nnancy627 replied to Blackcat99's topic in Geriatric
What a 'brilliant' plan! Overstaffing every shift can prevent quite a few problems, some of which you might never even think of: One, you won't be understaffed, ever. Two, since you are never understaffed, you'll never have to rely on desperate calls...
nnancy627 replied to Isitpossible's topic in Geriatric
One more note, on 'skilled nurses notes': Used to be that the rehab professionals worked FOR the SNF, like nurses do. When the PPS came about, rehab people became employees of rehab companies that provide services to SNFs- because without those servi...
nnancy627 replied to Isitpossible's topic in Geriatric
What case manager$ look for in fact, is whether nursing documentation jives with rehab notes, not so much the oher way around. It is not a matter of repetition (and case managers aren't EXPECTING repetition- they get paid to get peole OUT!)- it's a m...
nnancy627 replied to Isitpossible's topic in Geriatric
I've seen 'many' instances of denied claims for skilled care, based soley upon having 'skilled charting' guidelines posted in the chart, as a sort fraudulent charting platform that was based solely on the reimbursement focus, rather than on the condi...
nnancy627 replied to Isitpossible's topic in Geriatric
Hold onto your nurse cap, I'm about to blow your mind!: 'Skilled charting' doesn't really exist. The need for 'daily' documentation does exist for patients covered by Medicare, or certain HMOs, etc. that covers their 'reason for admission' (diagnosi...
nnancy627 replied to CynicallyVexed's topic in Geriatric
Fifty patients is laughable, if not sad- but almost an overthought, compared to the fact they are PRIVATE rooms. The amount of physical space (distance) you have to traverse in a shift is logistically impossible. Much less passing the meds, and etc. ...
nnancy627 replied to izzibella's topic in Criminal
You're already taking another huge risk- in CA, you 'have' to inform the BON of your name, current physical address, mailing address (if different), and phone number- you can't 'use your parents' address. If you are found out, you will have lost your...
nnancy627 replied to student63's topic in Entrepreneurs
Lucrative? If your billing outweighs your expenses, sure. Agencies are a dime a dozen- all they have to verify, often, is a 3-6 month ability to pay bills, to get a license. Most scratch by, many don't pay their staff and go defunk, and lots of other...
nnancy627 replied to Blackcat99's topic in Geriatric
What's being 'nosey' (is that even a word?) about having pause to question a coworkers credentials? If you have a chance to look at your own state BON website, you'll find that every year, hundreds of imposters (aides, nurses, doctors, etc.) have bee...
Welcome to the American nursing home world. It's a big gooey pot of 'lose/lose' situations, daily. Same menu every day, just different spices. (Hot 'n' nasty being the preferred).
nnancy627 replied to Blackcat99's topic in Geriatric
Lots of people would fall off their chairs if they knew just how 'serious' such a 'slight' thing is, to not update your name, or address, as examples with MVD, the BON, etc. In some states you have only maybe 30 days to do either, then your DL become...
nnancy627 replied to Blackcat99's topic in Geriatric
No chance that the are just 'not listed'. Even if they changed their names, like got married- those changes have to be reported to the BON, or whoever tracks CNAs. You mention more than one even, is not located in the registry online, so that's going...