So what do you do when they don't leave on day 14, doesn't that admission
assessment need to be completed and signed by day 14?  
So if you do a 5 day on day 5 and code it 0/1, when do you set your 14 day
assessment and complete it, in order to stay compliant with OBRA?

Tammy Gola BSN, RN, CRNAC
Wilkes-Barre General Hospital
Transitional Care Unit
575 North River Street
Wilkes-Barre, PA. 187641-0001
570-552-5417
[EMAIL PROTECTED]


-----Original Message-----
From: Doyle, Renee [mailto:[EMAIL PROTECTED]
Sent: Tuesday, January 27, 2004 1:17 PM
To: '[EMAIL PROTECTED]'
Subject: OBRA Admission Assessment Question Again


I also work in a hospital-based SNF, and do not do the OBRA Admission
Assessment if they leave on day 14.  I code my first assessment 0/1 and do a
d/c tracking 8.  Here are some other answers given to this question
recently:

The top of page 1-15 states "An RAI  must be completed for any resident
resident residing in the facility longer than 14 days, including:"
So it would not be "longer" than 14 days if the resident left before the end
of the 14th day.

If they left before 11.59 PM on day 14 , an admission
assessment is not required.  You need to keep any assessment that you
started, but did not complete, on the resident's medical record and make a
notation about why the assessment was not completed.

If any experts out there (Rena? Jan?) disagree, please respond.

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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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