NurseMellie

Latest Activity

1. stasis vs.pressure

   NurseMellie replied to dianediane90's topic in MDS Coordinator Information

   That is certainly tricky. It may be both a stasis ulcer and a pressure ulcer. As Talino mentioned if there is no documentation for the previous MDS from the MD, and you have just based it on nursing...

2. Becoming increasingly frustrated at work.

   NurseMellie replied to rpsychnurse's topic in Geriatric, LTC

   I totally get the frustration piece. As RCM I have lots to juggle on my plate. I have been accused to being threatening to my staff when I have informed them of something they need to be doing or face...

3. Accepted job as MDS nurse but skeptical!

   NurseMellie replied to tattooednurse26's topic in MDS Coordinator Information

   It is difficult to learn the MDS especially when the training is hit and miss. I often had those same types of days in the beginning of my training. I would be pulled to do an admit or work the floor...

4. Non surgical dressing

   NurseMellie replied to glm777's topic in MDS Coordinator Information

   You are covering a surgical site so is a surgical site, coding under nonsurgical would be inappropriate. You have to think of why you are doing the

5. Getting started as MDS nurse

   NurseMellie replied to farmgirl2's topic in MDS Coordinator Information

   Yes, it the 14day pays for days 15-30 of the day. There are graphs in the MDS manual that show what assessments pay for which days of the

6. indefinite suspension because of med error

   NurseMellie replied to bunbao's topic in Geriatric, LTC

   With a blood sugar of 75 some other intervention should most likely have been done. In most facilties that I am aware of a blood sugar less than 80 requires some kind of intervention and a follow up...

7. New to mds

   NurseMellie replied to Mrs.1908's topic in MDS Coordinator Information

   I have a blank calendar that I start with, I then pencil in the OBRAs which are the quarterly and annual assessments. So you have 92 days from the previous quarterly assessment to do another...

8. New to mds

   NurseMellie replied to Mrs.1908's topic in MDS Coordinator Information

   Open the RAI manual and go to chapter 2 page 41. There is a list of what you need to remember. You have until day 8 to set your 5day ARD. You should be doing a 5 day atleast. If the resident stays...

9. New to mds

   NurseMellie replied to Mrs.1908's topic in MDS Coordinator Information

   I have a couple of different sources that I use. One is Point Click Care for our main charting system and then the Contracted Therapy's system. Between the two I set the dates. In your manual there...

10. Nurses who can't give out narcotics

    NurseMellie replied to Blackcat99's topic in Geriatric, LTC

    I have helped with passing narcs for some other nurses. It can be a pain yes, hopefully they are not working at the same time. Maybe the RCMs or MDS nurses can come help pass some of those narcotics,...

11. Dehydration CAA

    NurseMellie replied to glm777's topic in MDS Coordinator Information

    You definitely want to address their risk of dehydration. A lot of the CAAs are redundant and repetitive but they often make you think about how to care plan an

12. HELP! Discharged 1 day after admission

    NurseMellie replied to mydoggierocks's topic in MDS Coordinator Information

    I would do a 5day and discharge. You can code some of the things in the hospital before her admission. In coding some of the ADLs make sure you ask the staff very specific questions about how much...

13. New to mds

    NurseMellie replied to Mrs.1908's topic in MDS Coordinator Information

    Welcome to the nut house! A few resources are Home - Centers for Medicare & Medicaid Services, and Welcome to AANAC I think after you have probably 6 months of experience with the MDS, take a...

14. Where Should I Begin with Training

    NurseMellie replied to Paula C's topic in MDS Coordinator Information

    I had on the job training for my position. Would I recommend courses or classes without some hands on? Maybe, Maybe not. It depends on how the classes are broken down. The ANAAC courses appear to be...

15. IDT organization

    NurseMellie replied to TigerxLiLy's topic in MDS Coordinator Information

    I do keep watch over the different sections; SS, dietary. It has been my experience that things don't always get marked like they should. I have had to do modifications based on others mistakes....