You might want to run this question past your state RAI coordinator. The RAI manual states that facilities have flexibility in deciding who should participate in the assessment process... (Dec. 2002 manual page 1-18). However, each state has laws that govern scope of practice for the various health professionals. When I discussed a similar question with the RAI coordinator in New York state (a couple of years ago) I learned that New York wants people participating in the "assessment" process to be licensed to assess the resident. In New York, the ability to do assessments is not given to all the health professionals who work in SNF's. There is some flexibility in practice and we have not had any problems with the choices we have made at our facility, but it would probably be wise to consult with your state and with people at facilities in your area as you make decisions about this.
carol maher <[EMAIL PROTECTED]> wrote:
I believe that a COTA can fillout part of the MDS and does not need a co-signature. It is the same question that I get here about Diet Techs. I believe that no co-signature is needed and often causes problems. The COTA or Diet tech signs in a timely manner. The co-signature is often after I have signed R2b. Not good. So, I have asked that there be no co-signatures on the MDS. If the discipline believes that a co-signature is required, then only the appropriate person should sign the MDS, not the one who needs their signature co-signed. I have not had any issues with a diet tech's or COTA's signature on the MDS with review by PA's UMR survey team.
-----Original Message-----
From: Karen Marolf <[EMAIL PROTECTED]>
Sent: Oct 28, 2003 12:22 PM
To: [EMAIL PROTECTED]
Subject: signatures--again!!
Hi all,
We have a OT and a COTA(certified occupational therapy assistant) on
our unit---they have split the floor and are asking if the COTA can fill
in part G of the MDS, and sign in AA9 ? or does the OT have to
counter sign after the COTA's signature? Or can the COTA not do
either??
Thanks
Karen
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
Caroline Larson, RN, MS, RAC-C
MDS/PRI Coordinator
Fairport Baptist Homes, Fairport, NY 14450
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