Everyone who enters info on the MDS needs to sign for what
they put in. The MDS coordinator should not sign for the
work of others.
>>> [EMAIL PROTECTED] 02/20 2:18 PM >>>
Sent this yesterday and got only one response. Surveyors
are here - please
respond if possible. Thanks!
Currently in the middle of a Public Health survey
(Illinois), and they
aren't happy that I (RNAC) am the only one signing the MDS.
We have an
electronic audit trail that shows each entry made to the
MDS/Date/Time/Name/Credentials and have a policy in place
to support the
electronic signature. I told them that although other
people enter
information in the computerized form, I am the one to
review/edit/complete
the form. They were not happy with this explanation. Page
3-212 of the MDS
manual says under Clarifications: The use of signature
stamps is allowed
(with policies in place). This was brought up on a past
inspection, at
which time no one was physically signing (before my time),
and they said
that an RN must sign in all places. Since I have been here
(3 yrs) I have
been signing in every place needing a signature. They had
been fine with
that until today. Now, they want everybody to sign. I
think I have read in
the past on this listserve that other SNF's also have only
the RNAC sign
without a problem. Do I have a case or am I out of
compliance with the
policy? Please respond ASAP as they are due back in the
a.m. with the exit
interview at 2 pm. By the way, they also thought the 5 day
MDS had to be
done by day 5! They also couldn't understand why I wasn't
doing a 5-day
Medicare on my Insurance patients. They told me you can't
just pick any day
you want for the reference day. I had to copy several
pages of the manual
to show them because they didn't believe me! Then I made
the mistake of
giving them the manual to look at when they asked me for a
copy. I think
they were embarrassed to be so uninformed. So, they are
probably looking
for anything they can think of...
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
