Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    debate

    Nascar nurse replied to 1lanarn's topic in MDS Coordinator Information

    Just because she crossed her arms did not mean she participated in transfers - she didn't move one ounce of her own weight from point A to B by crossing her arms. That's how I explain this when the...
  2. Nascar nurse

    Pharmacy is now doing our MARS...

    Nascar nurse replied to Finallydidit's topic in Geriatric, LTC

    Actually I was already talking about you today at work when someone else was saying that they are just dreading this change. Was telling the DON that I suspect this poster on allnurses probably works...
  3. Nascar nurse

    Where do all the MDS Coordinators live?

    Nascar nurse replied to CapeCodMermaid's topic in MDS Coordinator Information

    Sorry..Indiana. What is
  4. Nascar nurse

    XPost, Admins/Mgr please answer written interview

    Nascar nurse replied to cb_rn's topic in LTC: Directors, Assistant

    I think you are in the wrong forum...You posted in the nursing home Director of Nursing forum. You will probably want to get f a moderator and have them move your post. Most/all of your questions...
  5. Nascar nurse

    Pharmacy is now doing our MARS...

    Nascar nurse replied to Finallydidit's topic in Geriatric, LTC

    Ugg..my facility is scheduled to begin having the pharmacy do MAR's next month. I have been dreading it prior to reading this thread but now I'm really
  6. Nascar nurse

    avoid interruptions

    Nascar nurse replied to nhlpn546's topic in Geriatric, LTC

    Currently arguing this very issue with our administrator. The secretary leaves at 5pm & corporate is calling at 5:30pm and complaining no one answers the phone. It is now mandatory that the...
  7. Nascar nurse

    Where do all the MDS Coordinators live?

    Nascar nurse replied to CapeCodMermaid's topic in MDS Coordinator Information

    Sorry, to far away to help ya. Good
  8. Nascar nurse

    Question about DNR patient.

    Nascar nurse replied to ArcadianRN's topic in LTC: Directors, Assistant

    Hospice benefits does not cover the cost of room and board. If they qualify for medicare, the room and board is covered for the first 20 days & then day 21 and beyond they only owe 20% (most...
  9. Nascar nurse

    Patient 'found' my number on the internet...

    Nascar nurse replied to Da_Milk_of_Amnesia's topic in General Nursing

    I read your entire post & I figured out you were male. I also figured out you weren't gay because you stated you were out with your girlfriend. But, I also picked up that you are probably pretty...
  10. Nascar nurse

    Patient 'found' my number on the internet...

    Nascar nurse replied to Da_Milk_of_Amnesia's topic in General Nursing

    Just out of curiosity, why have you not just answered the phone and clearly explained your professional boundries and tell this guy that all further health related questions need to be directed to his...
  11. Nascar nurse

    was i wrong?

    Nascar nurse replied to goldc8's topic in General Nursing

    I always remind people that DNR does NOT mean do not treat.. it means do not resuscitate! Therefore in this patients case he still should have been sent to the ER for eval regardless of his code...
  12. Nascar nurse

    Glucometer / Infection Control

    Nascar nurse replied to ktwlpn's topic in Geriatric, LTC

    My state has posted all over that we will be given an IJ if glucometers not properly sanitized. That is just nuts! AN IJ!?! I haven't been thru survey yet and so far haven't heard of any nearby...
  13. Nascar nurse

    down coding?

    Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

    I am not "down coding".. I'm just marking what I can validate as the truth. I also educate, educate, educate. If that doesn't work (and it won't with some staff) then I start writing em up. I don't...
  14. Nascar nurse

    down coding?

    Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

  15. Nascar nurse

    Nursing Home- Patient falls?

    Nascar nurse replied to anonymous1919's topic in General Nursing

    14 DAYS! That's crazy. Another waste of resources - the nurses
  16. Nascar nurse

    How do *you* tell your patient "No"?

    Nascar nurse replied to anonymous1919's topic in General Nursing

    Ha ha.. We seem to have somewhat of a difference of opinion on this & I have to tell you... I'm far far far from a newbie! I've been in LTC for 25 years or more. And who said anything about...
  17. Nascar nurse

    down coding?

    Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

    our state auditors will not accept my note stating a discrepancy - i know this from unpleasant experiences. they will accept a note from the actual staff member that caused the original decrepency...
  18. Nascar nurse

    How do *you* tell your patient "No"?

    Nascar nurse replied to anonymous1919's topic in General Nursing

    I would go get the syrup.. I'm sure I can walk a lot faster there and back & I personally HATE cold pancakes. They would surely be cold if I walked like most 90yo I would also just open the...
  19. Nascar nurse

    Nursing Home- Patient falls?

    Nascar nurse replied to anonymous1919's topic in General Nursing

    That is not our policy and seems a ridiculous abuse of resources! If they have usual ROM and deny any pain... exactly what is the hospital going to x-ray - the entire body to r/o an injury. We...
  20. Nascar nurse

    Nursing Home Emergencies- what would you do?

    Nascar nurse replied to anonymous1919's topic in General Nursing

    Check code status... we do not call 911 if they are a DNR. Once code status has been established call 911 immediately - do not wait on supervisor or anyone else. If you can not figure out code...
  21. Nascar nurse

    ADON'S what are your duties and what and how many hours do you work?

    Nascar nurse replied to Bubbles82's topic in LTC: Directors, Assistant

    I am the fall/safety queen - daily monitoring of all falls/bruises/abrasions. I oversee the RAI process, audit for accuracy, sign off at R2b and sit-in on the entire triple check (medicare billing)....
  22. Nascar nurse

    pre-delivery "grooming" issue?

    Nascar nurse replied to brillohead's topic in Ob/Gyn

    You gotta good
  23. Nascar nurse

    pre-delivery "grooming" issue?

    Nascar nurse replied to brillohead's topic in Ob/Gyn

    Wow.. all the answers to questions I was always afraid to ask! Informative
  24. Nascar nurse

    down coding?

    Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

    I am assuming the OP is in Indiana (based on the use of Myers & Stauffers). Indiana is different my friend. Although the RAI clearly states that the MDS nurse can interview resident and staff...
  25. Nascar nurse

    down coding?

    Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

    If I have 20 shifts of "dependent" and one hole in the ADL flow record, I code as extensive (because the RAI says to be dependent they must always be dependent for the entire 7 day lookback period)....