Re: NAC hours

Thu, 19 Feb 2004 16:59:20 -0800

I have been working in an 84-bed NH with 24 Medicare beds since May �03. There is an average of 20 residents on Medicare, with approx. 35-40 admissions and just as many D/C a month.  I was the only MDS Coordinator in this facility when I started, and spent approx. 60 + hours of work a week on the job. In October �03, the facility finally hired a PT MDS Coordinator to help (it had been in the POC from Oct. 02 to hire a 2nd MDS Coordinator in response to CP citations, and it was close to survey time). The MDS �Department� is responsible for ALL aspects of MDS/care planning, meaning that we are the only ones changing/updating care plans. In addition, may I point out that I had volunteered to go salary from hourly just so I would not have any time constraints to do my job well. The ADON, on the other hand, who does work the floor and weekends, is still on the clock. 

We passed state inspections w/o any citations in MDS/CP.  Even with my PT assistant, I still spend 55+ hours at the facility.  Last month, I was asked to work the floor �on weekends only�. After I told the NHA and DON that I would not be able to work the floor (I still do take work home), I was asked to �take over restorative nursing�, and that it would only include signing off some progress notes. As all of you probably know, taking on the responsibility of restorative nursing means more than �just signing off progress notes�, adding approx. 20 more hours if I really would take the time to run the program.

Well, I did have the nerve to tell my administration �NO�, even after I was told that I had a �the coziest job in the building� and I am still employed.

I love my job as MDS Coordinator, that is what I do, and what I am good at, but with these added pressures, in the future, I may be job hunting, too �

Michelle Witges <[EMAIL PROTECTED]> wrote:
I work at a hospital based snf with 11 medicare and the rest long term.  We are usually full with out non medicare beds and run about 8-10 for medicare.  I am the only RN.  I am responsible for assessment of nursing sections, input of info into computer for act., dietary and my section.  Social service puts in her own info and pharmacy also.  I also do all careplans, coordinate and run weekly careplan meetings.  I am also the abuse coordinator, part of the Eden alternative committee and UR committee.  I also help out with feeding and doing floor work and God forbid if a Code is called.  I am extremely frustrated with my job currently due to poor communication from nursing staff re: d/c admits and any other changes.  Now DON is making decisions re: careplan issues and not telling me and I find out about it from the Activity aide.  Needless to say I am currently seeking employment elsewhere.  I would love to stay where I am but I do not forsee things getting better, just worse.  Now I'm off my pity party.
Michelle
 
----- Original Message -----
Sent: Thursday, February 19, 2004 8:15 AM
Subject: RE: NAC hours

I want to work there!!!
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ann Schoeny
Sent: Thursday, February 19, 2004 7:56 AM
To: [EMAIL PROTECTED]
Subject: RE: NAC hours

We are a 100 bed facility and have 10-15 medicare A residents at any given time. Our office is myself (RN) and one full time LPN. She has been doing MDS's for over 6 years here, and I have been here over 4 years. We divide up long term, and I do all Medicare.
we also do all Care Plans. We always feel like we are behind......Hope this Helps
Ann Schoeny
Sem Haven Health Care
Milford, Ohio 45150
-----Original Message-----
From: sheppard70057rn [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 19, 2004 8:10 AM
To: [EMAIL PROTECTED]
Subject: Re: NAC hours

If your referencing the number of NACs, our building is 134 beds runs 10-12 medicare and we have one FT RN and one FT LPN.  We are told constantly that we have too many mds people.
Dawn Sheppard, RN, CRNAC
----- Original Message -----
Sent: Thursday, February 19, 2004 6:22 AM
Subject: NAC hours

I am working in a 120 bed facility.  We are running about 105 census w/ about 30 MCRs.  We have 2.0 FTEs: 1 FTE LPN 1.8 FTE RN and .2 FTE LPN.  How does this stack up against the way most facilities of this size are running?
 
Thanks!

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