Lord forgive me for saying this again, but I really do think that the best judge of whether or not to do a SCSA when you're not certain, is to look at your care plans. If they cover the current situation w/o change, you're probably fine. But if the current care plans don't match the patient in the bed, you probably need to start over. ----- Original Message ----- From: "carol maher" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, November 05, 2003 10:55 AM Subject: Re: Significant Change
> > Sorry, I read the guidelines in the manaul to the letter also. However, one area of improvement and one area of decline (as you used in your example) does not meet the criteria for significant change in the manual. If I have 2 areas of ADLs that go from 2 to 3, and those changes are consistent changes--in other words , the resident does require extensive assistance now--then I do a Significant Change. I also do a SCSA when a resident requires total care consistently when they used to require extensive assistance. Following the manual is the safest course of action. > -----Original Message----- > From: Holly McGran <[EMAIL PROTECTED]> > Sent: Nov 5, 2003 5:48 AM > To: "AANAC List Serve (E-mail)" <[EMAIL PROTECTED]> > Subject: Significant Change > > > > I need some input from this fine group - we recently had our survey and received a significant change deficiency. There were 4 residents that had a significant change (they were clear "significant" changes and should have been done). The problem now is the MDS Coordinator is afraid not to do a significant change on residents for what I feel are minor changes. For example Mood and behavior symptoms (a 2 to a 1) and a change in 2 to 3 in section G in one area. The care plans are current and don't need to be changed. The care plan team is going crazy because they are not "significant" changes. She is reading the guidelines in the manual to the letter and not looking at the whole picture. If anyone can give me any guidance on how you determine significant change in residents, I would be so appreciative. Thank you in advance. > Holly QI in CT > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
