Alabama Finance

Sep 21 2017

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Medicare Charting

I have a question. In your LTC facility how often do you document on your Medicare residents? What guidelines do you use? Do you do vitals on them every shift?

At the facility I am currently working at we have to do vitals on each medicare resident, document on them in their chart every shift, even though it’s pretty much the same on each night shift. We now have new guidelines that we have to chart on one each resident and it takes almost an hour to do 5 residents. That is just nuts when we have so many other things to do. The facility frowns on having any overtime, so we end up donating :angryfire time to the facility or get a stern talking to from management. But then there is one nurse who always is there for at least 2 hours after her shift and c/o not getting her break and that she can never get her stuff done, but never gets yelled at.

Am just curious about what other facilities do for medicare. or even managed care.

At our facility we also have to chart,fully assess, and do v/s’s on all Medicare patients as well. I am the only nurse at noc and it is a big challenge to get it all done . I spend about 4-5 hours on documentation alone d/t 16 mdc res in our facility . I know Medicare only requires once a day but each facility or each director of nursing has their own way of doing things. I think it sucks ,but I love being a nurse.

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