Did you say you don't attend careplan.I am now curious as to how many MDS coordinators
don't actually run the careplan meeting.To me it all fits together.I work at a
facility where I do all the nsg mds items on the PPS patients and take care of
anything else that pertains to med A but have a partner,who does the nsg MDS items for
the rest of the house.She writes the careplans along with the other disciplines for
all residents,PPS included.She attends and facilitates the careplan
meetings.Occasionally,she will point out a needed sig change.I must say others may ask
my opinion as I am the senior coordinator but the final decision is ours.One member
needs the full authority for sig change decisions,of course with input from other
members of the team.During survey who do you think will be asked about why a sig
change wasn't done.My guess would be the RN coordinator.After attending one of the
AANAC programs,I believe Jan Stewart,suggested we have some kind of a form explaining
sig changes etc.We use a form in our MDS section where we wr
ite notes regarding hospital stays and the rationale for doing sig changes or
not.During survey,I am still nervous when they come and I have been in longterm over
30 years,it is easy if you have notes when a question arises.
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