I would code it in the mds and then explain it in your RAPS. You wouldn't have to proceed to care plan if they are currently alert and orientated.
Heidi Ebertowski,R.N. MDS Care Coordinator Valley Memorial Homes Grand Forks, ND (701)787-7937 fax (701)787-7901 Confidentiality Statement: This message is intended for the sole use of the individual and entity to whom it is addressed, and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If you are not the intended addressee,nor authorized to receive for the intended addressee,you are hereby notified that you may not use,copy,disclose or distribute to anyone the message or any information contained in the message. If you have received this message in error,please immediately advise the sender by reply email and delete the message. Thank you. -----Original Message----- From: Stacee Kunse [mailto:[EMAIL PROTECTED] Sent: Wednesday, December 31, 2003 10:46 AM To: [EMAIL PROTECTED] Subject: cognitive coding New part A admission. Reference date day of admission. Upon our nursing assessment on the ARD, resident is alert and oriented. All of the hospital notes have confused, disoriented, hallucinations, etc. How do we code for the variation?? This e-mail and any attachments are confidential information intended for the sole use of the addressee listed. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Management Information Systems Coordinator at (989)673-4117, and delete the e-mail. Unauthorized use, dissemination, distribution or copying of this e-mail or attachments, in whole or in part, is strictly prohibited and may be unlawful. Stacee Kunse, RN MDS Coordinator Tuscola County Medical Care Facility 1285 Cleaver Road Caro, MI 48723 Phone: (989)673-4117 Fax: (989)673-6665 Email: [EMAIL PROTECTED] /---------------------------------------------------------- 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 -----------------------------------------------------------/
