DavidKarl

DavidKarl

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All Content by DavidKarl

  1. Background checks- what we all need to know:

    DavidKarl posted a topic in General Nursing

    (Posted earlier, there was a formatting problem, was advised to repost in black font only, and it was in black, now I'm trying notepad instead of Word. It's way too long to retype in by hand). Let me...

  2. Indy ltc lpns

    DavidKarl replied to joannalpn's topic in LPN, LVN Corner

    What a psychotic way to staff a place- begging for med errors, and the like. Unless most of the staff is agency? If that's the case, they are trying to spread their in house staff around, to DECREASE...

  3. Reducing ED transfers from SNF

    DavidKarl replied to HelenaHandbasket's topic in Geriatric, LTC

    Don't forget the LTC folks that are sent out to be admitted (for 3 days, naturally) for an easily treatable UTI, or etc., in order to requalify for

  4. Families refusing certain SNF

    DavidKarl replied to EllbellRN's topic in Case Management

    An easy way to affect a transfer to a different SNF, once admitted? Just raise. HELL. The first place will pull out all of the stops to help you

  5. New Grad nurse @SNF...now on verge of quitting.

    DavidKarl replied to iamNurse23's topic in First Year After Licensure

    No time to urinate? Hmm. A SNF nurse that never heard of Depends? This alarms

  6. LPN...not good enough??

    DavidKarl replied to em1025's topic in LPN, LVN Corner

    Lot's of RNs look down their noses at LPNs, but usually they are new grad RNs that are intimidated by the practical skills LPNs might posses. This stuff happens in any occupation. Other than...

  7. Fired..Confused..Upset

    DavidKarl replied to bigdreams08's topic in LPN, LVN Corner

    I was fired once when I failed to quit- the DON made a new boyfriend, who was also an LPN (and wanted my job), and made all type of excuse that I was incompetent. I took my glowing evaluations, etc....

  8. LPN scope of pratice!!!

    DavidKarl replied to NikkiL.Rutherford's topic in LPN, LVN Corner

    The real issue is that word: assessment. In some states an LPN cannot legally 'assess' a patient, but 'evaluates', or etc. It's weird but true. Wicki describes an assessment as a 'plan of care'- lots...

  9. Patient asked me what an IV med was for..i didnt know

    DavidKarl replied to NursingBro's topic in LPN, LVN Corner

    Another thought- who ordered the IV med, and who started the IV, and who started the IV med via the IV? Two, possibly 3 healthcare workers involved (aside from the LPN) were treating a patient with an...

  10. EMS hitch this one takes the Cake!!

    DavidKarl replied to downsouthlaff's topic in Patient, Colleague Relations

    I suspect that the atomosphere in that place is that the RN makes it clear that she is there to supervise, and not do any hands-on care. I suspect that's what the LPN meant to imply, but it was...

  11. Obamacare and Nursing.. what do you think?

    DavidKarl replied to OKNurse2be's topic in Activism, Healthcare

    There are 40, maybe 70 million uninsured in America. Another 100 million can't afford to USE their insurance, due to the high deductibles. The uninsured use ERs, and don't pay. Under Obamacare, 20 or...

  12. MDS Nurse burned out and going back to the floor

    DavidKarl replied to LTCNS's topic in MDS Coordinator Information

    My second clarification- I was talking licensed staff only. Obviously, CNAs are taken for granted, abused, unappreciated, paid slave wages, and many have personal strife to deal with. I have always...

  13. Burnt out and struggling emotionally

    DavidKarl replied to MomRN0913's topic in Hospice, Palliative

    Is this 'palliative' care more aptly what would be 'hospice' care, if the patients qualified for Medicare or another program that paid for hospice, but don't, so therefore are on Medicaid, or etc? If...

  14. coding dental

    DavidKarl replied to wbardelli's topic in MDS Coordinator Information

    (Oops, correction to the above: choking

  15. coding dental

    DavidKarl replied to wbardelli's topic in MDS Coordinator Information

    If you don't care plan that the patient has dentures, those reading the care plan (as if...anyone does, other than surveyors?) wouldn't know that he had dentures, for example, and if he could not...

  16. MDS 3.0 Orientation

    DavidKarl posted a topic in General Nursing

    March 20, 2013 (I have trouble determining the posting dates for most of this site, some list the year, most do not); Long term MDS Coordinator (2.0), out of the field for a few years. I'm teaching...

  17. MDS care plan meetings

    DavidKarl replied to jenrain's topic in MDS Coordinator Information

    There is no 'care plan meeting' requirement. The requirement is that the patient/and or family must be able to 'be involved in the care plan process'. No meeting, again, is required. Why does everyone...

  18. I'm drowning!

    DavidKarl replied to croppyRN's topic in MDS Coordinator Information

    Fifty beds? EIGHT skilled? Oh, my. I worked at one place, 180 beds, alone, with SIXTY skilled patients. Never missed a beat. Never missed an asssessment. Never received a survey deficiency. I'm now...

  19. How do you keep track of your long term care assessments?

    DavidKarl replied to ecdc94's topic in MDS Coordinator Information

    From your medical records software: Every week print a patient census- and compare that to your own census. Every week print an MDS schedule of completed assessments. Every week print an MDS schedule...

  20. New Grad, School RN, New Dx Mood Disorder, California

    DavidKarl replied to squidbilly's topic in Nurse Disabilities

    The OP is not correct. If you have a mental health diagnosis, or are or ever have taken any psychoactive medication, that can be traced- you are entering a grey zone, from hell, in regards to...

  21. How to know if you will Like being an MDS coordinator?

    DavidKarl replied to HikingRN23's topic in MDS Coordinator Information

    The 'most ungodly' part of your job as ADON is the governmental requirement of 'infection control', but let's not forget to mention the human aspect- the constant issues with CNAs, who are underpaid,...

  22. Burned out DON thinking about MDS position

    DavidKarl replied to OneThunder's topic in MDS Coordinator Information

    You need no cerification to be an MDS Coordinator, unless your employer requires it. It is not a licensed occupation. It's another expensive educational burden. Best bet it to get hands on training...

  23. Burned out DON thinking about MDS position

    DavidKarl replied to OneThunder's topic in MDS Coordinator Information

    Did you leave your DON job? Any chance, if not, that you can be tutored fom your MDS person? Hands down, in your face training is way better than a 'class'. It's just too bizarre of an idea, MDS, if...

  24. MDS Nurse burned out and going back to the floor

    DavidKarl replied to LTCNS's topic in MDS Coordinator Information

    I'll modify my answer, because I sense that you're one of the 'other' type of DON. The enlightened type. The real type? "The MDS Coordinator is the second most thankless jobs in the typical SNF"....

  25. Restorative Nursing

    DavidKarl replied to TigerxLiLy's topic in MDS Coordinator Information

    Well said. But in all of the last SNFs I worked at, every therapy company was outsourced, and they had to account, financially (be able to bill), for every minute of their time. So, give them a lot of...