Re: RNAC per facility numbers

[Corey Ali]

With all due respect to the many overworked, underpaid SNF social workers out there (and there are many), I do not think it reasonable to have a non-medical person work on a delirium RAP.  There are too many complex items in the mix: medicines, illness, change of psychosocial status, loss of home, pain, and then mix in a possibly pre-existing dementia.  It's unreasonable to expect a BSW, or even an MSW  w/o special medical training to work their way thru that RAP.  I think they can do cognition (most of them), mood & behaviour, but have often found the Activities person to be much more capable of doing psychosocial than social workers, although they are almost always the ones assigned to it. Corey ----- Original Message ----- From: claudia farrell To: [EMAIL PROTECTED] Sent: Monday, January 05, 2004 8:57 PM Subject: Re: RNAC per facility numbers It is good to hear that I am not the only Cord that puts everything into the MDS. I do require that the therapy's check the minutes before I transmit to the state, and currently my ADON/ DON are doing the nutrition/dehydration/tube feeds, raps, assessments and progress notes. We have an activity director and social worker that put absolutely nothing into the MDS. Our s.w. is not capable of complexed thoughts. Sorry that sounded ugly, but so true. I have the activity director and social worker, read the raps, review the MDS sections that they should be filling out and require their signature. It is very draining to do this much work, it takes me anywhere from 3-6 hrs to do raps and further time for a good care plan...................By the way what are the sections a good social worker should be filling out....? I feel that delirium, cognitive, psychosocial, behavior, depression and mood are appr for a s.w.? any suggestions out there. Thanks Claudia >From: "Cheryl Walker" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Re: RNAC per facility numbers >Date: Mon, 5 Jan 2004 19:37:57 -0500 > >I work in a 370 bed facility. I function as the RNAC manager and I have a floor of 80. I have 4 other RNAC's/MDS coordinators, they each have their own floor of 65-80. We do all the nursing sections of the MDS and care plans. >Cheryl >   ----- Original Message ----- >   From: MDSNancy >   To: [EMAIL PROTECTED] >   Sent: Monday, January 05, 2004 2:18 PM >   Subject: RNAC per facility numbers > > >   Would anyone kindly tell me how many RNAC's are in your facility?  Or how many residents you have if you are the only RNAC? >   Thanks, I just found out I'm losing my assistant! >   Nancy > > >------------------------------------------------------------------------------ >   Do you Yahoo!? >   New Yahoo! Photos - easier uploading and sharing Tired of slow downloads? Compare online deals from your local high-speed providers now. /---------------------------------------------------------- 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 -----------------------------------------------------------/   --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.553 / Virus Database: 345 - Release Date: 12/18/2003