OldGrayNurse

OldGrayNurse

Medicare Reimbursement; MDS/RAI

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About OldGrayNurse

OldGrayNurse has 27 years experience and specializes in Medicare Reimbursement; MDS/RAI.


Nurse of 27 years, wife of 32 years, mother, caregiver, amateur photographer and writer. Follower of Christ thought I live a far from perfect life.

Latest Activity

  1. All staff matter :)

    I find, in many instances, it is simply a matter of perspective; ER nurses don't understand LTC's don't have a doc on site 24/7. In most cases, they round monthly, and you bet your sweet tootie they...
  2. Co-workers mad that you're going to school

    I have experienced this same thing. Paradoxically, it was my DON who suggested I go back to school because it "would look better for our facility if all our administrative nurses had BSNs." Basically,...
  3. Why are nurses so backbiting?

    I've been an LTC nurse for almost 30 years. I've worked with the NETY attitude; I've worked without it. I've worked restaurant server, factory, and other non-nursing jobs pre-nursing school that had...
  4. Excelsior math

    Grab the CLEP College Math workbook off of Amazon. Do those exercises and the one in the Study Guide from EC, and you will do fine. I barely cracked either book and made a C, as I was pressed for...
  5. Excelsior math

  6. Just started excelsior!!

    I ordered the CLEP College Math workbook. The problems are similar to what you will find in the Excelsior study guide; I used this and the practice tests by Excelsior and passed. Here is the link to...
  7. Article NY Times! Spot on...I think so!!

    An EMR program that was downloaded into our computers and implemented by our BUSINESS OFFICE MANAGER with NO formal training from the company, and the BOM as the ONLY PERSON allowed to customize is...
  8. Is Your Workplace Healthy... really...

    I agree; however, with insurance companies requiring healthier BMI's, no smoking/smoking cessation, body mechanics workshops, etc, for better-priced plans, employers should be actively seeking to at...
  9. Just started excelsior!!

    I just kept working the problems in the workbook and the study guide over and over. I am rotten at this kind of math too. There are no "medical math" questions per se, which I can handle; it's a lot...
  10. Me... Me... Me: A Sense of Entitlement

    Yep. My husband (cancer patient at a major university hospital) just got his Press Ganey survey in the mail today. Asked me what it was for. Two hours into the rant, he regretted
  11. Me... Me... Me: A Sense of Entitlement

    Stars, it is unreal how different it is now; I started out in LTC, went to rural health for a number of years, had a daughter that wanted law school so I came back because they do manage to pay well...
  12. Me... Me... Me: A Sense of Entitlement

    Working in LTC, you often see a sense of entitlement more so in the family members than in the actual residents. Anyone who's ever worked LTC knows your two largest medication passes occur b/t seven...
  13. Question about cna

    Sorry, OP. You didn't speak of them deliberately doing things that put residents in jeopardy in your first post. That's one thing that's not up for negotiation. If they are doing that, it's actually...
  14. Question about cna

    Sometimes it's a matter of perception. Some CNAs, for reasons unknown to me, actually have a harder time following the leadership of nurse they know used to be "one of them". It could be that you are...
  15. Seriously overworked

    I don't know what state you work in, but be careful following the advice to quit and find another job. In my state, hospital are attempting to gain magnet status and no LPNs are being hired, period....