Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    Wow! This would be TOTALLY unacceptable in my facility. It is an absolute expectation that there be no late assessments ever w/ no excuses. How late are they? Aren't you getting default rates for...
  2. Nascar nurse

    What are the huge "DO NOT EVER DO" things that new nurses need to know about? calling

    Nascar nurse replied to katiebugg's topic in General Nursing

    Trust the patient when they try to tell you something. Had an alert and oriented 90 some yo LOL in LTC. Kept losing weight, so I kept doubling up calories, adding supplements, Megace, etc. Finally...
  3. Nascar nurse

    How much did you start as a nurse and when.

    Nascar nurse replied to ZASHAGALKA's topic in General Nursing

    1986 - LPN
  4. Nascar nurse

    Mrsa

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

    Exactly how we would handle it too. The dressing stays on or he is to his
  5. Nascar nurse

    "Nurse" on Ellen Gegneres today?!!

    Nascar nurse replied to tridil2000's topic in General Nursing

    Sorry, I actually agree with this. If I got all worked up every time someone put me down cuz I'm a nurse, or a mom, or a woman, or whatever.. I would ALWAYS be worked up about something (and that...
  6. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    :monkeydance:
  7. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    Glad I could help. Sorry, no good hints for section E - it is what it is and the most difficult task is just getting someone to document what they see. I'm always teaching/preaching to throw...
  8. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    I would have coded both as a 3/2 (because that is the right way to do it AND it's the way the RAI - AKA MDS bible - states to do it!) I teach this way: Supervision (#1) = talk Limited (#2) = touch...
  9. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    Actually, I believe this is a JACHO regulation (and I can NEVER remember how to spell that out and bet I've got it wrong again {JACHO}!?) But anyway, we can't allow LPN's to count teeth either for...
  10. Nascar nurse

    How pushy is too pushy?

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

    Well best of luck to you. From reading all your past LTC posts, I know you are a good strong LTC nurse who, like many of us just get fed up w/ all the stupid federal/coorporate BS & rules. If...
  11. Nascar nurse

    MDS Coordinators/ RN or LPN Assessment Coordinators

    Nascar nurse replied to RN 4 Life's topic in MDS Coordinator Information

    An RN is required only to sign R2b - stating the MDS is complete. That's it. This is not even a statement of accuracy, just that all the blanks got filled in. I did entire MDS's/RAP's/Careplans w/...
  12. Nascar nurse

    How pushy is too pushy?

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

    If it was the job I really wanted, I would be calling by Friday afternoon - "just to touch base" (Maybe state you have been away from the phone and worried you had missed her call earlier). Going back...
  13. Nascar nurse

    At home schools

    Nascar nurse replied to sacredwoman's topic in General Nursing

    I'm REALLY confused because her profile states she is already a nursing student!!
  14. Nascar nurse

    What is an MDS nurse?

    Nascar nurse replied to RNOTODAY's topic in General Nursing

    You would be collecting data from a whole bunch of sources; ie: nurses, aides, resident, families, Dr. progress notes, therapy notes, etc, etc. Then you would complete the paper/computer MDS form...
  15. Nascar nurse

    on call pay?

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

    I work in long term care as part of management. We are on call every 5-6 weeks from Friday-Monday. We get NOTHING. Even if we spend several hours from home on the phone covering staffing....
  16. Nascar nurse

    Will our home be cited?

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

    In my state, we only have to report fall with fracture of a "dependent" resident. Recently had a CVA resident in for therapy. Was back to independence, home eval complete and scheduled for discharge...
  17. Nascar nurse

    Question about skilled nursing and g-tubes

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

    In lots of years experience, I have never seen a denial for admission only due to a G-tube either. Seems very basic
  18. Nascar nurse

    case mix question

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

    I found it - thank you to the original poster - cool site.
  19. Nascar nurse

    case mix question

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

    Hi. You don't indicate what state you are in and from the numbers you have posted, it must be VERY different from state to state. I am in Indiana and to get a case mix score of 2.3, would take 99%...
  20. Nascar nurse

    Physicians orders

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

    AMEN. No way - no
  21. Nascar nurse

    College Network

    Nascar nurse replied to Laught3r's topic in LPN to RN

    couldn't have said it
  22. Nascar nurse

    unrealistic family of dying resident

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

    What is the problem with this? Pain management is a good
  23. Nascar nurse

    Do we expect little of people these days?

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

    Good luck w/ your new job. I am jealous as he!!. The powers that be are getting closer to beating me down every day. Hopefully I can escape someday soon
  24. Nascar nurse

    Do we expect little of people these days?

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

    Wow - it seems to be nation wide. The state of LTC is very very sad. And now I hear the Bush wants to cut medicare/medicaid funding, which in turn will cause coorporate to cut costs (ie: staff) even...
  25. Nascar nurse

    Legislation To Improve Ltc?

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

    Came to view this thread after reading your other thread :). Anyways, as MDS coordinators we know that facility reimbursement is tied directly to the RUG scores. If your facility is like mine,...