Gail.... You have every reason in the world to vent!!! Sometimes this listserver is the only available ones that will listen or for that matter care.
Let it be known...you did correctly and the heck with the team! Your responsibility is to the resident and your facility to remain as much as possible within the guidelines of OBRA. Congratulations for a job well done! The Nose ----- Original Message ----- From: "Gail RN" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, November 19, 2003 3:13 PM Subject: I'm Frustrated! > > > 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!~~~~~~~~~~~~~~~~~~ > > _________________________________________________________________ > Share holiday photos without swamping your Inbox. Get MSN Extra Storage > now! http://join.msn.com/?PAGE=features/es > > /---------------------------------------------------------- > 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 -----------------------------------------------------------/
