RE: Significant Change

[Cathy Petros]

Just another reason I resigned my old position.  I could and would not work for a DON who had no idea of the MDS process or the regulations.  I wrote extensive notes in the progress notes stating that I felt it was a sig. change and had the verification to back it.  I also included that the “team” was against it also.  Go figure!!!!!  Thank heavens I do not have to deal with that now!       This e-mail, and any attachments there to, is intended for use by the addressee(s) named herein, and may contain legally privileged and/or confidential information.  If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of the e-mail, and any attachment thereto, is strictly prohibited.  If you have received this e-mail in error, please immediately notify me by telephone at 207-866-4914 and permanently delete the original and any copy of any e-mail and any printout thereof. -----Original Message----- From: cmdg[EMAIL PROTECTED] [mailto:cmdg[EMAIL PROTECTED] On Behalf Of Park Lane MDS Sent: Thursday, November 06, 2003 11:02 AM To: cmdg@aanac.org Subject: Re: Significant Change   My question is this, who signs the mds, and who is going to get the blame for the write up from state if it is found you should have done the significant change.  Does your DON have any idea about the mds process.  But on the other hand, my DON thinks that I should be doing more significant changes on res.  even if there is not a significant change there.  I just show her the criteria from the mds bible, and she backs off for a while.  It is such a vicious cycle mds coordinators live with.  As Rodney Dangerfield once said "I don't no respect." Shellie   ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, November 05, 2003 2:57 PM Subject: Re: Significant Change   MY DON Doesn't like to me to do significant change MDS assessments if there are MDS items on there that will raise the QI's: example weight loss, wounds