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"
<[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
> > >>
> >
>>_________________________________________________________________
>
>
