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I thought that when you signed at R2b on an
admission assessment, you were signing that the RAP's and MDS were completed,
and then you had 7 days to complete the care plans. For the instance cited
in the email, she stated that they were (the RAP's) completed by day 21, making
these assessments after admission, in which case the RAP's would ned to be done
by day 14 at the latest. For an annual assessment you have ARD + 14 days,
but not later than VB2 of the previous year (not more than 366
days.)
Am I missing something here, AGAIN????
Corey
----- Original Message -----
Sent: Wednesday, November 26, 2003 8:28
AM
Subject: RE: POSTING RAPS TO CHART
The raps have to be completed by the
date in Vb2. This is the date that the RN signs and verifies that the
raps have been completed.
Brenda W. Chance,
RN, RAC-C
MDS
Coordinator
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-----Original
Message-----
From: Corey
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, November 25,
2003 4:47 PM
To:
[EMAIL PROTECTED]
Subject: Re:
POSTING RAPS TO CHART
Rap;s neet to be completed by the
day the MDS is signed at R2B, and you then have another 7 days to get the care
plans completed. They might not need to be ON THE CHART by day 21, but
they do need to be available to clinical staff.
----- Original Message -----
Sent: Monday,
November 24, 2003 4:11 PM
Subject: Re:
POSTING RAPS TO CHART
RAPs, which should include your
decision to careplan, are to be completed by day 14 for an Admission OBRA
MDS.
RAI
User�s Manual VB2:
Date that the RN coordinating the RAP assessment process certifies that the
RAPs have been completed. The RAP review must be completed no later
than day 14 from the admission date for an Admission assessment and within
14 days of the Assessment Reference Date (A3a) for an Annual assessment,
Significant Change in Status assessment, or a Significant Correction of a
Prior Full assessment. This date is considered the date of completion
for the RAI (i.e., the date used to determine compliance with Federal time
frames for assessment and the date that drives future due dates for when the
RAI needs to be completed).
(p. 3-238)
The Careplans are to be
completed no later than day 21.
In a message dated 11/24/2003
3:48:20 PM Eastern Standard Time, [EMAIL PROTECTED]
writes:
A center in the
area got cited for "not having the RAPS on the chart in a
timely
basis." Do they need to be actually on the chart by day 21?
Our
procedure is that they are complete by day 21 and in the care plan
nurse's
box along with the MDS until she completes the care plan 7
days later. She
then posts the RAPS and MDS and the care plans
go to our DON for signature
(SB 1202 in Florida). After they are
signed, they go to the chart. Do we
need to change our procedure
and have them on the chart
earlier?
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