Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    No quarterlies?

    Nascar nurse replied to Rexie68's topic in MDS Coordinator Information

    But you still capture therapy minutes on quarterly assessments and this goes into the CMI. I really kind of think you are confused!?! If you do only comprehensive assessments, you will be required to...
  2. Nascar nurse

    No quarterlies?

    Nascar nurse replied to Rexie68's topic in MDS Coordinator Information

    OK.... but why would you want to skip the quarterlies and just do a comprehensive assessment? Jeez that is a lot of extra work w/ no gain to
  3. Nascar nurse

    Coding Question

    Nascar nurse replied to dbsue1954's topic in MDS Coordinator Information

    YEAH!!!:monkeydance:
  4. Nascar nurse

    Coding Question

    Nascar nurse replied to dbsue1954's topic in MDS Coordinator Information

    Thanks. I would appreciate hearing what you find out. It is something we don't use alot
  5. Nascar nurse

    Coding Question

    Nascar nurse replied to dbsue1954's topic in MDS Coordinator Information

    My bad. I wrongly assumed that the PAC would be IV. If it is subq, then I would not code it as IV med. I'm stretching my memory here, but I believe you would only code as an injection the one day...
  6. Nascar nurse

    Department heads yippeeee!

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

    I have kindly refrained from responding to this for several days... but my mouth is about to over ride my good sense. I only hope someone will come along to stick up for me. (Get your flames ready...
  7. Nascar nurse

    Coding Question

    Nascar nurse replied to dbsue1954's topic in MDS Coordinator Information

    why isn't it an IV med? I wouldn't code as
  8. Nascar nurse

    What kind of LTC resident will you be?

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

    Oh, and I'll be in the room with AC/DC blaring at full volume. Of course I will have to turn the volume down when the surveyors show up. I what them to hear LOUD AND CLEAR what I've thought about...
  9. Nascar nurse

    What kind of LTC resident will you be?

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

    I will be the one that says the hell w/ the special diet... bring me pizza and chocolate or I ain't eatin. I will be the one that punches someone who thinks I outta get OOB at 6am (to do what?!? -...
  10. Nascar nurse

    Mrsa

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

    Same thing for us. We get a written statement from MD verifying that infection is colonized for the chart. We would do our best to cohort roommate with someone else with a colonized infection if at...
  11. Nascar nurse

    reportables

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

    We would report all of the above and also would include any bruise over 10cm (even if we can explain injury). We would not report a fall w/ minor injury... would potentially be reporting to the DPH...
  12. Nascar nurse

    Skilling For Tube Feeding

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

    Again, sorry, I can't direct to the specific reg, I am just going as directed by my coorporation management direction, but... I understand this was the "old" way of dictating medicare coverage, but...
  13. Nascar nurse

    Brookdale.??

    Nascar nurse replied to wyrleygirl1's topic in Geriatric, LTC

    I did this job for about a year several years ago. The company was called Sterling House at the time and they have been thru several name changes. The job is basically a director of nursing...
  14. Nascar nurse

    Grace Days

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

    You seem to be most concerned about reflecting more than 5 days of therapy. In my building often PT and OT work together, both with orders for treatment 5 days/wk - BUT NO ONE SAID IT HAD TO BE THE...
  15. Nascar nurse

    Skilling For Tube Feeding

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

    I can't point you to a specific reg, but i would... skill the resident for a new peg tube up until the point that they are clinically stable, ie: weights are stable, it's determined they are...
  16. Nascar nurse

    LPN as MDS coordinator

    Nascar nurse replied to nursejane236's topic in MDS Coordinator Information

    OMG!! - you either have gray hair :) or you don't have to attend all the stupid meetings that take up so much of my time. This sounds
  17. Nascar nurse

    outpatient procedure

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

    Yep, the two above posters are
  18. Nascar nurse

    MDS Coordinators on call question

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

    Their are 5 of us who take call in rotation. We are also expected to come in 4 hours on Saturday and Sunday of our "on call" weekend (and we always have the possiblity of being called right back in...
  19. Nascar nurse

    Long term care SNF staffing

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

    Just as you see the unfairness of mgmt thinking you're sitting on your behind all the time, it is just as unfair to "assume" that the DON is sitting on her behind all the time. Staffing issues (which...
  20. Nascar nurse

    Is a hospice program needed in LTC?

    Nascar nurse replied to clevelandrocksgirl38's topic in Hospice, Palliative

    As a long time LTC nurse, I whole heartedly agree with all of the above posted. We have several hospice patients in our long term care. We have been extremely fortunate to have a "dedicated" team...
  21. Nascar nurse

    I didn't do NUTHIN', I swear!!!

    Nascar nurse replied to TazziRN's topic in General Nursing

    Sorry for the unexpected loss of your patient. Remember, late stage alzheimers IS a terminal illness - so not totally unexpected and certainly no blame to you! I hope to live to an older age and then...
  22. Nascar nurse

    Rescue me from myself - please

    Nascar nurse posted a topic in LTC: Directors, Assistant

    I have an opportunity to become the ADON or DON at my facility. For some crazy reason, I am thinking of accepting one of these positions... god I must be nuts! Help me think this out... why should I...
  23. Nascar nurse

    CarePlans & MDS's

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

    awwww jeezzzz. double :trout: :trout: to me!!! I DO TRY to educate Dr's., but we've got a couple that... well I'm sure some of you have 'em too. OK, I'm done with this topic
  24. Nascar nurse

    CarePlans & MDS's

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

    :trout:to me... but the reality of my life is that most MD's write the order to do the follow up u/a therefore I usually use it since I know I'll have it. But, you are
  25. Nascar nurse

    Lpn-rn advice

    Nascar nurse replied to kaigo's topic in General Nursing

    My $.02 worth... things only get harder once you have kids. If you have the time now, do it now! Maybe you can work a wkend shift here and there once finished or just take the refresher course when...