Hi Everyone,
I don't understand where non MDS people come from. I am referring to other disciplines (the team!) that have no clue about MDS's and yet in my facility are responsible for determining if someone is a change in status.
I am a RAC-C and although I would never profess to be an expert in doing MDS's, when I came across a Resident that was coded 1-1 in transfers, mobility and toileting last quarter and now is an extensive 2 person assist, to me that is a change in status. To them, since his only areas of change were in sec G, he is not a change of status. I pointed out to the TEAM in the RAI manual where it very clearly says 2 or more changes can be in the same domain, but its always fighting a battle! When I "cleared" doing this change with the physical therapist she reluctantly said I could do it. Then I found out today that in patient care to which I am never invited, I was slammed for taking it upon myself to do this sig change because this same physical therapist had apparently forgotten that I had talked to her about it.
Ya know, I just needed to vent. Thanks for being a great support group! Gail
~~~~~~~~~~~~And tomorrow's another day!~~~~~~~~~~~~~~~~~~
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