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I often work weekends catching up
interviewing staff ect. it can be a more productive time for me. less department
heads needing me
timma
----- Original Message -----
Sent: Friday, November 14, 2003 7:51
AM
Subject: RE: simple question
I'm not saying you have to be a martyr but sometimes you have
to work
extra. In my building, I am part of nursing administration
and I do
work the floor some to help out. If the resident's needs are
not met,
then what we are putting on a piece of paper is not worth a
flip. And
actually, for me, it is refreshing to get out there and be
with the
residents in a care giver aspect. I truly love hands on
nursing and
enjoy this part of it. It also helps in the assessment
process.
I am not saying I do this everyday, but I do probably 1-2 days
per
month. Also, I have occasionally worked a Sunday. It is not
a every
weekend experience. I have decided a long time ago when I
nearly worked
myself to death that a job would not be my life. But, I
do want my MDS
and care planning to be done timely, so sometimes it calls
for going
above and beyond.
I went into this profession to take care
of people. Sometimes, it is
called biting the bullet. I too
became a nurse during the nursing
shortage and have worked many long hard
hours. I just believe that
nursing is a calling not just a job and I
will do what I can to ensure
my residents are taken care of. I am not
saying you need to be a
scapegoat. The original question was, "Do any
of you have to work
Sundays to get the job done?" I only stated yes,
it comes with the
territory. I am sure at least 75% of nursing
administration
occasionally has to work a Sunday to get the job done.
Brenda W. Chance, RN, RAC-C
MDS
Coordinator
CONFIDENTIALITY NOTICE: This e-mail
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Any unauthorized review, use, disclosure or
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contact the sender by reply
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-----Original Message-----
From: Corey
[mailto:[EMAIL PROTECTED]
Sent: Thursday, November 13, 2003 6:46
PM
To: [EMAIL PROTECTED]
Subject: Re:
simple question
Wow, please forgive me Brenda, but this is one that you
and I will
forever
disagree on!
I have worked many a place where
I was "expected" to do whatever was
needed
to get assessments done on
time, despite being on call for a week at a
time
at the same facility,
and not getting overtime for working the floor
because
I was
"administrative staff". I have worked 24 hours in 24 ( one
as
MDS,
and the next two as the floor nurse to cover the "call-ins") and
then
told I
was expected to work that next day because the Medicare
meeting still
had to
be done and we were having 2 admissions that day,
and I was the MDS
nurse.
So I did it. Guess what? It became
expected, and the next time I
refused
to work the floor for the next 16
hours after getting up from the 7
hours I
had just worked as the MDS
co-ordinator, I was fired. After all, the
home
just wasn't making
that much money, y'know? But they still had the
owner's
personal
Persian rugs from home brought into the facility every 3 months
to
be
cleaned and billed to the facility.
When I first became a nurse, in
1971, I was required to kneel in my
dress to
the DON for my first week
to prove my skirt touched the floor. We were
not
allowed to wear
pants, and lipstick was an offense for which you
could
be
expected. I was expected to kneel in the hallway when the
priest
passed, or
to go into a patient room and stand behind a door
until he passed (that
was
because I was Jewish.) I was
expected to stand when the doctor came to
the
nursing station, so he
could have the seat I was using to chart in.
Nowadays, most of the younger
nurses stand there with their mouths open
in
shock to hear
it. Why? Because, judged by TODAYs standards, it
is
clearly
unreasonable. At some point, we become responsible to
make our own
decisions and standards.
Things change over time, as
did the concept of slavery. I may need to
work
a weekend, AT MY
CHOICE, but because I am not a slave, I flatly refuse
to
allow anyone to
tell me my time, unpaid, is expected. I will stay if no
nurse shows
up to care for the patients, because there's that
neat
patient
abandonment law, but not otherwise, not any more. I
live in Michigan,
and
this state just had to have the Board of Nursing
not too long ago pass a
resolution stating that no investigation would be
made as to revoking a
nurse's license for refusing to involuntarily stay
for overtime because
the
facility was "short" and couldn't find another
nurse. (You see, a
number of
hospitals were telling nurses at
2:55pm and 10:55pm that they HAD to
work
the next shift because they
would otherwise be reported for abandoning
their
patients. Often,
this was known to administration several days in
advance,
and they
"couldn't afford" the pool nurse.)
It DOESN'T come with the
territory! It comes from unreasonable
expectations
from
unreasonable people, and especially with gratuitously greedy people
(known
as owner/administrators) who believe money is often more
important
than
the people who work for them.
Corey
----- Original Message
-----
From: "Brenda Chance" <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent: Thursday,
November 13, 2003 3:36 PM
Subject: RE: simple question
I do many
times! It goes with the territory!
Brenda W. Chance, RN,
RAC-C
MDS Coordinator
CONFIDENTIALITY NOTICE: This e-mail
message, including any attachments,
is for the sole use of the intended
recipient(s) and may contain
confidential
and privileged information.
Any unauthorized review, use, disclosure or
distribution is prohibited. If
you are not the intended recipient,
please
contact the sender by reply
e-mail and destroy all copies of
the
original
message.
-----Original Message-----
From: Bryan
Sims [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 13, 2003 12:49
PM
To: [EMAIL PROTECTED]
Subject: Re:
simple question
Hi, I requested internet service, so that I can take
advantage of
looking up
info re MDS, and since my DON and ADON are both
very MDS savvy it was
done
the next day. Have a good
day.
How many MDS coordinators work weekends, incl Sundays to get all
of
there
work done?
bryan
----- Original Message
-----
From: "Carol O'Brien" <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent: Wednesday,
November 12, 2003 1:45 PM
Subject: Re: simple question
> I
guess we are really lucky here. When I was hired, the
administrator
asked
> specifically if I would mind accessing the
group and sharing things
with
> her, the asst admin, and
DON.
>
>
> >From: "Corey" <[EMAIL PROTECTED]>
>
>Reply-To: [EMAIL PROTECTED]
>
>To: <[EMAIL PROTECTED]>
>
>Subject: Re: simple question
> >Date: Wed, 12 Nov 2003 15:33:10
-0500
> >
> >I would actually estimate that most of us do
NOT have email at work.
In
> >many of my positions in the past, I
have been either scolded, written
up
or
> >actually fired once,
for reading this list serv, or the one that
preceded,
> >at
work. Often, as another on this list serv wrote, either the
DON
or
the
> >Administrator don't really understand all of the
in's and out's of
the
> >process, and the actual relationship of
income to careful scheduling
and
> >coding of the MDS. Many
of them think of 5,14,30,60, etc. as the
actual
> >dates, and no
amount of explanation helps. Most often, reading email
has
>
>been considered "surfing" the internet during work hours.
Actually
showing
> >the downloads, such as the manual, the email
filings and addresses,
> >postings by CMS, etc., are considered
things that are "private
interest"
> >and should be done "on your
own time at home". Several years ago,
the
DON
> >had the
modem removed from the submission computer so that all
submissions
>
>needed to be done from the administrator's computer, which was
fine
until
> >the day the MDS team needed to use her computer for
the submission.
The
> >next day, the modem was returned, but all
use of internet explorer
was
> >blocked, which lasted until they
needed to look up something and
realized
> >they had shot
themselves in the foot. (I suppose it's rude to
giggle,
>
>isn't it?)
> > ----- Original Message -----
>
> From: Michelle Witges
> > To: [EMAIL PROTECTED]
> > Sent:
Wednesday, November 12, 2003 12:20 PM
> > Subject: Re:
simple question
> >
> >
> > I have
noticed in the past day or so that several of us on the
list
>
>serve have indicated that they do not have access to email at
work.
I
just
> >took for granted that most of us access the
list while at work. Is
there
> >some reason or rationale
that those of us who do not have access at
work?
> >Just
curious.
> > Michelle
>
> ----- Original Message -----
>
> From: Corey
> >
To: [EMAIL PROTECTED]
>
> Sent: Wednesday, November 12, 2003 9:25
AM
> > Subject: Re: simple question
>
>
> >
> > Cathy:
>
> During my 10 years in MDS, I have only had 2 jobs
where we were
> >allowed internet access to get email. Got
fired from one job for
going
on
> >line to look something up at
the CMS site. It was considered
"surfing".
>
> ----- Original Message -----
>
> From: Cathy Petros
>
> To: [EMAIL PROTECTED]
>
> Sent: Wednesday, November 12, 2003
8:55 AM
> > Subject: RE: simple
question
> >
> >
>
> Try to take some time during your
work day to review the
emails.
I
> >consider it part of my job
to be informed.
> >
> >
> >
> >
>
>
> >
> >
>
> This e-mail, and any attachments
there to, is intended for use
by
> >the addressee(s) named herein,
and may contain legally privileged
and/or
> >confidential
information. If you are not the intended recipient of
this
>
>e-mail, you are hereby notified that any dissemination,
distribution
or
> >copying of the e-mail, and any attachment
thereto, is strictly
prohibited.
> >If you have received this
e-mail in error, please immediately notify
me
by
> >telephone
at 207-866-4914 and permanently delete the original and any
copy
>
>of any e-mail and any printout thereof.
> >
>
> -----Original Message-----
>
> From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf
> >Of katie fox
>
> Sent: Wednesday, November 05, 2003
9:44 PM
> > To: [EMAIL PROTECTED]
>
> Subject: Re: simple question
>
>
> >
> >
>
> Hi
> >
>
> I do have a manual and it is on my
lap the whole time I am at
the
> >computer. We are the only
facility on the island that does MDS. We
are
> >very small,
25-35 residents. I did not get much training, as our
>
>consultant was trying to catch us up from our computer going down
in
June,
> >she was there for two weeks. I
started in the middle of August.
> >(surveyors came on my
second day on the job) I do all the sections
some
> >of the
time and some of the time I can get our other departments
>
>(activities, social services) to do their sections. Therapy
always
comes
> >through for me and they give me the information
for their section.
> >
>
> I did join AANAC and have been
reading emails almost every
night
> >after work.
>
>
> >
> >
>
> Katie Fox, RN
>
> Seaview Nursing and Rehabilitation
Facility
> > St. Thomas, Virgin
Islands
> > 340-777-3303 ext.
114
> >
> >
----- Original Message -----
> >
>
> From: dfrias
>
>
> > To: [EMAIL PROTECTED]
> >
>
> Sent: Wednesday, November
05, 2003 8:32 PM
> >
>
> Subject: Re: simple
question
> >
> >
> >
>
> Welcome Katie!
>
>
> > I think the
best place for you to start is the RAI
Manual...do
you
> >have
one?
> >
> >
> >
>
> Also, it will be very
important for you to check out (and if
> >possible join) AANAC's
membership.
> >
> >
> >
>
> Tell us...how much
training you have had in the process?
> >
>
> When did you
start?
> >
>
> How many beds are you
responsible for?
> >
>
> What sections do you
complete?
> >
> >
> >
>
> Yes, you did ask a basic
question...but we are all basic to
some
> >extent...as the
regulations are always changing or being clarified.
So
> >feel
free to ask basic questions...infact, we welcome them! You
are
a
> >brave person to write...others like to lurk....so you may
be asking a
> >question that others are thinking about.
>
>
> >
> >
>
> I won't bore you and
others with the answers as I am sure
the
> >questions are being
answered as I write this.
> >
> >
> >
>
> A bit of
advise....
> >
>
> Don't try to be a
perfectionist you will disappoint
yourself.
> >Always, know you
will always be learning regardless of the seminars,
> >conventions
and articles...no one has it all! Which is the
reason
you
can
> >feel free to ask the questions on this
listserver...someone out there
may
> >have part of an answer and
others will expound of that answer...this
is
all
> >part of
growing with the MDS. Oh one last thing...try not to look
at
the
> >position as a job...but rather as a career I do believe
you will find
much
> >more rewarding.
> >
>
>
> >
> >
Good Luck,
> >
>
> The Nose
>
>
> >
> >
> >
> >
>
> ----- Original Message
-----
> >
>
> From: katie
fox
> >
>
> To:
aanac
> >
>
> Sent:
Wednesday, November 05, 2003 6:54 PM
> >
>
> Subject:
simple question
> >
> >
> >
>
> Hi
>
>
> >
I am very new to the whole MDS process and am trying to
learn
>
>everything at once. I am the only one in this area that does
this
job,
so
> >I am learning a lot from everyone's
emails. (thank you)
> >
>
> I have a very
simple question-- What is the time frame for
me
to
> >complete
the MDS after the ARD? And how long for me to transmit?
>
>
> >
Forgive me for the basic question.
> >
> >
>
>
> >
Katie Fox, RN
>
> Seaview
Nursing and Rehabilitation Facility
>
> St. Thomas,
Virgin Islands
>
> 340-777-3303
ext. 114
>
>
_________________________________________________________________
> Is
your computer infected with a virus? Find out with a FREE
computer
virus
> scan from McAfee. Take the FreeScan
now!
> http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963
>
>
/----------------------------------------------------------
> The Case
Mix Discussion Group is a free service of the
> American
Association of Nurse Assessment
Coordinators
> "Committed to the
Assessment Professional"
> Be sure to visit the AANAC website. Accurate
answers to your
>
questions posted to NAC News and FAQs.
> For
more info visit us at http://www.aanac.org
>
-----------------------------------------------------------/
>
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC
website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC
website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC
website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC
website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
|
