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
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unauthorized review, use, disclosure or
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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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