mlbluvr

mlbluvr

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All Content by mlbluvr

  1. DOH survey

    mlbluvr replied to ktwlpn's topic in Geriatric, LTC

    (Sorry, NOT

  2. DOH survey

    mlbluvr replied to ktwlpn's topic in Geriatric, LTC

    Sotty kt- sometimes when you click a topic you are led to the last page, not the first- and by that time the topic has already taken a dive off the cliff. I feel your pain about IRs. I'd rather eat a...

  3. Circumcision

    mlbluvr replied to TexRN's topic in General Students

    We have nails because they used to be used as tools to help us climb. I'd just as soon not have any- I've had two ingrown toenail surgeries, and my toenails routinely blister and fall off because I...

  4. DOH survey

    mlbluvr replied to ktwlpn's topic in Geriatric, LTC

    I don't see the sarcasm here. But I've worked with a lot of nurses that would prefer to spend three times the time and effort to avoid doing something, than it would take just to do

  5. Circumcision

    mlbluvr replied to TexRN's topic in General Students

    Until evolution catches up, humans will continue to be born with and develop stuff that is a throwback to the days we walked on all fours and had tails, but that now only causes disease, and even...

  6. High Cost Medications

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

  7. Can you qualify med a for 5 days based on IV ABT during hospital stay?

    mlbluvr replied to MystyDreamer's topic in MDS Coordinator Information

    Point being, this is prety basic MDS stuff, right out of the manual, and should even have been determined prior to admit, with the IDT all on board, on the same page. Sounds a bit odd. Maybe this is a...

  8. High Cost Medications

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

    "Knock, knock". "Who's there?". "SNF". "SNF WHO?". "SNF Village. We're here to 'prescreen' your last Medicare referral to us. The LAST one left after only 2 days, but cost us $23,000, and had already...

  9. High Cost Medications

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

    "...while it has forced SNFs to be more careful in their screening processes." This is exactly the point the OP made. And since this quote is over 13 years old, it's only that more relevant

  10. Nurses on probation

    mlbluvr replied to dhinson4554's topic in Licensure: Criminal History

    Assault is a barrier crime to a lot of nursing jobs. As noted above, you need a lawyer to go to the BON-

  11. High Cost Medications

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

    Also, if you would, send a source that Lovenox is an outlier cost- since every single person that has that order causes debate in a SNF (to admit or not)- I've never heard that, ever. If it were an...

  12. High Cost Medications

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

    Like I said, I've seen half of referrals end up on the cutting room floor, MED-A or whatever pay source, or not. And even if the census was circling the drain. I've never heard about a law that reads...

  13. Obamacare: An overview, and a calculator to see your cost.

    mlbluvr replied to mlbluvr's topic in Activism, Healthcare

    Oops,

  14. Obamacare: An overview, and a calculator to see your cost.

    mlbluvr replied to mlbluvr's topic in Activism, Healthcare

    http://www.healthcare.gov/families/

  15. Obamacare: An overview, and a calculator to see your cost.

    mlbluvr replied to mlbluvr's topic in Activism, Healthcare

    Obama Facts | Obama

  16. Obamacare: An overview, and a calculator to see your cost.

    mlbluvr replied to mlbluvr's topic in Activism, Healthcare

    Thanks, I see I made a typo that blocked a hyperlink. I'll clarify- here are 2 sites that give your a broad definition of the contents (what contents are known) of Obamacare, and also the official CMS...

  17. High Cost Medications

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

    Spot on, yes. Still, due diligence is required constantly to keep the doors open. And a profit is not a given with Medicare, not hardly. It takes a village, all working their orifices off. I've been...

  18. Drawing blood fresh out of school?

    mlbluvr replied to sunshinee's topic in LPN, LVN Corner

    Your nurse practice act at the BON site.BTW- when I graduated I worked plasma for years, started 1000's of IVs, drew buckets of blood, etc.- back then it was so unheard of to think an LVN would ever...

  19. Rehab RN working for a supervisor LPN

    mlbluvr replied to workinmomRN2012's topic in Geriatric, LTC

    It's an age old issue that will never be resolved and will always be brewing. Maybe if 'supervisor' was changed to 'unit manager', or something, that might help- because be definition an LPN works...

  20. High Cost Medications

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

    Dumb joke: "Knock, knock". "Who's there?". "It's corporate on the phone. They wanna know who gave the OK to admit that last

  21. High Cost Medications

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

    What the DC planner failed to mention (and your admission coordinator missed because she was out marketing) is that the patient is 325 pounds, with a blown back surgical incision (hence the orders for...

  22. Advice for a New RNAC?

    mlbluvr replied to Terse's topic in MDS Coordinator Information

    An illustrative analogy: Think of an MDS as a tax return. There are short tax forms (entry, DC, quarterly) and long tax forms (admission, change, etc.). When you complete any tax form, the difficult...

  23. Can you qualify med a for 5 days based on IV ABT during hospital stay?

    mlbluvr replied to MystyDreamer's topic in MDS Coordinator Information

    The MDS form itself asks if there was IV therapy in the last 14 days, and whether it was done as a resident or while not a resident (meaning in the

  24. Advice for a New RNAC?

    mlbluvr replied to Terse's topic in MDS Coordinator Information

    Are you still employed as a nurse? Ask if you can hang out with the new MDSC, maybe so you can be the back up MDSC? You're articulate and intelligent, and other than slow to master MDS, you must...

  25. Advice for a New RNAC?

    mlbluvr replied to Terse's topic in MDS Coordinator Information

    MDS can't be mastered by an online prep course. It requires tons of in your face on the job training. Why would they hire you with no experience, to turn around and fire you for no experience? Were...