Re: RAP question

[RRS2000]

I think we need to find out what the DON means when she says she doesn't want the RAPs "done."  If she is referring to writing a RAP note or some other form of summary or checklist relative to the RAPs, then she is correct - there is no regulatory requirement to do these things, as long as the information listed at the top of Section V on the MDS can be found somewhere in the chart.  That information must appear in the Location and Date of RAP Documentation column of Section V.

I don't recommend not doing a summary that provides all of the information listed at the top of Section V - but there certainly are facilities that choose to do it that way.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Re: RAP question
Date: 1/15/04 5:51:09 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



I'm sorry... my head just exploded.


WHAT????????  Your DON does not want to do RAPs? Do you mean she doesn't
want you to do them?   It's not optional.  The RAPs are part of the RAI
process and are required for comprehensive assessments.

See page 1-8 of the RAI Manual:

"All comprehensive RAIs authorized by states include at least the Centers
for Medicare and Medicaid Services' (CMS's):
*MDS Version 2.0 (with or without optional sections S, T, U)
*Resident Assessment Protocols (RAPs), including
-Triggers
-Trigger legend
-RAP Summary Sheet"

I don't believe there are any regulations as to the format of the RAPs, but
there is no basis for not doing them.

Good luck on this one, Bogda. Keep us posted.

Holly
Holly F. Sox, RN, RAC-C
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]

----- Original Message -----
From: "Bogda Habich" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, January 15, 2004 8:25 PM
Subject: Re: RAP question


>Where can I find regulations re: RAPs. My DON does not want to do RAPS
>"because that are not needed", and I need to convince her. Thank you for
>answer in advance. Bogda
>----- Original Message -----
>From: "katie fox" <[EMAIL PROTECTED]>
>To: <[EMAIL PROTECTED]>
>Sent: Thursday, January 15, 2004 11:16 AM
>Subject: RAP question
>
>
>>
>>Can you combine your rap summary if the information ties in?  I feel
like
>I
>>repeat similar information for RAPS such as mood, delirium, psycosocial
>ect.
>>
>>Thanks everyone!
>>
>>
>>Katie Fox, RN
>>Sea View Nursing and Rehabilitation Facility
>>7500 Bolongo Bay
>>St. Thomas, Virgin Islands  00802
>>340-777-3303 ext. 114
>>
>>_________________________________________________________________