Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    coding meds. ?

    Nascar nurse replied to Rascal1's topic in MDS Coordinator Information

    Catnip3 is correct. do not code this as a psychotropic drug as it is not classified as
  2. Nascar nurse

    " I dont have to be better than the others"

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

    What a creep. And, I am sure enough others know it
  3. Nascar nurse

    Extra Nurse Duties

    Nascar nurse replied to ctm985's topic in Geriatric, LTC

    I would have her reviewing orders written in the past 24 hours to ensure everything got followed thru w/.. ie: meds/tx to MAR & TARS, labs really got ordered, updating careplans with those interim...
  4. Nascar nurse

    Caretracker Start-up

    Nascar nurse replied to sls0703's topic in MDS Coordinator Information

    I would strongly suggest that the CNA's do the ADL care in the caretracker, not the nurses. From my experience, the CNA's are usually way more accurate (as long as they have been trained). My next...
  5. Nascar nurse

    Improper glove use at your local eatery(s)

    Nascar nurse replied to dawnsternlpn's topic in General Nursing

    I agree, this is gross and drives me nuts. I have seen gloves that look like they have been on their hands for their entire shift. I would rather them just practice good handwashing and skip the...
  6. Nascar nurse

    skilled charting

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

    Daily charting meets the medicare requirement, but your facility may have a policy that requires charting every
  7. Nascar nurse

    time management and priority setting: Guru needed

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

    Can you quickly create some kind of "canned careplans" with the basic stuff, make a zillion copy of each problem (ADL, Fall, Pressure, etc).. assign each nurse a certain amount and have them add in...
  8. Nascar nurse

    How do you charge for extra services in HFA?

    Nascar nurse replied to ham272's topic in LTC: Directors, Assistant

    Not sure what HFA is??? assuming assisted living? Anyways, years ago when I was health care coordinator of an assisted living we did an assessment on each resident that was very similar to an MDS......
  9. Nascar nurse

    Discipline or Discrimination

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

    I agree with all of the above. 1. Make sure you have solid OBJECTIVE documentation to back you up. 2. From this point forward, ALWAYS have a witness in the room when you discuss anything further...
  10. Nascar nurse

    44 year-old woman with DVT dies of PE--- ???

    Nascar nurse replied to ShimmaShimma0304's topic in General Nursing

    My calf had no redness, no edema... sore the first day (like a pulled muscle), hurt considerably worse by day 2, on day 3.. felt like someone was cutting the muscle away from the bone with a REALLY...
  11. Nascar nurse

    44 year-old woman with DVT dies of PE--- ???

    Nascar nurse replied to ShimmaShimma0304's topic in General Nursing

    I had DVT at 30 years old (smoker and BC pills). As soon as DVT confirmed per ultrasound, I was sent for VQ scan to see if I also had PE, even tho no symptoms... and I did have one. Dr. ordered TEDS...
  12. Nascar nurse

    Can someone "dumb down" blood pressure for me?

    Nascar nurse replied to RNfromMN's topic in General Nursing

    I always kind of relate it as I would life.. systolic (as in most working moms)- the vessels are under pressure.. thats what gets the job done.. but too much and something's going to to be in trouble...
  13. Nascar nurse

    LTC- What do you think the issue is?

    Nascar nurse replied to sinursie's topic in General Nursing

    Ok, I'll go first. I have 22 or so years experience in LTC. Started as an aide (no such thing as certification back then) and now RN. First, I think the elderly are the forgotten generation....
  14. Nascar nurse

    Ending the PPS MDS?

    Nascar nurse replied to jpav33's topic in MDS Coordinator Information

    The "book" way... The Dr. makes the determination when a resident no longer requires skilled care. (But, more often than not.. Dr. doesn't even really know the Medicare A guidelines and certainly...
  15. Nascar nurse

    dry cracked heels

    Nascar nurse replied to birdgardner's topic in General Nursing

    Do they sell the "ped-egg" in your area? Love mine. Then just lotion and wear
  16. Nascar nurse

    What would you do in this situation?

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

    I am not trying to pick at you... but think... would that answer work in a court of law if your patient actually got aspiration pneumonia and died? Even if it had been addressed, it must not have...
  17. Nascar nurse

    What would you do in this situation?

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

    YOU should call and get an order to hold the feeding. Also, someone needs to be evaluating why this lady is vomiting so much. Is the HOB up?, how much does she actually eat orally daily (ie: does...
  18. Nascar nurse

    MDS Coordinator. Again!?

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

    EDS is the yardstick in Indiana HA HA, They are a contracted company that comes once a year and audits a certain percentage of all MDS's (they can audit up to 100% w/in past 90 days if they...
  19. Nascar nurse

    MDS Coordinator. Again!?

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

    I would agree with you, if they are asking behind her back and asking you to keep quiet.. then they have another agenda going on and she is probably going to be let go. If you take the job, you just...
  20. Nascar nurse

    Skilled for psych stay??

    Nascar nurse replied to jpav33's topic in MDS Coordinator Information

    Yes, I would skill them for this and have documentation to support the things you stated.. any adverse effects from meds, behaviors, etc. Probably wouldn't skill them long, but would depend on their...
  21. Nascar nurse

    ICD-9 coding on section I

    Nascar nurse replied to greenbean21's topic in MDS Coordinator Information

    I personally mark hip fracture and then code V54.13. My surveyors would hang me out to dry for not marking hip fracture even though it had been repaired. They look for specifically for missed coding...
  22. Nascar nurse

    Is OB/GYN an eye opening for young MALE student?

    Nascar nurse replied to hnt1987's topic in General Nursing

    You have your age stated as 58 years old in your heading...what's up with
  23. Nascar nurse

    Pets at work

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

    We once had a really cheap little bird (like a $2 bird - whatever kind that would be?). Anyways, over time, this stupid little thing figured out how to talk. Repeated things such as "Nascarnurse you...
  24. Nascar nurse

    This is kinda embarassing and gross: have you ever removed an impaction from yoursel

    Nascar nurse replied to mondkmondk's topic in General Nursing

    T M I... (to much information). Jeez what some people will discuss with anyone just amazes me! (Sorry to be a
  25. Nascar nurse

    Significant Change

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

    CCM, you make me chuckle, but you are correct.. Talino is the bomb and has become our very own guru. CCM is also correct that it takes 2 changes to be a significant change and a Significant change...