workload-am i too slow

[hoggRN]

My census is 62 with 11 medicare A residents. I am the only mds coordinator. I do all the medicare/medicaid assessments & everything that goes with it except dietary, social services, & activity sections which are k,l / c,d,e,q / f. I have to babysit social services & activity director every step of the way. I do daily pps meetings. QA monthly, triple check process before billing can be done on medicare A/B residents, weekly weight & PAR meeting, Careplan meetings at minimum 1 day a week, audit charts, assigned rooms in facility that i must do angel rounds on daily and fill out a report for survey readiness and compliance, weekend manager q 6 weeks, all inservicing nursing/cnas on documentation, review all documentation 3x week, etc... My point is also that i do all the careplans for nursing on all residents. I stay behind on careplans because everything else takes all my time plus working well over 40 hrs a week. I have to work 10 hr days on sat or sun just for careplanning. Plus we have had no ADON for 12 yrs, I've been doing that job also. Am i just slow ? I know i'm tired & stay stressed. I've turned into a grouch. I have been mds nurse for 12 yrs. I make $25 hr salary. Never able to take a day off. I have no back up person. I am everyone else's back up person. Am I a normal mds nurse or do i have it good and just don't know it ?

[rnman99]

thanks for the suggestion, i must go to stand up, part of my job. besides it would just be another excuse why her workload is so much. i wish i had the 50 case-mix and hourly salary.

do you do the 40+ PPS yourself? do you go to any meetings?

I do all the PPS myself. PPS census ranges anywhere from 35-50 depending on the season. See my above post. We have 170 beds, my 2 cohorts split the medicaid and private pay residents, do care plan meetings, and the usual stuff. They stay busy. We have had a few residents that haven't had a 3.0 quarterly yet as they've had sig changes every time.

We used to go to standup, work on call; I had the restorative program at one point, but it was getting stupid busy so we had them taken away.

I'm supposed to have another person for PPS but the last hire we had was a total hoser and got fired so it's been just me. It wouldn't be so bad if we didn't have to do all those stinking discharges.

[Magaly63]

Def being taken advantage of by clueless NHAs and DON......2 of us in a 150 bed facility, both FT, VERY high acuity...all vents, trachs, GT, wounds, TBIs...with a very high rate of D/C to hosp, average 50/month, HATE those revolving doors d/c!

Averaging 10 Med A and 10 Managed...

We split morning mtg, PPS, QA, CP, reports and everything else pretty evenly. Takes a little getting used to but doable, of course you have to be lucky enough to have an equal, cooperative partner.

No other duties unrelated to MDS, simply wouldn't have time for it. Absolutely not on call, it's already hard enough to take a day off as it is now. Vacations are hard, we plan them, and shuffle assessments around but the other person has to work extra hours. While is it generally understood that our job is strictly MDS, sometimes new duties are mentioned, it is then up to us to educate and explain that it just not feasible and be firm about it. We are not primadonnas, just aware of our duties, responsabilities and VALUE.

About a market study in your area?? Can you poll other RNAC on their duties, hours and such then present it to your NHA?

Salary is on the low end also, but that could be because of the area you are in

Average work day is 8.5 hours but we don't fool around, we are busy.

We do get everything done, how it's done it's up to us...