I am pulled to the floor when the "day staff" is short, and I am required to be "on-call" 7 days thru the month, 2 of which must be on the week ends.  We are required to have either 3 midnights, and 4 afternoons, or 4 midnights and 3 afternoons.  The weekend shifts run from 7am to 7pm, and 7pm to 7 am.  Of course, I am quitting in about another 2 months.  (Was planning on taking a vacation; now it's really going to be a vacation!)  What's really sad is that these people know so little about Medicare funding they're running in the red!  Wish we had a Vice President of Clinical Services who realized educated people completing the MDS and following the rules equaled money in the door!
----- Original Message -----
Sent: Sunday, February 22, 2004 1:44 PM
Subject: Re: NAC hours

Hi All,
     Our facility has 200 beds, dual certified.  We have 37 Medicare skilled at present.  I have one other RN full time and one LPN full time for now.  The other RN is a recent hire and when she is up to full speed our LPN will go back to half time again.  Need less to say, this is the most Medicare skilled we have ever had.  The acuity level of our admissions is much higher than just a year ago.  I have no concept of being "caught up" anymore......LOL.  However, I am grateful that we are not pulled to the floor to work when short staffed, nor do we have to be on call.  Our Vice President of Clinical Services does realize the importance of the MDS.....thank God.
 
Susan Gibbs, RN
MDS Coordinator
Presbyterian Homes of TN
 

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