Go
Girl GO!
CAR
-----Original Message-----
From: Ann Schoeny [mailto:[EMAIL PROTECTED]
Sent: Friday, March 12, 2004 9:38 AM
To: [EMAIL PROTECTED]
Subject: RE: number of mds's...That's too much. It should be about 60 resident per mds staff person. I have the same amount of residents and about the same mix of payor source as you but a very good Lpn is also in my office. We do care plans, care conferences, all the submitting etc. We do not staff the floor for call offs, and unless my Lpn say she has time we never do it. They rarely ask ask anymore , and I have never done it in over 4 years and made it clear that I won't. You gotta be tough and draw a line in the sand. I used to do skin and falls meetings, but they are a waste unless the floor nurses are involved and responsible for these issues. Now I just get the reports. We do get pulled into alot of Eden and Culture change meetings and committees. We also have to help with meals on certain desiginated days, all "office" people have to do this. I am lucky in alot of ways, but also when I was hired I stated what I was willing to do, and not willing to do....I am too old to be unhappy in a job, and too stubborn to change.ann m schoeny crnacsem haven nursing and rehab225 cleveland ave.milford, ohio 45150(513) 248-1270-----Original Message-----
From: MDSNancy [mailto:[EMAIL PROTECTED]
Sent: Friday, March 12, 2004 8:49 AM
To: [EMAIL PROTECTED]
Subject: RE: number of mds's...How many hours do you work a week? They got rid of my assistant! So this has been my first week doing it all myself. 99 bed, usually run 8-10-12-14 medicare at any given time ( and admissions LOVES to admit them all the same week!). I verify all entries on the mds (might as well be doing it myself!), scheduling, submission, careplans, meetings, reports, and filing. Probably missed something. Rarely have I been pulled to the floor, but as of now, I will NOT be. I also used to be the wound team. I am trying to refuse that as well, but so far..... we'll see
P Sell <[EMAIL PROTECTED]> wrote:How about I do all the above for a 120 bed facility that has currently 30 Med A's, and do NOT have anyone to help me? One of these days I am going to change my address to the facility......
"Richardson, Christine" <[EMAIL PROTECTED]> wrote:We have about 80 res long term and 25-3o Medicare res. I do all Medicare
res and another NAC does long term. I do the submissions for the whole
building. For Medicare res only I set the ARD date, do the MDS, DO the RAPS
and care plans and continued tracking while on Medicare .I attend the
family meetings, admission meeting daily, I run the weekly Medicare meeting
and document why res continues to remain skilled, I meet with Rehab 3
mornings a week to discuss rug issues. I do the re entry's and discharges.
When I have time I attend a weekly pt care committee. I do have another NAC
that helps me 2 days a week. We do about 15-20 comprehensive assessments a
week along with several 5 day assesmnets.Depends on what problems are
happening that day.
Hope this helps
CAR
-----Original Message-----
From: June Brunelle [mailto:[EMAIL PROTECTED]
Sent: Wednesday, March 10, 2004 5:00 PM
To: aanac
Subject: number of mds's...
Greetings,
Our facility is looking at making some changes. Would like to know from the
group what is considered a reasonable number of MDS's that one could do in a
weeks time. We are a dually certified facility. Is it realistic to be
resposible for 82 residents to which I would be responsible for coding a
good portion of the mds and overseeing that other departments do their part
in a timely manner? I would also be doing the submissions for the entire
facility plus the careplans and going to the careplan meetings. We have a
total cencus of 156 with another person who will do the other approx. half..
It seems that on some weeks this could be a heavy load for anyone person to
handle...especially when one could have several full or comprehensive
assessments. What are some pros and cons that I can bring back to our
follow up meeting this friday.
Thanks in advance. All thoughts appreciated.
June
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/----------------------------------------------------------
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
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NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure. It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available). In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.
