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What you're speaking of is pretty common up here in the
North & Midwest. I'm in Michigan. I'm in a 340 bed facilty with
3 MDS co-ordinators. We all do our own schedules, RAP's & care
plans. I think, personally, the floor nurses should be doing care plans,
but most management heads think that the floor staff is incapable of
thought. We do the care plan meetings with family and other staff.
We have to do the data entry for the other departments, and one lady (social
worker) wouldn't type her own RAP's; she wrote them and then gave them to me to
type in for her. I stopped being a secretary, and she left. We (each
of the 3 MDS) do our own submissions, and we are also responsible for seeing
that the staff follow the care plans. We are responsible for doing
"rounds" at least daily on our floor, checking on shaves, diaper changes, proper
dress & nail care, etc. We are all responsible to sit in on the QA
meetings, the wound & skin meetings, and dept. head meetings. We do
some inservice, parlticularly to the licensed staff regarding charting,
terminology and what needs to be noted for the particular Medicare skill
needs.
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