I
think the main key is staying organized. If you were to look at my office you
would not think I am organized, but I have a system. I have a appointment
book which is used big time. It is the first thing I look at every day. I have a
tickler file system, where each resident has a card, on it is the resident's
admission date, and all asssessment reference dates, as well as dates which will
be paid based on this assessment. ( We are a case mix state). They are filed in
a recipe box by month. Let me start at admission, I think I've already started
to ramble. WHen someone comes in, I grab a index card, Write their name and the
assessment reference date. I then put this on my monthly MDS calander in my
office and on the floor. I grab my appointment book and write down their name -
raps on the fourteenth day, and their name - cp on the 21st day. If they are
medicare, I would tentatively schedule all medicare assessments for that month.
Their card is then filed under the month the assessment is done. THen, when I
receive my state validation and posting reports, I pull the card write the dates
the assessment covers for medicaid/private pay, then place it under the month
the next assessment will be needed. During the last week of the month, I pull
out the next months cards and make a monthly calander.
Every
morning I look at my monthly calander, to see what needs to be coded, and look
at my appointment book to see who has RAPs, CP's due. I also try to work ahead,
especially if I know I will be gone or have a inservice day, etc. All
departments are required to have their sections of the MDS coded by noon the
working day after the ARD date. I then input them, I have one file folder for
MDS's ready to be signed off, one folder for MDS's waiting for RAPS to be done,
and one folder for MDS's waiting for CP's to be done. These are all sorted by
date they are due.
I
really think it's very important to stay on time - once you get behind, it's
very hard to catch up. I would rather stay late one day, then be stressed and
miserable for a month trying to catch up! I also work 4 - 10 hour shifts. I get
the majority of my work done when other departments are not around bugging me!!
I mean that in the nicest possible way. I work 6AM - 4:30 PM M-F. This is my
system in a nutshell. Oh if I am really busy and I really have a lot of stuff
due - I put a sign on my office door which says do not disturb, and I close the
door. I only do this maybe 2-3 times per year. Haven't done it in over a year,
but I still have the sign. People need to respect my work, and there are times,
I just need to focus. This was suggested to me by the DON. This is my system in
a nutshell.
Hope
this helps.
Kristen
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of MDSNancy
Sent: Monday, February 09, 2004 10:33 AM
To: [EMAIL PROTECTED]
Subject: Re: job responsibilitiesKristen, Do you have any organizational tips you would be willing to share? I also do all that you have listed, but have 99 beds. I had an assistant who will be done in 2 weeks, because they tell me I don't need her! So how do you keep organized?
Pat Rich <[EMAIL PROTECTED]> wrote:Kristen:Your job sounds just like mine except we have 95 beds and run anywhere between 15-20 med A.
Kristen Tryba <[EMAIL PROTECTED]> wrote:I am the sole MDS coordinator for a 90 bed facility. I am responsible for scheduling all MDS assessments, puting forms on floor. coding all sections except BEFKN. I complete all RAPS and all CP's. I input all data, I transmit, analyze all reports from state. I give reports to business office weekly. Attend the following meetings: admissions, daily stand up, QA, incontinence committee, restorative nursing committee, empowerment committee. I am in charge of all care conferences. Update and retype/pring all careplans quarterly. We do full asssessments for all quarterlies. I am in charge of monitoring charting. I do monthly training on documentation needed to support the MDS. I do all CNA certification testing. We currently have 19 medicare A stays. I'm sure there is more but this is what comes to mind. I am in ND.KristenKristen Tryba RNResident Assessment CoordinatorHeart of America Medical Center701-776-5455 ext 146
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