brenda, I too would like to see some of your rap narratives Please. [EMAIL PROTECTED] thanks
Claudia >From: "Brenda Chance" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: <[EMAIL PROTECTED]> >Subject: RE: RAP question >Date: Fri, 16 Jan 2004 10:36:42 -0500 > >I understand totally what you are saying. I also do narrative notes and >find that they are the easiest instead of digging for information >through the chart and documenting it all. I am going to privately send >you some raps that were posted on the list serve a month or so ago. >They are great and cut out a lot of the narrative typing. > > > >Brenda W. Chance, RN, RAC-C > >MDS Coordinator > > > > > >CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, >is for the sole use of the intended recipient(s) and may contain >confidential >and privileged information. Any unauthorized review, use, disclosure or >distribution is prohibited. If you are not the intended recipient, >please >contact the sender by reply e-mail and destroy all copies of the >original >message. > >-----Original Message----- >From: claudia farrell [mailto:[EMAIL PROTECTED] >Sent: Friday, January 16, 2004 8:53 AM >To: [EMAIL PROTECTED] >Subject: Re: RAP question > > > >I understand your response, but am baffled. There is not enough room on >the summary sheet to put all the reference dates etc. There were some >SNF in my area that just did a check off system, and the citations >killed them. I take each section that triggered (and some that didn'l) >ADL # : Triggered ...and list exactly what triggered then type my >narrative. Yes I can combine them. This is what eats hours of my time, >but the state always has commented on how they love the raps. I refer in >that particular rap where info may be referred to as well such as H/P, >labs etc. I would love to NOT have to do this, but it is from my >understanding telling a "story" just for this resident is what keeps me >from getting cited. The care plan also takes hrs of my time. Mandatory >in my book on everyone is Falls, Skin. Now if someone could give me info >on how to cut time away from from c/p's I would have it made. I do not >use "canned" care plans. Thank you > > > > >Claudia > > >From: [EMAIL PROTECTED] > > >Reply-To: [EMAIL PROTECTED] > > >To: [EMAIL PROTECTED] > > >Subject: Re: RAP question > > >Date: Thu, 15 Jan 2004 20:59:45 EST > > > > > >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" > > > > To: > > > > 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" > > > > >To: > > > > >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 > > > > >> > > > > >>_________________________________________________________________ > > > > > > > > > > > _____ > >Learn how to choose, serve, and enjoy wine at Wine @ MSN. >
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