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Oh, she left at 5, don't you know. Then took off on
Monday because she worked the weekend.
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Friday, February 20, 2004 8:46
AM
Subject: RE: Getting orders on care
plans
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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