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
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information. Any unauthorized review, use, disclosure or
> distribution is
prohibited. If you are not the intended recipient, please
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by reply e-mail and destroy all copies of the original
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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 Notice: This e-mail message including
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