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Unable to
read the message due to the Pink color,
Please use the Black. My
Eyes are to tired or weary for this.
Thanks. -----Original
Message----- Have
you found that the only people who believe we are so pivotal , IS US !! I
was so annoyed by a previous administrator when she dropped my salary by
$6 a hour and told me she does not feel MDS nurses "are worth
anything". I was astonished. Our work drives almost
everything in LTC, QI, QM, CARE Planning, Fiscal Reimbursement on a State
and Federal Level, Survey, I can go on and on. I actually had to defend
my position to her, her view of "Us', was pretty low on the Totem pole of
responsibility and necessitate. She felt I was "too
critical" when I would validate the information placed by staff on
the MDS, would find errors, and request they be corrected. How could I be
too critical ? I never understand her premise, and was very happy to leave
that place. Yes, they did have problems with survey when the MDS did not
match the resident or the documentation, I wanted to scream "I told you so" . That
administrator had no issue with pulling me from my MDS responsibilities to pass
meds or do treatments when someone would not show up, in her words,
"everyone needs to help out". That meant I was working way, way
many hours, salaried of course, and still not doing the job the way it
should be done. Anyone else with a similar dilemma ? -----Original Message----- Good advice about the training. MDS
is the pivotal point for Long Term Care. It is an intricate assessment
process. Even after you have the training you will call sometimes daily
for clarification on various items as to code or not to code. Make sure if
you do take the job as MDS nurse the expectation is clear. That you
are not going to be pulled to the floor or have other duties as assigned.
Depending on the amount you will have to do chasing the documentation and
communication you will need will take up most of your time. It is a
difficult job at best. When everything is set up to support you in this
position it can be a rewarding job. But that does not happen very often
in this setting. Long Term Care is very hard and is system after
system. It is not like hospital nursing where we throw labor at
problems. In long term residents are entered into many systems
that must be monitored, daily, weekly, monthly and yearly. If you have
never worked long term care it will be an eye opener. I've done it off
and on for 21 years. I'm in the perfect setting, it is only a 19 bed unit
attached to a hospital and all the staff show up everyday. I wish you
luck but go in with your eyes wide open. The amount of
long term care regulations surpassed the amount of regulations for nuclear
enery 7 years ago. We are the most heavily regulated industry in the
world. "Little known fact". -----Original Message----- Personal opinion here only.... I would not take a position as a
part-time MDS nurse. On the other hand... nor would I take a
position as a full-time MDS nurse without training. The best thing you
can do for your own protection and sanity is contact www.AANAC.org and find the closest MDS training
class available to you. The MDS is the driving force for reimbursement
and survey if the MDS nurse is a newbie there could be major problems. Another observation is that in my 9 years
experience as an MDS Nurse/Case Manager I have never seen a successful
part-time MDS Nurse....not to say there are none I just have not seen them. Best advise is to hold on to what you are
doing...and take some classes...then seek employment.
----- Original Message -----
Sent: Saturday,
May 08, 2004 11:44 AM Subject: MDS nurse pros and cons I joined this list last week to see what type of help I could
receive here if I started a new job at a nursing home ,as an MDS, nurse part
time. I work now as your know in a hospital, I am a
DON of the whole hospital,not a floor. It is getting
to be to much and working as a LNC recently. So my question is: Can you tell me what the pros and cons are of your job? thank you for your time. Lawfully yours, Medical Legal Nurse, LNC [EMAIL PROTECTED] Do you Yahoo!? This e-mail was scanned for Viruses by the
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