RE: Admission Care Plan

[k.karren]

I remember your care plan jacket being mentioned a while back. Did you post it here? If so I missed it. If you are willing to share, I would really appreciate a copy. Thanks.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of claudia farrell Sent: Monday, February 09, 2004 5:31 PM To: [EMAIL PROTECTED] Subject: Re: Admission Care Plan   7 days from Vb2 date. So if they go home on the 21st day if you are doing a full assessment on their 14 day instead of on their 5day, it is not mandatory, the resident is gone. I use my care plan jacket's I designed so I can have something in place within 48-72 hrs of admisssion. Like the state has told me around 3 years ago, if I were a new nurse on the floor, how would I know what they can or can't do etc. My reply to the state is first of all I never would put a new nurse on the floor w/o orientation, I would also advise this nurse to speak to all the staff that have possibly provided care for this resident. And the state didn't like that reply, even though a nurse should be  practicing as a safe & prudent nurse. Thus I developed the c/p jacket. Unfortunately who has time to read the jacket or care plan. At least the jacket is there that the nurse can refer to, and not have an excuse I didn't know. Claudia >From: [EMAIL PROTECTED] >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: Re: Admission Care Plan >Date: Mon, 9 Feb 2004 11:03:20 EST > >This is from 42CFR483.20(b) Guidelines at F272: > >"Each facility must use its State-specified RAI (which includes both the MDS >and utilization guidelines which include the RAPs) to assess newly admitted >residents, conduct an annual reassessment and assess those residents who >experience a significant change in status. The facility is responsible for addressing >all needs and strengths of residents regardless of whether the issue is >included in the MDS or RAPs. The scope of the RAI does not limit the facility's >responsibility to assess and address all care needed by the resident. >Furthermore, the facility is responsible for addressing the resident's needs from the >moment of admission." > >Rena > >Rena R. Shephard, MHA, RN, FACDONA, RAC-C >Chair, American Association of Nurse Assessment Coordinators >[EMAIL PROTECTED] > > > > Subj: Admission Care Plan > >  Date: 2/9/04 7:56:18 AM Pacific Standard Time > >  From: [EMAIL PROTECTED] > >  Reply-to: [EMAIL PROTECTED] > >  To: [EMAIL PROTECTED] > >  Sent from the Internet > > > > > > > > Hi Y'all, > > > > I was asked a question today that I really should know the answer to, but > > discover I do not.  What is the regulation addressing the initial plan of care; > >  ie. after admission, how long does the facility have to get the initial > > care plan on the chart. I found the reg on comprehensive care plan, but cannot > > find anything specific to an admission care plan. > > > > Is there an actual time frame, or is it one of those things that's open to > > interpretation? > > > > Thank you in advance. > > > > Holly > >  Holly F. Sox, RN, RAC-C > > Clinical Editor > > > > > Create your own personal Web page with the info you use most, at My MSN. /---------------------------------------------------------- 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 -----------------------------------------------------------/