----- Original Message -----
Sent: Sunday, January 25, 2004 9:25
AM
Subject: Re: SCSA mds or not?
If I understand this correctly, the
resident was back in your facility only 4 days before passing away. There is
no need to do a SCSA based on 4 days. You did some type of initial/admission
careplan and that is sufficient for a 4 day stay.
You did not say what type of
discharge you did when the resident left in early January, but I am guessing
you did a Discharge Return Anticipated. It appears she was gone a couple weeks
or so. When a resident is going to be gone more than 10-14 day I ususally
suggest doing the Discharge Return not anticipated even if you expect the
resident back. Several years ago (I don't remember exactly when) HCFA came out
with guidance (not a written reg) that a resident gone more than that
time period should be considered to have been finally discharged. I don't
believe you did anything wrong the way you did it, but when a resident is gone
that long it is just simpler to deal with the return as if it were a new
admission.
Nathan
----- Original Message -----
Sent: Saturday, January 24, 2004 11:38
PM
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
