Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Signing Assessments, is this wrong?

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

From my experience with a couple different MDS software programs, you should be able to print out the MDS prior to typing in the R2b date. Once printed, then go back in and add the actual R2b date...
HELP--payment sources...the difference in all...

Nascar nurse replied to nursewiggins78's topic in Geriatric, LTC

I'll see if I can help a little related to nursing homes and MDS's Medicare A/federally ran progam - (Generally those over 65 or declared disabled) Requires a 3day (actually 3 midnight) stays in a...
Thats It!! Im Calling The State!!

Nascar nurse replied to zimsaint's topic in General Nursing

I'm confused. Why are you still employed there? Why are you putting your license on the line
How do you get your MDS done?

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

I personally think it would be a pain in the "orifice" to have everyone in a room trying t complete an MDS. Jeez, talk about ineffecient use of time! Plus why do they have a say (or even care) in...
Career ladder for RNs in LTC?

Nascar nurse replied to EMM1's topic in LTC: Directors, Assistant

Hmmm. Nice thought, but still never heard/seen this done in LTC.
Career ladder for RNs in LTC?

Nascar nurse replied to EMM1's topic in LTC: Directors, Assistant

Been in LTC 20+ years. Never heard of RN1, RN2, etc. Why are you trying to develop this? Work or
Medicare chart requirements

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

I am used to seeing 3moths worth of documentaion on the charts, but not sure if that is an offical rule. As far as acute careplans, you should be able to "thin" that out as soon as the issue is...
do you isolate patient with infection?

Nascar nurse replied to Ms.RN's topic in Geriatric, LTC

I agree with this, but would like to add...you really have to look at the individual resident sometimes. - Think alert w/ good hygeine. Able to remember and follow basic handwashing, etc. This...
Long Term Care Needs Some Direction!

Nascar nurse replied to Karynica, RN's topic in General Nursing

Are you sure that they were in fact "gossiping"? Unless you actually overheard the conversation (and it was truely inappropriate) I can't understand why this is such a big deal that the cooperate...
Want to pursue evenings/nights at a LTC facility

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

oooogh. I don't know about this. 1. You can't just go take an LPN role (or even a CNA role). If you are licensed as an RN, you will still be held accountable to those standards by your state...
skill criteria

Nascar nurse replied to nurseduck114's topic in MDS Coordinator Information

Not to hijack the thread or anything, but Talino... you are absolutely awesome at knowing where to find your sources. I feel I usually know the answers too, but wow.. be damned if I could ever come...
BSN, Possible Job as Admissions Screener

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

Now see, this is crap. I also live in NW Indiana and the salaries are NOT 14.00/hr. I would expect 20.00-25.00/hr! You do not need to be a nurse to be an admissions coordinator, but lots of...
Got a sweet deal!

Nascar nurse posted a topic in MDS Coordinator Information

I was all set to begin my hospital job on an orthopedic unit on Monday and then yesterday got recruited by a different LTC cooportation from my previous employment. Basically they said, what will it...
BSN, Possible Job as Admissions Screener

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

1. 35K seems way to low, but this does depend on the area you live. 2. The job may be a good fit with your physical limitatons as long as you can handle the in/out of the car and lots of walking....
Newbie Questions

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

I think you may have to be more specific as to what kind of data you hope to gain from the MDS. You may also need to tell us what state you're in as I would assume that some of the reports/data...
Nursing Home to Hospital

Nascar nurse replied to busy-bee's topic in General Nursing

Hey, don't feel alone. I have been a nurse over 20 years.... all LTC and start at my local hospital next Monday. I am scared to death and jumping out of my skin with excitment. (kinda bipolar on...
LTC vs. Hospital Salary for New RN - Help!

Nascar nurse replied to dander625's topic in Geriatric, LTC

From what I have read on this site, this seems to vary greatly from region to region. It seems some areas pay more for LTC than hospitals, but this is not always true! I have 20 years of only LTC...
When to enter meds on MAR

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

My surveyors expect to see pour, pass, chart. Considered falsifying records if charted before actually administered. They said it is the MAR - meaning "adminisration" record not the MPR "poured"...
Working LTC Agency

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

If you are really a newbie at long term care, I would not recomend doing agency AT ALL! Despite what some may lead you to believe, LTC is tough and very demanding with very little back up support to...
Berkshire Healthcare

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

Are you looking for specific information about one of their facilities. Try looking on the medicare nursing home compare site. That will give you staffing, state inspecton results and quality...
Recovery Audit Contractors

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

This is very interesting and not really suprising. I am one of those that stated I routinely use grace days and have never had problem with it (and I haven't). The philosophy in my coorporation is...
LPN doing assesments?

Nascar nurse replied to ElderCare Nurse's topic in Geriatric, LTC

r2b signature only states that the mds assessment is complete. it does not imply that the assessment is accurate. refer to rai
Care Planning

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

It is the expectation at my facility that we careplan anticoagulant medications with "A risk for bleeding/bruising r/t use of ________" Even tho I think it is overkill most of the time, I have seen it...
feds in nursign home

Nascar nurse replied to mm44's topic in General Nursing

Wow... lots of speculation. There are and always have been federal (medical)compliance inspectors. They go in a certain percentage of all long term care facilities and conduct a federal survey, just...
Having the "Right to Fall"

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

But on the other hand, we have had family members insist that we restrain their loved one and surveyors tell us that family has NO authority over this decision, because "they have that right to fall....

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