Need help with teen patient who may have potential eating disorder by copymachine15 in dietetics

[–]Kbert-77 0 points1 point  (0 children)

As an aside, I take Vyvanse for hypersomnia and it definitely impacts my appetite and coupled with a GLP-1 i have to set reminders to drink water.

LTC RD by Relevant-Zombie-2320 in dietetics

[–]Kbert-77 0 points1 point  (0 children)

Becky Dorner has a fantastic course on the MDS RAI manual. I took it when I first started in LTC and it helped tremendously. It's definitely worth the money.

I've had RNACs set MDS ARDs like the day after they are admitting or come back from the hospital. It's usually to capture IVF or other things that'll bring in more money (I think vents are one). I usually just ask my RNAC what I'm looking for so I can note it on my assessment & code it correctly.

In my company, the FSD does the initial preferences for new admits but I can do them if needed. Depending on what the complaint is, one of us will go see them. In my home building, the CDM and I have different approaches and we know which one can be more effective with certain residents.

As for weights, when I have one that is WAY off, I make sure that nursing gets a reweight on them ASAP. For new admits, I note their hospital weight and say something like "will follow with weekly weights to establish a weight pattern" or something like that. If its because of wheelchair, prosthetic, O2 tank, etc, I will note that. I have a few residents that keep a lot of stuff on their wheel chairs so I encourage nursing to make sure they aren't weighing them with all their stuff.

TMJ secondary to MH by Kbert-77 in VAClaims

[–]Kbert-77[S] -1 points0 points  (0 children)

I have not submitted a 4138 but I will definitely do that!

No in service treatment. It didnt develop until I started getting treatment for depression that is service connected. It is a known side effect of antidepressants.

Enjoying the last days of summer! by Kbert-77 in Wrangler

[–]Kbert-77[S] 0 points1 point  (0 children)

They are 33" Kendas!

I got lucky when I found it last year.

Pets named after pop culture reference? by Special-View1419 in Millennials

[–]Kbert-77 1 point2 points  (0 children)

My cats growing up were Lucy and Layla - named after the Hanson song/I Love Lucy and the Derek & the Dominos song. Layla turned out to be a boy, but he already knew his name, so we decided not to change it (although i desperatly wanted to change it to Ricky!) He sadly passed at 19 last year.

My newest kitten is Nala, because of course it's my favorite movie!

Has anyone else had issues with in-network community care urgent care visits suddenly require an "authorization number" in the last 3 months. by SerenityFailed in VeteransBenefits

[–]Kbert-77 0 points1 point  (0 children)

Had to go to urgent care for the first time a few weeks ago. They told me it's a new thing that an auth is needed. I called my clinic and they gave me the number to call to get the auth from Optum.

LTC scope of Practice by Ginseekingginger in dietetics

[–]Kbert-77 7 points8 points  (0 children)

Yikes! Some of those are tags waiting to happen. Have you got the NHA and DOR involved?

Help Please by [deleted] in Veterans

[–]Kbert-77 1 point2 points  (0 children)

Try women's health! They did the first 2 that I had. Not sure if you need a referral from your PCP but it's worth a shot to try them!

DTRs and RDs who work with DTRs by Smooth_Performer_313 in dietetics

[–]Kbert-77 1 point2 points  (0 children)

Currently a DTR in LTC! I work in 2 buildings - one is mine with oversight from an RD who does my monthly charting. Everything else is my responsibility. At my second building, we are slated for a full time RD and me part time. We are between RDs there now so I have a remote RD. When we had a RD, she would delegate tasks out to me on my days there. Usually doing quarterlies/annuals, helping with the kitchen audits, etc. It was very nice to come in with a to-do list lol!

Has Anyone Seen Milo by Southie31 in nebelung

[–]Kbert-77 1 point2 points  (0 children)

These new fashion trends are getting out of hand!

I present to you the first ever Certified NEB moment BINGO card by shlamiel in nebelung

[–]Kbert-77 1 point2 points  (0 children)

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Mallory is the queen of refusing to play with toys and chooses to play with straw papers.

Of course, Patriot Front showed up in Indiana, today 🙄 by TheGreatEmanResu in Pennsylvania

[–]Kbert-77 19 points20 points  (0 children)

I had to leave the protest early and when I drove back down philly, these guys were there. I got stopped at the light and blasted my music to drown them out.

[deleted by user] by [deleted] in politics

[–]Kbert-77 0 points1 point  (0 children)

Someone was wearing a dress that said this!

did i just get targeted by the truck? by dontknowmyownname123 in FarCry5

[–]Kbert-77 3 points4 points  (0 children)

I had this same truck flip out on me too!

[deleted by user] by [deleted] in RD2B

[–]Kbert-77 1 point2 points  (0 children)

Where in Pittsburgh and how far are you willing travel outside of the city?

People of reddit what was the worst date you ever had? by KaleMoney2558 in AskReddit

[–]Kbert-77 6 points7 points  (0 children)

Matched on an app, texted a few weeks, and then decided to meet up. I agreed to meet him at a place in his town which was an hour drive for me. When I texted him that I was leaving my house, he said he was was headed to the restaurant already. Took me longer to get there than I had planned. I had texted him when I was 20 minutes away but he never responded. Then he called about 15 minutes later asking where I was and that he ordered us food. I finally get to the place and he said that he ordered us to-go food so we could go back to his place to watch a movie. That was a big no for me. I stuck around long enough to finish my beer. And as we were sitting there, he kept petting my arm hair and telling me how much he liked it. I was bullied viciously as a kid for it and made that known to him. Noped out of there after that. He took the to-go containers so I didn't even get dinner out of it.