Holly:
I do understand some. FYI: the Mds cord position that I took over, she gave me zero training. I continually search for ways to make my time fruitful and don't turn me into a fruit! So I state the reason why I will not proceed to care planning is that they will be d/c on their 20th day? I have been doing MDS's for 3 yrs. and is a continual learning process, daily. I was an expert so to speak with OASIS in home care, I was there when it was initated. OASIS seem to the point, easier to complete, even though there were so many forms, there wasn't the heavy burden as w typing for hours "working the raps", completing discus, skin, b/b, s/r's, restraints, going to c/p, UR and QA, and transmitting to the state wkly. Not to mention, taking call q4th weekend. Which can diffenenty take me away from my "putting the puzzle together". I have always had the feeling if MDS was created after OASIS that it would be such a wonderful system. We shouldn't have to spend hours upon hours typing raps. Some of mine or 5-6 pages
typed. I always have had the surveyors state that the raps are excellent and of course depending on the complexity of the resident, my care plans can be ? to 30 pages. Rule a thumb for me, q one will always have a fall, skin care plan no matter what. I never combine my pressure ulcer and skin care plans together, nor do I mix urinary inc w/ bowel. I have however started combining my raps that triggered such as cognitive/communication/vision/mood and or behavior. It keeps me from repeating myself to death. Again I appreciate your time Holly.
Claudia >From: "Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: Re: Missing Care Plan Date >Date: Mon, 12 Jan 2004 20:56:51 -0500 > >Claudia, >You understand my point. In the RAP Review I state that D/C is planned for approximately day 20 or 21. If they are in the building on day 21, you really do need the care plan, even though it will be primarily focused on D/C planning needs. > >But, if they leave the facility prior to the careplan being done (before day 21), then on the RAP Summary, I answer "No" to the care planning decision, and then use the D/C date for VB4. > >Does that help? > > >HS >Holly F. Sox, RN, RAC-C >Clinical Editor, Careplans.com >www.careplans.com >[EMAIL PROTECTED] > > ----- Original Message ----- > From: claudia farrell > To: [EMAIL PROTECTED] > Sent: Monday, January 12, 2004 7:09 PM > Subject: Re: Missing Care Plan Date > > > Maybe I am missing some part of this email.If a resident is leaving on the 21st day, when you type your raps, you state that you will not proceed to care plan? I am confused. Help. Thank you > > Usually if they leave on the am of their 21st day, I don't do a care plan, since that is the due date for the c/p Thanks > > > > > > > Claudia > >From: "Holly Sox, RN, RAC-C" > >Reply-To: [EMAIL PROTECTED] > >To: > >Subject: Re: Missing Care Plan Date > >Date: Mon, 12 Jan 2004 07:23:11 -0500 > > > >Missing Care Plan DateI use the date of discharge, reply No to all care planning decisions. Essentially means that the care plan is complete for that assessment, as I chose to not care plan any of the RAPs. The reason is explained within the RAP review statement. > > > > > >Holly F. Sox, RN, RAC-C > >Clinical Editor > > > >www.careplans.com [EMAIL PROTECTED] > > > > ----- Original Message ----- > > From: mdsc > > To: [EMAIL PROTECTED] > > Sent: Monday, January 12, 2004 7:06 AM > > Subject: Re: Missing Care Plan Date > > > > > > I have always wondered about that too > > ----- Original Message ----- > > From: Angie Palac > > To: [EMAIL PROTECTED] > > Sent: Monday, January 12, 2004 5:53 AM > > Subject: Missing Care Plan Date > > > > > > A facility did a MDS with RAPS. Resident went to hospital before Care Plan was completed. Facility tried putting dashes in the date VB4. Facility transmitted assessment unsuccessfully. Would be interested what others do to transmit this kind of assessment. > > > > Thanks again, > > > > Angie > > >------------------------------------------------------------------------------ > High-speed users-be more efficient online with the new MSN Premium Internet Software. /---------------------------------------------------------- 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 -----------------------------------------------------------/
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