You are the RN and also the MDS coordinator. You have every right in the world to set up a significant change in status assessment, and you are right at citing the R.A.I in regards to declines. We recently had survey and got cited on not noticing 2 residents with significant changes in status. Good luck and don't let them bully you around.
BILL -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Brenda Chance Sent: Wednesday, November 19, 2003 5:22 PM To: [EMAIL PROTECTED] Subject: RE: I'm Frustrated! Something doesn't add up here. As the RN, you are the head of the team. You are the one that is supposed to insure that everything is done by the book. Since when, do you have to have a PT's OK to do a significant change. That is ludicrous. The folks at your facility need to read the manual and live in the real MDS world. They are not doing them by the "book" and will ultimately reap the problems associated with this. Why are you not going to care planning conferences? If you are doing the MDS and so forth, you should be a major part of this team. It seems to me that they have the team approach backwards. I am not trying to knock any therapists out there, but few have read the MDS manual, much less understand what a significant change is. EDUCATION!!!! I would talk with my DON and administrator and explain to them my concerns. If they don't want deficiencies, they will listen to you. Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Gail RN [mailto:[EMAIL PROTECTED] Sent: Wednesday, November 19, 2003 5:13 PM To: [EMAIL PROTECTED] 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
