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To top it off...our very own Rena knows this
corporation and agrees with me...that I truly was SPOILED ROTTEN! I worked
for Southern California Presbyterian Homes (SCPH) and the facility was Redwood
Terrace in Escondido, Ca. Although, you say it with tongue in cheek....I
would highly recommend some of these corporations to work together. Can
you imagine if a corporation like SCPH got ahold of some of the other
corporations and educated the executives...it would be a blessing to all.
The Nose
----- Original Message -----
Sent: Monday, May 10, 2004 8:02 AM
Subject: RE: MDS nurse pros and cons-My
opinion
WOW
!! Where did you work before, then should give lessons to others
:) NADINE
My last employer which includes the corp.
office looked and treated their MDS Nurse's as special as we are!
However, an exception was my direct facility...I was very spoiled, I will
never find another facility like it for this I am sure. The nurse
that took my place agrees with me she stated, "I was so lucky to find this
facility". The DON treated as equals with no one else to answer to
except her and the Administrator...and they always agreed with my
arguments. I was able to continue yearly with update seminars at
no charge to me. I miss that place and the people in it....would
never have left if it wasn't for the relocation my husband and I did to
Prescott, Ariz.
The Nose
----- Original Message -----
Sent: Monday, May 10, 2004 6:35
AM
Subject: RE: MDS nurse pros and
cons-My opinion
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 ?
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".
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.
The Nose
----- 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
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