Nursing Supervisor salary

    Medicarenurse1 replied to KBICU's topic in LTC: Directors, Assistant

    True with a caveat. It takes years to learn all 6000 laws regulating nursing homes in the United States, and missing some of them will lose you your license, just sayin....Remember 6000 LAWS...

  11. Social Media

    Medicarenurse1 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I was visiting a facility where a new CNA came to the DON and resigned on her first day on the job. Someone had posted something mean about her on facebook after she got to work. The astounding thing...

  12. HELP!! Care plans on MWD orders

    Medicarenurse1 replied to KathySandersSoffos's topic in LTC: Directors, Assistant

    The MAR and TAR having these things on them allows you to document that you did assess for behaviors, side effects and that you took preventive measures for risks. They may well be on a care plan,...

  13. Preparing for state survey nightmare

    Medicarenurse1 replied to Khaos RN's topic in Geriatric, LTC

    Yes. As a Regional Consultant, I do "Mock" Surveys, pulling all the quality reports, creating a resident sample and remotely reviewing electronic charts before I go to the building. The med carts...

  14. New MDS changes

    Medicarenurse1 replied to g8torlpn69's topic in MDS Coordinator Information

    Actually, rehab hospitals (like HealthSouth) have started having to do MDS like reports using the Functional Abilities and Goals. It means if we want to play with the big kids and get paid like the...

  15. Humerus FX - Sig. Change

    Medicarenurse1 replied to Cecilianurse's topic in MDS Coordinator Information

    One thing we tend to forget about sig change is: Is the condition likely to resolve? Now if it was a pathological fx, with underlying cancer or osteoporosis, I would probably see if it's time for...

  16. I need help on two of my AANAC exams!!!

    Medicarenurse1 replied to jalyhu's topic in MDS Coordinator Information

    Specifically what areas are troubling you? I remember the exam having a lot of COT, EOT, grace day questions. Use the RAI manual to answer the questions. Honestly the tests from AANAC are designed...

  17. How Long Did It Take To Have A Good Grasp of MDS/RNAC Job?

    Medicarenurse1 replied to MichelletheRN's topic in MDS Coordinator Information

    Well. to answer your original question, I have been doing MDSs for about 11 years, and I still get lost and stuck at times. There is always something new to learn. Recently I have been offered (and...

  18. Insurance plan - What to open?

    Medicarenurse1 replied to Cecilianurse's topic in MDS Coordinator Information

    ALSO, you should not transmit any assessment that is strictly for insurance (non Med-A) reimbursement, so you may be looking at doing the 5 day, not transmitting, then doing a quarterly or Sig Change...

  19. Insurance plan - What to open?

    Medicarenurse1 replied to Cecilianurse's topic in MDS Coordinator Information

    While observing on the 5 day, check for change of condition that might be long term. As a full assessment of course that would re-set your quarterly