Basing from my experiences with surveyors, they always look for an IDCP note in the chart stating that the team met and discussed why they decided to proceed, not proceed to a significant change. If somebody alerts me of a possible significant change in status, I add the resident's name immediately in the Care Planning meeting schedule so that we can discuss the resident, set an ARD, write an IDCP note & revise the care plan as needed. This indicates that the team identified the change and did something about it. Same holds true for all residents who are readmitted back from the hospital. I meet with the team, write an IDCP note stating when resident was hospitalized, for what then when readmitted and if there are any changes that would require the team to proceed to a Significant Change in Status assessment. Even if there are no changes, I still meet with the team to write a readmission status note.
--- [EMAIL PROTECTED] wrote: > This group is great! > I have been automatically scheduling a family care > conference when I do > a SCOC - like any other comprehensive assessment. > What I am hearing > here is, as long as family is kept informed of > condition by other means, > a conference isn't necessary - fantastic! One less > thing to do. Now > let's see..what I will ever do with that free time : > > > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of > [EMAIL PROTECTED] > Sent: Saturday, January 10, 2004 7:32 AM > To: [EMAIL PROTECTED] > Subject: Re: Care Plan Conferences > > In a message dated 1/10/2004 8:14:26 AM Eastern > Standard Time, > [EMAIL PROTECTED] writes: > > > > > can someone share with me about how their care > conferences are schedule > for > those residents who have had all therapies d/c'd? we > always do a > significant > change assessment ..... > > > Seems like a lot of work. I only do sig changes if > there has been a > measurable change in 2 areas of the mds. Check your > RAI manual under > sig changes. as far as care conferences. > Officially, I do not believe > a conference must be held upon d/c from therapy. > Therapy should be > instructing and informing residents or family > regarding changes. If the > resident is started on a nursing restorative > program, then ongoing > instruction would be given. I have worked in > multiple facilities in > Pennsylvania over the last several years and it has > never been a problem > with surveyors or UMR team. > G.J. Ferlick, RNAC > Ambler Rest > Ambler, PA > ===== Melinda de la Cruz, R.N., B.S.N., RAC-C MDS Coordinator *******CONFIDENTIALITY NOTICE******* This message and any attachment are confidential and may be privileged or otherwise protected from disclosure and solely for the use of the person (s) or entity to whom it is intended. If you have received this message in error and are not the intended recipient, please notify the sender immediately and delete this message and any attachment from your system. Please be advised that any use of this message is prohibited and may be unlawful, and you must not copy this message or attachment or disclose the contents to any other person. __________________________________ Do you Yahoo!? Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes http://hotjobs.sweepstakes.yahoo.com/signingbonus /---------------------------------------------------------- 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 -----------------------------------------------------------/
