if your c/p date is dated for the 21st day, and they are leaving, it is not
mandatory to have a c/p. Upon admission, I developed a c/p jacket that the
state even made a copy of they were impressed w/. The front page is all adl,
nutritional, mobility, restraint, smokers, skin, continence, mental etc-just
like the MDS, but all you do is make check marks in pencil, on the inside
cover are all the possible medical diagnosis/conditions, the activities, again
requiring checks in pencil of course, because you can always go back and chg
as they progress or decline prn, on the back outside cover is where the c/p
team sign as well as the people /residents attending, including info if the
c/p confernce was via phone. This is compeleted within 48h. So you know what
and what not the resident is capable of on the onset............With incidents
example falls, skin tears or behavioral concerns, I developed a form that is
to be dated w/the stated problem, Fall and write out my
intervention/prevention, same for behavior etc. so when it comes tim e to do a
full c/p espically for the long term residents, these forms can be
incorporated into the typed c/p and it is a form of keeping your c/p up to
date.
Claudia
>From: "Nathan" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: Re: Missed Assessment
>Date: Fri, 23 Jan 2004 14:58:47 -0800
>
>Missed AssessmentIf the resident is gone, you will just have to
take the hit on the careplan. There is no reason, clinical or financial, to
justify doing the plan after the resident leaves. Be aware you could be hit on
a survey for not having done it in a timely manner. Was the resident there for
less than 21 days? If so, you may not be at such a high risk since you would
not have to have completed the careplan, but they can still get you for not
having started one.
>
>Nathan
> ----- Original Message -----
> From: Brenda Chance
> To: [EMAIL PROTECTED]
> Sent: Friday, January 23, 2004 1:46 PM
> Subject: RE: Missed Assessment
>
>
> Nathan,
>
>
>
> What would you do for a care plan? I
have never had this happen so I want to know what you would do. I
know for a resident in house you would go ahead and schedule, QA like I said
before, etc. But what would you do since the resident is being
discharged especially since this is managed care and payment may hinge on the
care plan, MDS, etc.
>
>
>
> Brenda W. Chance, RN, RAC-C
>
> MDS Coordinator
>
>
>
>
>
> CONFIDENTIALITY NOTICE: This e-mail message,
including any attachments,
> is for the sole use of the intended recipient(s)
and may contain confidential
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>
> -----Original Message-----
> From: Nathan [mailto:[EMAIL PROTECTED]
> Sent: Friday, January 23, 2004 3:57 PM
> To: [EMAIL PROTECTED]
> Subject: Re: Missed Assessment
>
>
>
> You are better doing the assessment late than not
at all. Here is what I would do.
>
>
>
> Set the ARD for the last day that is acceptable.
If this is an Admission Assessment that would be day 14. That date may be a
week or more in the past...so be it. Setting the ARD during the
correct date range ensures that the data in the assessment is correct. Your
R2b (and VB2 and VB4 if appropriate) has to be the ACTUAL date on which you
completed the assessment. It can't be legally backdated. Try to finish the
assessment within 14 days of the ARD. If you can't do it, then finish as soon
as possible.
>
>
>
> Try to submit the assessment within 30 days of the
ARD rather that 30 days from completion. This keeps as much of the timing as
possible in the correct range.
>
>
>
> Nathan
>
> ----- Original Message -----
>
> From: rlabarge (Becky LaBarge)
>
> To: [EMAIL PROTECTED]
>
> Sent: Friday, January 23, 2004 11:32
AM
>
> Subject: Missed Assessment
>
>
>
> Talkers - help please. How
do you handle missed assessments when you are beyond the 14th day of admission
and discover the error? Would you set the ARD for date of discharge and do the
assessment after the fact? Thanks.
>
>
>
>
> Confidentiality
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