Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Medicare Question

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

    AHHHH, maybe this is the technicality that we are missing. You refer to a "designation change" and the word "hospitals". I am referring to an extended care, skilled nursing facility only. I am not...
  2. Nascar nurse

    LTC consulting

    Nascar nurse posted a topic in LTC: Directors, Assistant

    The ADON and I have been in our facility for over 15 years. During lunch conversation we were just talking and came up with maybe starting out on our own w/ a consulting business. Teach CNA class,...
  3. Nascar nurse

    Medicare Question

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

    Well this is just plain screwy, cuz this is not how it works! Maybe you got ripped off?? Medicare covers the first 20 days in LTC at 100%, the other 80 days are covered at 80% and the resident is...
  4. Nascar nurse

    Medicare Question

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

    Oh but my comment didn't apply to WHERE the meds came from (they can come from ANYWHERE the facility decides to contract with.... my point was that the FACILITY ultimately paid the pharmacy, not...
  5. Nascar nurse

    Medicare Question

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

    Jeez, I almost hate to get involved w/ this here ... but are you SURE or did you assume that medicare paid the pharmacy, instead of the LTC. My understanding is that once a facility accepts medicare...
  6. Nascar nurse

    Medicare Question

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

    Sorry, no idea with this. That would be between the pharmacy and the
  7. Nascar nurse

    Choice of diet

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

    Well I never heard of Moose either! That sounds nasty... a moose milkshake Ok, I will quit now - no more thread hijacking from me on this
  8. Nascar nurse

    Rules,regulations,policy's Care Plan!

    Nascar nurse replied to buildingmyfaith57's topic in Geriatric, LTC

    There are definate state and federal rules. This is what state surveyors do.. make sure that the facilities are in compliance with state and federal
  9. Nascar nurse

    Choice of diet

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

    :lol2: is this boosT or booZe :lol2: I wanna be old and get a booze milkshake too. Sorry, just hit my
  10. Nascar nurse

    Medicare Question

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

    Since you list your specialty as long term care... I am going to "assume" you are asking about residents in a LTC facility.. Yes??? If a resident is being covered under medicare, than the facility is...
  11. Nascar nurse

    CarePlans & MDS's

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

    Example: New order: Septra 10 days for UTI Careplan problem: Resident has UTI Careplan Goal: Resident's UTI will be resolved upon completion of ABT AEB negative ua/cs Careplan interventions:...
  12. Nascar nurse

    LTC consulting

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

    Thanks for the reply. I was beginning to think it must be a dumb idea since no one had anything to
  13. Nascar nurse

    Just When You Think You've Seen It All....

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

    Well... I get it (to many years answering to state surveryors for this kind of stuff!) For the others without lots of long term care experience, This would be a HUGE dignity violation which most...
  14. Nascar nurse

    Complaint got my gram bumped from Medicaid pay to self pay!

    Nascar nurse replied to kukukajoo's topic in General Nursing

    Yep, unfortunately, I think this is the reality of a nursing home and it is pitiful! Staffing is always a huge burden. Extremely difficult job, little thanks from anyone, the pay generally is the...
  15. Nascar nurse

    Complaint got my gram bumped from Medicaid pay to self pay!

    Nascar nurse replied to kukukajoo's topic in General Nursing

    When receiving medicare $$ for the purpose of receiving PT &/or OT therapy to regain physical functioning, it is not OK to repeatedly refuse to participate in such treatment and expect the tax...
  16. Nascar nurse

    OMG Halcion

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

    No we don't use it and haven't for years. No way I would even think of giving it or the Haldol. We get those kind of orders changed ASAP and just pray "we" see it before a newer nurse starts...
  17. Nascar nurse

    Aged Care RN's

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

    :lol2::trout:
  18. Nascar nurse

    LTC nurse wage more?

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

    My area in the midwest, the hospital pays more. Often $2-5/hr
  19. Nascar nurse

    Recruiting Staff

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

    You implied you were looking specifically for nurse managers. Can these positions be flex time positions or are they "work the floor" type nurse managers and are part of staffing ratios? If these are...
  20. Nascar nurse

    State Surveys

    Nascar nurse replied to megananne7's topic in General Nursing

    Long term care facility surveys are available on the medicare nursing home compare site, but I don't know if this will also include ALF's. Try http://www.medicare.gov, then look for nursing home...
  21. Nascar nurse

    "The Jesus Factor"

    Nascar nurse replied to FireStarterRN's topic in General Nursing

    While on vacation recently, I went in a T-shirt shop to buy souviners. Salesperson approaches with "Hello. If you were to die to day do you feel assured that you would go to heavan. Have you...
  22. Nascar nurse

    what would you have done??

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

    It appears the biggest concern is what the oximeter reading is, which would make my FIRST instinct to recheck the SAT rate w/ another machine, especially since vital signs are all normal. One of my...
  23. Nascar nurse

    Job Discrimnation !

    Nascar nurse replied to buildingmyfaith57's topic in General Nursing

    OK... but how did the whole religion topic come into play with this then? You are not making this part clear. I agree with many others. If you are just having a very casual conversation about...
  24. Nascar nurse

    I Quit!

    Nascar nurse replied to CapeCodMermaid's topic in Home Health

    Yeah for the long term care industry - they got another good one back. (But admittedly I am over in this forum "snooping" because I was out just yesterday putting in applications for home health...
  25. Nascar nurse

    Help me understand the MDS please

    Nascar nurse replied to laurenbella24's topic in MDS Coordinator Information

    I would be absolutely sick if I was not able to locate a single careplan for an entire unit. Are these on computer and can be regenerated easily, or will this have to be started from scratch. I do...