Maybe you should try to make it your policy that if there is a disagreement about a careplanning or mds decision, then the mds coordinator makes the judgement call. This is our policy and my administration backs me up 100%.
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: Thursday, November 20, 2003 4:00 PM To: [EMAIL PROTECTED] Subject: F/U to I'm Frustrated! Thank you all for your support and "empowerment." Like most MDS people, I am not the passive type. Sometimes we need to pull out all stops to get the information we need to help us formulate the best plan of care from the assessment data. Soooooooooooooo, I went in to work today and assertively confronted the Physical therapist. Told her I am a professional, conducted myself like one and expected to be treated as one. For a Resident to go from a 1-1 to 3-3 and 4-3 in mobility, transfers and toileting was in my professional opinion a significant change of status and while I definately support this as a team decision, my rationale is based on the RAI manual. If there is disagreement about this then the state MDS support person could be consulted. My point is that it is a TEAM decision and not just her whim. I don't attend care plan meetings so wasnt there when all of this was discussed and felt that it was very disrespectful to me. Thanks again to all who responded! I feel much better!!! ............Gail _________________________________________________________________ Set yourself up for fun at home! Get tips on home entertainment equipment, video game reviews, and more here. http://special.msn.com/home/homeent.armx /---------------------------------------------------------- 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 -----------------------------------------------------------/
