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Yes, but I guess the original question should have
indicated whether or not the MDS nurse is incorrectly (knowingly) filling out
the MDS? Can we be cited for this, as one writer indicated was being done
in PA., or cited for inaccurate coding?
----- Original Message -----
Sent: Saturday, January 03, 2004 7:14
PM
Subject: Re: Facility chooses not to show
services?
I have noted among some of my clients and
participants in educational sessions around the country that many facilities
are providing services that they call restorative programs. In most
cases, they are even delivered by specially trained Restorative Nursing
Assistants. However, they do not qualify to be documented on the MDS,
because the programs do not meet all of the requirements spelled out in the
RAI manual. Generally, in my experience, the limiting factor is either
the programs are not available six days per week (as is the case here with the
original question) or their licensed nurses are not routinely monitoring each
resident's progress and documenting it in the chart.
Rena
Rena
R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse
Assessment Coordinators
[EMAIL PROTECTED]
Subj: Re: Facility chooses not to show services?
Date: 1/3/04 4:04:03 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to:
[EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
IT would seem to me that the facility should take credit
for the restorative minutes that it does give. Facilities are required
to keep the resident at his/her optimum level of functioning.
Restorative nursing is a very important part of that process. It
doesn't make any sense to not take credit for restorative nursing that was
done.
I know in PA, the UMR survey team does give deficiencies if
they find that the facility has done restorative and not entered the minutes
on the MDS.
----- Original Message -----
From: Corey Ali
To: [EMAIL PROTECTED]
Sent: Friday,
January 02, 2004 5:27 PM
Subject: Facility chooses not to show
services?
This is a new one for me. I have a facility
that has decided to not show any Restorative Services (due to inadequate
number of staff to provide services 6 days a week, although restorative is
provided 3-4 days a week) and to not record any Respiratory Therapy
services provided from trained nurses (ile.; nebulizer therapy, postural
drainage, etc.) because it is too difficult to get the minutes
recorded. Assuming that the MDS nurse follows unwritten directions
to not include the restorative or respiratory therapy minutes, is the
nurse liable anywhere here?
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