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You do not need to complete the
significant change. Code her 5 day as 0/1 and her discharge tracking as an 8 at
AA8. Its okay. Should be okay. You don't need to complete a SCSA or
raps.
Jane
---- Original
Message -----
Sent: Sunday, January 25, 2004 2:38
AM
Subject: SCSA mds or not?
Just
to start out with I want to say THANK YOU to everyone that offers to share
their knowledge here. It has been a great help. Now to my
question.
I have a res. that was originally admitted back
in Nov. Admission assessment with RAPS and CP done back in Dec.
She went to the hospital early in Jan. Returned to our facility with a
new peg tube and tube feeding orders. She returned on 1/20/04. I
set her ARD for her 5-day to go through 1/24/04 and had planned on doing her
SCSA with her 14 day assessment so I would have a bit more information as to
how extensive of a SCSA she would be, with ARD set for 1/31/04 and CP set for
2/5/04. She passed away on 1/24/04. On 1/20/04 peg tube and the
feedings were addressed on her personal POC kardex. The question I have
is 1. Should I change her 5 day PPS assessment to also be a SCSA
assessment, coded dually as a 3/1 or do I really need to do a SCSA MDS with
RAPS as no care planning will be done with this res as she is deceased.
I know I need to do the 5day. But since RAPS are to guide us to the care
planning process do I really have to go through the work of doing the SCSA and
RAPS when she will not be care planned and the peg tube and feedings are
already addressed on the res specific POC kardex. I would
appreciate any input on this. Thanks. Janice RN, BSN,
RAC-C
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