My computer allows me to close it as a 1/1. My computer system will not ever allow me to change the reason for assessment.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Connie L. Frank Sent: Tuesday, January 27, 2004 12:46 PM To: '[EMAIL PROTECTED]' Subject: RE: OBRA Admission Assessment Question Again Does your computer system allow you to close and lock a 1/1 without completion of the raps or do you close it as a d/c prior to completion or change it to a 0/1 code? -----Original Message----- From: Kristen Tryba [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 27, 2004 12:42 PM To: [EMAIL PROTECTED] Subject: RE: OBRA Admission Assessment Question Again I may plan on doing an admission assessment, but when they leave I don't do it. For example I usually schedule my 5 day with my admission. So, my assessment is all coded all disciplines have signed it, but I still haven't done the RAPS. If they leave at 10 AM on day 14 and I haven't done the RAPS. I just write right on the RAP summary sheet. Resident d/c prior to completion of RAPS and CP. Then I write dashes in the proceed to care plan column. I have never had a problem with this, and have always done it this way. I do the same thing if they are a significant change and d/c or die before RAP completion date. Kristen -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gola, Tammy Sent: Tuesday, January 27, 2004 12:32 PM To: '[EMAIL PROTECTED]' Subject: RE: OBRA Admission Assessment Question Again 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. /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
