I was doing the mds when it first came out and it was not called the ard. It was called the observation end date and is was technically the same thing as the ard.
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: Michelle Witges [mailto:[EMAIL PROTECTED] Sent: Thursday, November 20, 2003 10:31 AM To: [EMAIL PROTECTED] Subject: Re: I'm Frustrated! Way back when the MDS first came out, it was taught that the ARD was the date that it needed to be completed by. You could chose a date prior to the ARD and then count backward from the date you chose. That was when the MDS was first required to be completed. I cannot remember when that changed. I have been doing the MDS since it's inception and the rules are always changing and the players are not usually notified of the changes. That's our government in action! Michelle ----- Original Message ----- From: "bill" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, November 19, 2003 5:35 PM Subject: RE: I'm Frustrated! > Im very suprised that survey has not picked up this practice, > how can u sign and date an assessment with a date BEFORE, the > ARD? that doesnt make sense... > > > > > > > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of > Gail RN > Sent: Wednesday, November 19, 2003 6:28 PM > To: [EMAIL PROTECTED] > Subject: RE: I'm Frustrated! > > > No, I don't go to care plan conferences unless the head nurse is out. I help > the head nurses do the MDS's when they are due for their floor and also > educate them on the MDS process and RAPS......but its like fighting an > uphill battle. I am the only nurse in this facility of 218 Residents that is > a RAC-C. When I first started there, I was just flabbergasted to learn that > their ARD date is their DUE date!! Which means if the ARD is set for the > 7th, the MDS's for the floor will come out say on the 1st, to be completed > say by the 7th. On the 7th (which is always a Wednesday), the RAPS are due > and care plan meeting is the following Wednesday. When I do MDS's on any > given floor, I must set my own ARD because if I am doing the MDS on the 3rd, > I need to count back the 7 days etc from the date I am doing it. On the > front, I sign for the sections I did and the date I did the MDS, which > always has to be earlier than the ARD! Screwed up eh? My reply if a > surveyor ever questions me???? "Its company policy". It's all I can > do.......believe me, I have tried to educate them!! > > > >From: "Brenda Chance" <[EMAIL PROTECTED]> > >Reply-To: [EMAIL PROTECTED] > >To: <[EMAIL PROTECTED]> > >Subject: RE: I'm Frustrated! > >Date: Wed, 19 Nov 2003 17:21:40 -0500 > > > >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 > >-----------------------------------------------------------/ > > _________________________________________________________________ > Gift-shop online from the comfort of home at MSN Shopping! No crowds, free > parking. http://shopping.msn.com > > /---------------------------------------------------------- > 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
