I prepare a schedule q week with all the mds/raps/careplans due that week. I have activities, social service, dietary, and restorative RN do their parts. We are a two person MDS office, myself and an LPN. The schedule has the A3a date, the date I want it completed,(usually a day before the R2b). I usually do not open the Mds in the computer until after the A3a. This way they have to assess up until 12 midnight. If someone is going to be out of the building I will open the MDS early for them. We are all computerized so I can just see that their info is in by the date I pick. I have been in this facility for over 4 years and the different departments did it differently when I came. This is much more streamlined, and I can e-mail people daily if their work is not completed. Also my administrator is supportive of the mds department, and will back me if i have to get tough. We have had very few problems over the last 3 yrs d/t q one knowing the expectations, and no turnover in other departments. A.Schoeny, MDS Coordinator Sem Haven Health Care
-----Original Message----- From: Doyle, Renee [mailto:[EMAIL PROTECTED] Sent: Friday, January 30, 2004 6:10 PM To: '[EMAIL PROTECTED]' Subject: RE: ASSESSMENTS Our policy is dietary, activities, social services (as needed) should assess the resident within 72 hrs. It is not always possible, i.e. unable to reach family and resident unable to answer. Obviously, nursing assesses on admission. Dietary and Activities do sections of the MDS after the reference date to include all info through midnight. Our social worker does not do the MDS. We usually schedule the 5 day to be done on day 6-8 (have til 14 days after ARD), using day 5 as the ARD. Generally, the 14 day/Admission uses day 11 as ARD, with completion of MDS & RAPs scheduled for day 12-14. Admitting nurse does Braden scale & Falls Risk, and it is done every shift thereafter (hospital-based SNF). All of MDS & RAPs done by me (RN) and my assistant (LPN), with the exception of Dietary - Section K & Nutrition RAP (also Dehydration & Feeding Tube if she remembers to do it - otherwise ME), and Activity - Sections F & N and Activity & Psychosocial RAPs. The MDS is "not a priority" to these other departments, and frequently is "forgotten" or not done because they are "too busy." So, we end up doing the whole thing. Not exactly interdisciplinary, is it? -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Friday, January 30, 2004 4:39 PM To: [EMAIL PROTECTED] Subject: ASSESSMENTS Do you get your dietary, activities,nursing, social service to complete their assessments within the observation period, by the A3a date? Or in your facility are they permitted to do their assessments and notes after the A3a date? /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
