Where was she when you were on the floor
working until 7 PM? Does she not think you have a life
after work as well?
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Holly Sox, RN,
RAC-C [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 19, 2004
7:08 PM
To: [EMAIL PROTECTED]
Subject: Re: Getting orders on
care plans
Honey, it just keeps getting worse
and worse.
Last Friday, after working 12 days
straight, 8-9 hours every day, I was pulled to the floor to work from 230 until
7 pm. I left some RAPs unfinished, with a note to the DON that they
would be late due to me working the floor. She called me at home on Sunday to
lecture me on integrity, and said that I should have stayed even later on
Friday in order to finish everything on time. oh yeah.
Her lecturing me on integrity is
about like me lecturing someone on Alpine skiing. It's just not even in her
solar system.
Ever seen The Lion King?
Remember when the hyenas are all saying "Mufasa" and shivering over
and over?? That's what I feel like just thinking about the place.
----- Original Message -----
Sent: Thursday,
February 19, 2004 6:32 PM
Subject: Re: Getting
orders on care plans
Sure are glad you're getting out of
that place! No wonder the care is so scary!
----- Original Message -----
Sent: Thursday,
February 19, 2004 5:32 PM
Subject: Re: Getting
orders on care plans
I agree with you 100%.
At my first facility, we got several citations for the same issues, as well as
orders not being followed. We instituted a check sheet that was required
to be completed for every new order, which included notifying the family, copy
sent to pharmacy, labs/diagnostics set up, and care plan addressed. We
inserviced all nurses about the care plans, and they did a really good job with
following through. The check mark for "addressed on care plan"
meant that either a care plan was already in place for this (ie, same
medication but different dose/times/etc, or a new recurrence of UTI in someone
with the hx) or that the nurse had added it to the cp.
At my current facility (for the next
15 days), we have the culture that the care plans are the property of the MDS
nurse. I am supposed to follow all new orders (yeah, I just LOOOOOOOOOVE those
pink copies) and 24 hour report sheets and keep up with 118 care plans. I would
be willing to bet that not one licensed nurse on staff besides myself has ever
looked at a care plan in that facility.
Stay on the soapbox and preach it,
Kristen.
----- Original Message -----
Sent: Thursday,
February 19, 2004 12:55 PM
Subject: RE: Getting
orders on care plans
I have been MDS
Coordinator at this facility for 5 1/2 years. But, before I came they had a policy
of MDS coordinator getting copies of orders, and the MDS Coordinator was the
only one allowed to change the care plan. In my opinion this was ridiculous!!
Luckily, it changed before I came on, because they got a deficiency because the
MDS coordinator had a HUGE pile of order slips which she hadn't had time to
look at or care plan, she was also several months behind on CP's and RAP's!!
This is why they had changed this process here. They ended up with >30
deficiencies. And I honestly feel, a lot of this could have been prevented if
they had just had charge nurses update careplans. A sample of deficiencies:
care plans not followed (how could they be they weren't even accurate - who
knew what to do??) Care plans not updated. MDS not signed by RN coordinator.
MDS not timely . . . I could go on and on. This was in 1997. I strongly believe
having a policy that MDS coordinators are the only ones who update the
CP's is setting a facility up big time. OK I'll get off my soapbox now.
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Wendy
Connor
Sent: Thursday, February 19, 2004
11:48 AM
To: [EMAIL PROTECTED]
Subject: RE: Getting orders on
care plans
So when do the nurses
actually look at the Care Plans. Our MDS Coordinators review the CP every
Quarter. It is the responsibility of the staff nurses to up date the CP's
between MDS'.
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On Behalf Of Richardson,
Christine
Sent: Thursday, February 19, 2004
12:42 PM
To: [EMAIL PROTECTED]
Subject: RE: Getting orders on
care plans
In our facility the MDS
cord. gets copies of all the orders and its up to us to update the care plan
-----Original
Message-----
From: T Prit [mailto:[EMAIL PROTECTED]
Sent: Thursday, February 19, 2004
11:38 AM
To: [EMAIL PROTECTED]
Subject: Getting orders on
careplans
Hey group: We recently had survey and we got a
tag on careplan and assessment because the careplan was not updated due to the
fact that a resident was started on a diuretic. The nurses say that they
are not able to put new orders on the careplans at order times because they
don't have enough time. The question is what do your facilities do to see
that new orders are put on the careplan in a timely matter? Any
suggestions are greatly appreciated. Terri
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