I have racked my self to death On that ?.
Claudia >From: "Michelle Witges" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Re: RNAC per facility numbers >Date: Thu, 8 Jan 2004 09:04:14 -0600 > >How does she keep her job if she so useless? > ----- Original Message ----- > From: claudia farrell > To: [EMAIL PROTECTED] > Sent: Wednesday, January 07, 2004 9:58 PM > Subject: Re: RNAC per facility numbers > > > You are lucky that you work w/S.W. that is able to talk to families or the patient about changing conditions, permissions for restraints or specific meds singed................If I am not doing it the DON or ADON does. Our s.w. doens't have a clue about medications, what a restraint is for much less how it is determined how/why/what is used by regulations. A DNR. S.w. doesn't even understand exactly what it is for, and a frightened _expression_ of dead silence is the reaction. She then will go back to her office and stay until either Myself, DON or ADON or gone for the day. She comes in a 11 AM, doesn't even face a family or issue until we are all gone. None of the floor staff ever send a communication form or call her, they ALL know it is just like shooting a dart in the dark. Again, consider yourself lucky..... > > > > > > > Claudia > >From: "Corey Ali" > >Reply-To: [EMAIL PROTECTED] > >To: > >Subject: Re: RNAC per facility numbers > >Date: Wed, 7 Jan 2004 19:29:33 -0500 > > > >My point was ONLY about the delirium RAP. Soc. Services does all of the other stuff, including explaining the DNR's, discussing the changes in conditions, getting the DNR's & Permissions for Restraints or specific meds signed. They spend so much time tracking down families, they barely have time to spend actually talking with the residents! > > ----- Original Message ----- > > From: claudia farrell > > To: [EMAIL PROTECTED] > > Sent: Tuesday, January 06, 2004 6:59 PM > > Subject: Re: RNAC per facility numbers > > > > > > Ok, I didn't mean to start an issue w/Delirium rap. I agree. But the other sections are not unreasonable for a S.W. to complete..............Who in your facility discusses w/the families about an DNR? And for the record, having been a Hospice RN for years, I couldn't of done my job w/o the support and strength of the social workers I had the privelage to work with. > > > > > > > > > > > > > > Claudia > > >From: C Hannant > > >Reply-To: [EMAIL PROTECTED] > > >To: [EMAIL PROTECTED] > > >Subject: Re: RNAC per facility numbers > > >Date: Tue, 06 Jan 2004 09:57:22 -0500 > > > > > >I agree since it is possibly the sign of an acute medical condition > > >and needs thorough review...cher > > > > > >Holly Sox, RN, RAC-C wrote: > > > > > >>I think Corey's point was that the Delirium RAP is often related to > > >>other complex medical issues that are more likely to be in the > > >>nurse's body of knowledge than a social worker's. I do the > > >>Delirium RAP for my residents for that reason as well. I am fairly > > >>certain Corey wasn't slamming social workers, or indicating that > > >>they weren't capable of completing any RAPs. Just that in her > > >>experience (and mine), the Delirium RAP seems more in the nursing > > >>domain. > > >> Holly > > >>Holly F. Sox, RN, RAC-C Clinical Editor, Careplans.com > > >>www.careplans.com > > >>[EMAIL PROTECTED] > > >> > > >> ----- Original Message ----- > > >> From: [EMAIL PROTECTED] > > >> To: [EMAIL PROTECTED] > > >> Sent: Tuesday, January 06, 2004 7:26 AM > > >> Subject: Re: RNAC per facility numbers > > >> > > >> These are folks with BSW's and/or MSW's? Gosh I think at that > > >> level they'd be more than able to understand and do a RAP. > > >>After > > >> all the MSW had to do a thesis and that be much more > > >>complicated. And they have more education than I do as a > > >>diploma nurse. Every > > >> social worker I've had the pleasure of working with did both > > >>the > > >> MDS sections as previously indicated and their RAPs. Some > > >>needed > > >> my help, seminars or help from their consultants but they did > > >>the > > >> RAPs and well. I have had some resist doing the RAPs > > >>foreigning > > >> ignorance, but once it became clear it was part of their job > > >>and > > >> needed to be done or another social worker who could do the > > >>RAPs > > >> would be sought the problem cleared up. Yes, we often do the > > >> nursing aspect of the MDS, but ideally we should be > > >>coordinating > > >> the team that deals directly with the resident to complete the > > >> assessment and care planning process. I think we need to aim > > >>for > > >> that as much as possible. > > >> In a message dated 1/5/2004 10:09:38 PM Eastern > > >>Standard Time, > > >> [EMAIL PROTECTED] writes: > > >> > > >> 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. > > >> > > >> Susann Irwin, RN > > >> MDS Coordinator > > >> Garner, NC > > >> > > > > > >------------------------------------------------------------------------------ > > Take advantage of our limited-time introductory offer for dial-up Internet access. /---------------------------------------------------------- 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 > > >------------------------------------------------------------------------------ > Take advantage of our limited-time introductory offer for dial-up Internet access. /---------------------------------------------------------- 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 -----------------------------------------------------------/
Enjoy a special introductory offer for dial-up Internet access � limited time only! Get dial-up Internet access now with our best offer: 6 months @$9.95/month! /---------------------------------------------------------- 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 -----------------------------------------------------------/
