One of the intelligent things done by the Red Rocks facility in New Mexico was that the charge nurse on each unit was given a list of the MDS' due in the next month, with the type of assessment (Full or quarterly).  The nurses had to fill out a specific form for each month as the monthly assessment, but for the full assessment, it was a more comprehensive form.  The form was  the documentation I needed.  It was the most intelligent type form I have ever seen, and since it was in there each month, it was expected.  The only change was the annual or significant change, which required the longer form.  There was also a spot on it for additional nurses notes, if needed, and then additional problems, such as documenting falls follow ups or problems with families was done on nures notes.  It was on a Brigg's Form: FFNP041S  (The last number is really hard to read; maybe it's a 5?)
----- Original Message -----
Sent: Friday, December 05, 2003 3:10 PM
Subject: Quarterly Notes

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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