Maybe Claudia could post it to the listserve.... 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: Brenda Chance [mailto:[EMAIL PROTECTED] Sent: Thursday, January 29, 2004 12:31 PM To: [EMAIL PROTECTED] Subject: RE: Missed Assessment So would i. could you email it to me privately at [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> . 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 and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: betty haines [mailto:[EMAIL PROTECTED] Sent: Thursday, January 29, 2004 12:02 PM To: [EMAIL PROTECTED] Subject: Re: Missed Assessment Would also like to see it. Betty H Corey Ali <[EMAIL PROTECTED]> wrote: Claudia, whould you consider sharing what appears to be a genius design? Corey ----- Original Message ----- From: claudia farrell <mailto:[EMAIL PROTECTED]> To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> Sent: Saturday, January 24, 2004 12:28 AM Subject: Re: Missed Assessment 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" >Reply-To: [EMAIL PROTECTED] >To: >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 > and privileged information. Any unauthorized review, use, disclosure or > distribution is prohibited. If you are not the intended recipient, please > contact the sender by reply e-mail and destroy all copies of the original > message. > > -----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 Notice: This e-mail message including attachments, if any, is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any unauthorized review, use, disclosure or distribution is prohibited. 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