None of the nursing staff documented on a resident's vision during the assessment period. Can I go to the resident myself, after the assessment window has closed, and find out for myself about her visual abilities? Then what do I document? I'll be dating it after the assessment window. My UMR has said that I cannot use anything outside of the assessment window. If I go back to the nursing staff and ask them to write an addendum note, I waste more time going back and forth to check if it's been done.
Hey, where's your DON, if the nurses are not doing their job? Every entry assessment needs to be COMPLETE, including vision assessment. Sounds like a few nurses need a few days off without pay.
