Re: POSTING RAPS TO CHART

[carol maher]

The signature and date at R2b signifies that the MDS is complete.  The signature and date at Vb2 signifies the completion of the RAPS.  Those 2 dates can be different.  Both of the dates, R2b and Vb2 must be on or before day 14 for an admission assessment and on or before day 14 after the ARD for annual assessments.  You have 7 days to complete the care plan after the Vb2 date--which in Holly's example is after the R2b date(perfectly acceptable). Vb2 must be on or after the date in R2b.  Look at page 2-5 in the revised manual.  The second bullet says" Both the MDS completion Date (R2b) and RAPS Completion Date (Vb2) must be dated within 14 days of admission.  R2b must always be earlier than or the same as Vb2.  If R2b is dated prior to day 14, Vb2 may or may not be the same day, but can be no later than day 14." 

The next bullet shows that the care plan must be completed by 7 days after Vb2


-----Original Message-----
From: Corey <[EMAIL PROTECTED]>
Sent: Nov 26, 2003 10:38 AM
To: [EMAIL PROTECTED]
Subject: Re: POSTING RAPS TO CHART

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 -----

From: Brenda Chance

To: [EMAIL PROTECTED]

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

 

 

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: 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.

 

Corey

----- Original Message -----

From: [EMAIL PROTECTED]

To: [EMAIL PROTECTED]

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.

 

Laurie Genereux

 

 

 

 

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?

_________________________________________________________________
Has one of the new viruses infected your computer?  Find out with a FREE
online computer virus scan from McAfee. Take the FreeScan now! 
http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963

/----------------------------------------------------------
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 -----------------------------------------------------------/