OldGrayNurse

OldGrayNurse

Medicare Reimbursement; MDS/RAI

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All Content by OldGrayNurse

  1. Why thank you! Just calling it as I see
  2. Best MD note

    FP note on attempting to persuade a patient he'd biopsied to see a plastic surgeon or dermatologist because the skin cancer had spread outside the margins, and the patient was refusing on the grounds...
  3. Health Insurance costs

    My employer offers a UHC plan that meets minimum ACA requirements only. It is crap. It did not used to be crap. Before the ACA, I paid roughly 600.00 monthly for an Employee/Family plan that was a...
  4. At my wits end...

    OP, I feel your pain. I've been in LTC for almost 30 years and I see more and more regulations with less and less staff and money to handle them all. Yes, to any who ask, you are required to notify...
  5. Reducing med pass distractions

    You can ask your DON, Admin, and Medical Director to agree to have a policy placed in your operating manual that states something like this:[TABLE=class: main] [TR=bgcolor: #FFFFFF] [TD][/TD]...
  6. I Am Completely Baffled....

    I couldn't really explain adequately in the title what my post is actually about but I would like some advice. I am an LPN with more than 25 years LTC/SNF experience, and have been an MDS Coordinator...
  7. I Am Completely Baffled....

    Not that I'm glad it happened to you, Emmy, but I am glad I'm not being overly sensitive and seeing an issue where there wasn't one. I am in school, and I was when I applied. I was forced to do so...
  8. On the side of the ER: I would "pitch a fit" too if a nurse, in whom I expect to know 1)how to read and 2) how to use critical thinking skills doesn't have the chart or EMR sitting IN FRONT OF THEM...
  9. I Am Completely Baffled....

    To hppy, re: the articles you posted: I've saved them to read them in detail when I have time; but I'd like to pose a question to you, since you've read the entire texts, if you don't mind me picking...
  10. LPN to RN through Excelsior advice

    If you have an apple product, there is a great app called "Anatomy and Physiology" by a developer called "Study By APP". It's not free (4.99), but it's got great quizzes, audio lectures if you don't...
  11. Clarification!!!!!

    I have to say, PixieRN has written great articles concerning Excelsior. I am an Excelsior student myself, as my non-bedside position is now requiring a BSN. I've a long way to go, but right now I am...
  12. I Am Completely Baffled....

    I guess I just felt as if the post had been changed because they actually had an LPN apply. This particular hospital has "phased out" their LPNs, forcing them to either get a higher degree or work as...
  13. New Grad, disciplinary woes

    This is really sad. I work in a SNF, but I can sympathize. In my case, it's the kids instead of the parents. :) I live in an "at-will" state, so I definitely would not sign a verbal warning, as my...
  14. I couldn't really explain adequately in the title what my post is actually about but I would like some advice. I am an LPN with more than 25 years LTC/SNF experience, and have been an MDS Coordinator...
  15. LPN being scheduled to work as CNA....

    I once worked at a LTC facility as a weekend nurse only. I had a full time job during the week at a rural health clinic, and was picking up extra work doing two 12 hour shifts every other weekend to...
  16. Please stop making that sound !

    Didn't know there was a name for it, but I gotta tell you, it's very difficult to work in a quiet setting with someone who is constantly making noises. I work with a lady who, if she's not passing...
  17. New MDS changes

    Oh, Lordy, ain't it the truth! I am the only full time MDS nurse at my 163 bed LTC. There is one part-time MDS nurse working three days a week. We have recently converted to EHR and the charting is...
  18. Age Discrimination in Nursing

    Does anyone have any input concerning the trend I'm seeing in my area? I mean, with the passing of the ACA, many facilities, particularly LTC facilities, are getting rid of benefits always offered...
  19. Age Discrimination in Nursing

    This thread depresses me. As a 50 year old LPN of 25 years returning for the third time to finally complete an ADN, I'm wondering now, why bother? I do have a rather "niche" job carved out in that I...
  20. Just started excelsior!!

    Started a few months ago...got derailed. Again. Third times's the charm, right??? I've taken A&P, Micro (because mine were too old), a Humanities credit (Music), and the Contemporary Math. (ugh)....