Re: Opinions requested

[RRS2000]

A Significant Correction assessment should be completed when a Major Error is found in an OBRA clinical assessment.  A Major Error is one that significantly misrepresents the resident's clinical status.  A clinical assessment that indicates the resident has no pressure ulcers when the resident did have a pressure ulcer during the assessment period is a misrepresentation of the resident's clinical status.  I believe that a Significant Correction assessment would be warranted.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

-----Original Message-----
From: Jeanne [mailto:[EMAIL PROTECTED]
Sent: Thursday, January 29, 2004 10:47 AM
To: [EMAIL PROTECTED]
Subject: Opinions requested

Have a resident who developed a stage 2 pressure ulcer the day before
the
MDS ARD. The nurse missed coding this on his mds. Treatment orders were
in
place and being carried out the day the wound was found and a wound care
plan for risk for pressure ulcers was in place and was updated shortly
after
the ulcer treatment was started.. The question is: Do you do a
modification
or a significant correction assessment in this case. Thanks. Jeanne