Valcorie34

Valcorie34

Skilled Rehab Nursing
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Valcorie34 has 3 years experience and specializes in Skilled Rehab Nursing.

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  1. PDPM capturing dialysis

    Hi I am an RCM that works closely with my MDS nurse. When we are looking over PDPM for peritoneal dialysis it seems like we really can't capture the reimbursment for the extra time and cost. We are considering taking on these patients but it doesn't ...
  2. I have worked in skilled nursing for a long time. I love it. I think the biggest hardship for most nurses new to the field of rehab is time management. I usually customize my own brain sheet after getting to know patients for who has anticoags and wh...
  3. Combination Rehab/SNF? Confused new grad RN

    I work in Skilled Nursing Rehabilitation. I love what I do. Skilled rehab is primarily for patients that have left the hospital and need therapy and nursing to continue to progress to a discharge home or at their baseline of care. It can be a 1-6 wee...
  4. Ointments/Wound care for Geriatric Patient

    I think there are a few things to consider before recommending a product. First if you are concerned about infection is there periwound redness, increase in discharge, odor, or warmth around the wound? It may be something that needs a wound culture e...
  5. I feel like I’m being targeted please help

    I have worked at low staffing facilities and great facilities. I would ask yourself is this the job you really want? If it is something you want to put effort in, you are going to have to sit down with the DON and point out 1. They have low staffing ...
  6. Organization tips as RCM

    I am thrilled to be starting soon as an RCM. But I am looking for tips or methods others organize their information about their residents, wounds, interventions, falls ect. Do you usually keep a log outside of your computer system like PCC, like exce...
  7. I would report her to the state hotline for abuse. That is abuse of pt rights. I would also document the name of the nurse who stated she gave him something as she is complacent. It is not ok at all. That could equal a harm tag if not documented. Plu...
  8. Feeling lack of respect

    I am really feeling a lack of respect at my work. I was hired from RN floor nurse work on a cart and charge nurse, into a manager (Rcm)role in July. Only every month it turned into just wait we need better staffing. We can't do it just yet ect. Meanw...
  9. Falls interventions

    We fit the interventions to the situation leaving door open onnroom, 15 min checks with documentaion. First up, for day or meals for impulsive people. First down for those trying to self transfer to bed, non skid strips on floor, fall mats once in a ...
  10. New RCM/ADON share some wisdom

    I am starting as an RCM/ADON in my facility next month. It is a very busy skilled nursing facility. I know the building and people here pretty well. I have a lot of support for the transition. But I really want some good tips and wisdom you may have ...
  11. Speedy med pass

  12. Length of Time Body Can Stay in Bed After Death?

    I think the correct answer about belongings is as much time as the family needs (within reason). CNA staff can bag up items. If they will be a long time more than a half a day then facilities should be able to move items to a safe area. As far as a ...
  13. Fall Prevention with Psychiatric Patient

    Our facility also does not use alarms. It can be frustrating at times. I guess for interventions look at soft touch call light you can place by hip while in bed, so if they try to stand the call light goes off. Non skid foot wear, put walker or w/C...
  14. Frustrated...advice about suspension

    I am an RN in a LCT unit. I work 6pm-7am and have two med carts for the acute care sections of my building, I have the HS med pass for 44 residents, EVE shift and NOC shift treatments 2 MARS, and an AM med pass for the same. I am very busy (what nurs...
  15. BSN is a joke

    I am getting my BSN online and attending GWO George Washington University. Many of the classmates from ny ADN program are sayign similaar things about thier classes. Especially people attending WGU washington governors and move at your own pace class...