SitcomNurse BSN, MSN, EdD, RN

Geriatrics and Quality Improvement,

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All Content by SitcomNurse

  1. SitcomNurse

    6 Trends in Nursing Education 2022: What to Expect and Adopt

    This is an excellent article for the future of Nursing, not only how we teach it, but where we can tell our students this field can take them. I have been educating since 2012 with many different course styles - (self modulated video, small cl...
  2. SitcomNurse

    State Survey Guidelines

    The State Operations Manual(SOM) is 600+ pages long, and much of it does not apply directly to Nurses. Try researchign something like .. QIS manual or Guidelines to Surveyors for XX subject. Essentially, follow the policies of the facility you ...
  3. SitcomNurse

    No specific training, total disorganization - is this normal?

    I am grateful to : The Commuter : for giving some kudos to LTC. It is a sad state though that provides no support, no linear system to ensure the proper care and education for the LTC population. In my orientation practices, there is structure, s...
  4. SitcomNurse

    How does a nursing instructor spend their day?

    I wish you the best of luck. Its the best challenging position I have held, and that includes starting a Nursing Rehab program at my facility. I love it. I hope you will too.
  5. SitcomNurse

    How does a nursing instructor spend their day?

    Well, I have been doing it only for a year, and I can tell you in for my MSN, the focus initially was on theroy, and then my ability to remember how to be a nurse on the floor(clinical skills) then it got into teaching the adult learner and the psych...
  6. As an educator in a LTC facility, I lack the glamour of the ED, Mother/Baby and even the MD office for that matter. Im in LTC.. But I often have to draw a hard line for whats real and whats not. I have my own orientees and students from 4 surroundi...
  7. SitcomNurse

    ADL definitions Section G

    OK, just one question: For Dining... how do you describe Supervised Vs. Limited. I know the definitions, I want the semantics.... Supervised/set up: opened tray items, cut up food, observed during meals, documented intake. OR: Limited/One: opened...
  8. SitcomNurse

    ADL definitions Section G

    SO RIGHT!! I neede the "actual delivery of food/beverage from receptacle to mouth (or other means)" part of the answer. THAT Is the difference. Im trying to explain it to people.. but the manual states, Staff must set up the tray, cut the meat, o...
  9. SitcomNurse

    case mix meeting ideas.

    In my facility we hold a weekly meeting. In attendance are: Medcare coordinator / MDS coordinator, PT/OT/ST and Nursing Rehab. And any students we have that are involved in these departments, so they can see an interdiscpilnary approach to care pro...
  10. SitcomNurse

    Patient Death Notice BOMBSHELL! HELP!

    Im sorry this happened to you. Where I am, we report to the nurses we see, when see somenone/anyone is back from a day off or a week off. Also, our computer system takes out all info upon 'discharge' for any reason, and .. from this point I can on...
  11. SitcomNurse

    Need date help, and more..

    OK, Im helping a friend who dosent even know AllNurses, but will be a convert when I am done.. Im sure! She forgot to put in an MDS that should have been done in October. Should she: Send out the e-mail request with the ARD as it should have been, ...
  12. SitcomNurse

    Need date help, and more..

    Do you mean to say that she cannot put the ARD as 10/12/12 for a look back of that period, and signature today? OR she should have the ARD as 10/12/12 and signature 10/18/12? By putting the signatures 10/18/12, the document will lock normally, and ...
  13. SitcomNurse

    Coding transfers (Hoyer)

    The manual is online at CMS.org There are videos available on you tube. The only time I code total is when I have complete non participation in the task by the resident. Remember, that is the qualification. In this instance the person that held on i...
  14. SitcomNurse

    Starting work in a LTC facility.. what to expect

    WOW, I would like to work there.. just worry about some mental status changes r/t UTI, toss some meds and be done with it!! I ran respiratory, PICC, IV, Trach, Dementia, GTF.. and sometimes all on one person! THAT LTC is kickin if you dont even ha...
  15. SitcomNurse

    Long Term Care Nursing Rehab

    Is there anyone out there that works LTC in Nursing Rehab? Anyone who is willing to start a dialogue and get some real ideas on this crazy QIS survey process and anything else we can think of? Including where the HECK to get information on LTC Nursi...
  16. SitcomNurse

    Behaviors and Failing to Chart Them

    I use the MDS language to chart behaviors, that way the social workers and MDS personnel who are completing the forms for reimbursement can easily recognize the behaviors, and GET PAID FOR IT. Read the MDS, sections C,D,E... if youa re exhibiting a...
  17. SitcomNurse

    restorative nursing

    If I only counted on the RL category to get anywhere, I'd have 5 people under my belt in 2 years. That wont do! Do you have a RUGs IV breakdown for your facility? How to acheive a RUGS of course is in the MDS, but each state has different reimburs...
  18. SitcomNurse

    Tired of LTC...

    Without you, who know that there is more to be done, we are here left with people who dont care to do it. I hope you get the peace you need.
  19. SitcomNurse

    ANCC gerontology exam

    If you have been in geriatrics, then you should be fine. Its what we do everyday, working in this population, and being prepared for every contingency that applies to geriatrics. there were a few questions on culture change and enviornmental factor...
  20. SitcomNurse

    MDS associated Quarterly assessment

    Yeah, each discipline is on board and has been doing it for years, nursing keeps changing its 'notes'. Used to be a 3 shift assessment, based on PRI. Thats out. Then it was an InterDisciplinary Team(IDT) note, with everyone putting in a piece, but...
  21. SitcomNurse

    MDS associated Quarterly assessment

    Ok, I am not directly speaking about a quarterly MDS. What I am talking about is an 'assessment'. Our dietary completes the MDS quarterly does an assessment. Our SWS does an assessment, then completes the quarterly MDS. PT/OT write a quarterly progre...
  22. SitcomNurse

    MDS associated Quarterly assessment

    I guess what I am asking for is a corresponding progress note that is a ROS in accord with the MDS quarterly. Not a quarterly assessment.
  23. great job Vicki. I have my BC as well, and am currently on track for the Masteres program, but unfortunately i started a little late, they recinded the gerontology focus for the masters. Ah well. These resources are helpful, and I have tagged them ...
  24. SitcomNurse

    Excited about night shift in LTC

    "jan 14 by jaimie.rn jan 14 by jaimie.rn a member since oct '11 - from 'indiana'. posts: 72 likes: 90 awards: if i didn't have to, i wouldn't! i ask for time changes on these things but day shift keeps changing them back, and since the nurses on da...
  25. SitcomNurse

    Creating an MDS Assessment

    In our facility the MDS coordinator initiates the assessment, she is the one who is certified in MDS's. The med records person is not. Who better to work with the team in coordinating the therapy schedules and be sure to get the best capture? Thin...