Re: HELP! interviewing for information

[Janice]

You could be asking staff if she propelled herself in a w/c and if so did she run into walls, other objects, other res.  If she ate independently did she leave food uneaten on one side of the plate or drinks not drank to one side of the plate.  When I interview staff I document that Coding was obtained by adl tracking sheets, staff interview and observation.   I don't go by this information entirely but do use this information. ----- Original Message ----- From: MDSNancy To: [EMAIL PROTECTED] Sent: Tuesday, February 03, 2004 10:29 PM Subject: Re: HELP! interviewing for information Oh my.  Maybe this is two questions.   The only documentation I have is from a hospital consult that says she is blind in one eye from a pituitary tumor.  But how does that answer the vision question?  I have no idea based on what I have.   But another question is , how is interviewing the staff, etc , documented?  Or is it accepable to put dashes on the mds for information that is not available?   [EMAIL PROTECTED] wrote: In a message dated 2/3/2004 7:29:32 PM Eastern Standard Time, [EMAIL PROTECTED] writes: 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. Do you Yahoo!? Yahoo! SiteBuilder - Free web site building tool. Try it!