Our CNA's have flow sheets they must complete on a daily basis. Before an MDS is due I put a sticker on the residents chart of the assessment dates and each shift (nurse) is asked to write a note about that resident for their shift. We have told them to include how they do their ADL's, # of staff needed to assist, behaviors during cares, any other pertinent information for that resident. I also visit with the primary CNA for the resident before I do the MDS and ask all the pertinent questions. Linda

>>> [EMAIL PROTECTED] 12/05/03 02:10PM >>>
We are having a problem at my new facility and your input would really help.
 
When I do a quarterly MDS  or any MDS for that matter there is not enough documentation.  An example would be  doing a quarterly note with only 1 progress note in 3 months and CNA records half filled out.
How do you handle these situations?
I spoke with the head of my department on the corporate level who tells me to go and do a full assessment my self and do a late entry for the ARD.
I do not feel confortable doing this.  I've been an RNAC for a long time and this is the first time I have encountered this.  The documentation is HORRIBLE.
 
Thanks for the imput in advance


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