What makes matters even worse is that not only are they not on the same page state wise....but within the state as well!
Example:  San Diego Surveyors will site same items that Riverside Surveyors will caution yet at the sametime Orange County surveyors will say or do nothing.  Go figure!
 
Wouldn't it be great if all survey teams included a seasoned MDS Coordinator.  I am aware of  one team in Riverside County that has an ex. MDS person...I know her personally and I must say....she is a good one!
 
The Nose
 
 
Sent: Wednesday, October 29, 2003 5:01 AM
Subject: Re: oltc training

Don't you wish ALL surveyors from ALL states would get on the same page!
One state gets cited, another one doesn't........how are facilities expected to keep up when you never know from one surveyor to the other what is expected or acceptable
Off my box and on to work
----- Original Message -----
Sent: Tuesday, October 28, 2003 10:39 PM
Subject: Re: oltc training

Recently attended an inservice on restraints given by a health care review group who is working closely with surveyors and stated that the definition in the RAI manula is being read into too much.  A person could have a belt on and not beable to remove but not be a restraint.  There example was a resident who does not try to get out of the wheel chair  but has tendency to lean over and play with her feet has a belt on that would be considered an enabler.  Rationale:  it is not prohibiting her access to her body or the task of continuing to leanover in chair it is just on her so she doesn't flip out of chair.
 
Dawn Sheppard, RN, CRNAC
----- Original Message -----
From: mdsc
Sent: Tuesday, October 28, 2003 7:08 PM
Subject: oltc training

Ok Went to RAI training sponsered by OLTC and they said that a restraint was anything that limits mobility or access to body  or that is unable to be easily removed by the resident......not  AND like the RAI manual reads. Is this your understanding?
 
Also vitamins are to be counted as nutritional supplements if given for  dietary supplementation and a medication if given as a medicine???

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