If you have documentation that states the resident is impacted, and that documentation is not correct, you certainly need some further documentation that explains why H2d is not checked. If you don't have that additional documentation, the surveys have every right to say you did not complete the MDS correctly and did not provide adequate care for an impacted resident.
Who writes that additional documentation is less important that getting it done. I would suggest you explain WHY the original note was wrong rather than just a statement that it was incorrect. Nathan -----Original Message----- From: Holly McGran [mailto:[EMAIL PROTECTED] Sent: Wednesday, November 26, 2003 2:50 PM To: AANAC List Serve (E-mail) Subject: MDS Impactions .... We had a resident - constipated, not impacted - the nurse documented impaction inappropriately - would you guys document in the nurses's progress note to justify why you did not check impaction on the MDS and if so what would you write or would you have the nurse who documented inappropriately make a note? Thank you in advance. Holly QI in CT /---------------------------------------------------------- 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 -----------------------------------------------------------/
