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Are
you saying a coordinator should not sign AA9 unless they actually did part of
the MDS?
Your signature in R2b signifies that the
assessment is COMPLETE. AA9 is the section that signifies attesting to
accuracy.
----- Original Message -----
Sent: Sunday, February 22, 2004 6:52
PM
Subject: Re: LPN's Role in MDS
ok I am sorry if I am beating this to
death! I have been told that if an LPN does the assessment and I sign
off on it (sec R2b) that I am only saying that is complete not necessarily
accurate. Is this correct? Is that what you were saying or were
you saying that if I am signing off on it I am saying that it is complete
and accurate?
In my state a LPN is allowed to do the MDS
but an RN does need to sign off on it. I guess now I need to know if
I'm saying it's complete or accurate or both.
I really appreciate you taking the time to
answer my questions.
Thank you so much,
Debbie Nichols, RN, RAC-C
----- Original Message -----
Sent: Sunday, February 22, 2004 6:25
PM
Subject: Re: LPN's Role in MDS
Again, this is state-specific and relates
to the LPN/LVN scope of practice under the LPN/LVN license. The
nurse practice act in each state is what governs what an LPN/LVN is
permitted to do under his or her license.
In most states, LPNs/LVNs
are permitted to collect assessment data, but they are not permitted to
synthesize that information and draw conclusions from it or develop care
plans. They generally are permitted to assist RNs with these
functions.
It is important for all LPNs and LVNs to understand the
scope of practice permitted under their licenses.
Some nursing home
providers have reported that surveyors have written deficiencies on this
issue.
Regarding your question about RNs "signing off on" the
LPN/LVN's work - In "cosigning" the work, the RN would be verifying the
accuracy and appropriateness of the work and taking direct responsibility
for it in the same way as if he or she did the work him- or herself and
signed it. In that case, the LPN/LVN scope of practice would not be
an issue. However, in my experience, the RN is not validating the
accuracy and appropriateness of the work - the RN is verifying that
the work is complete.
Rena
Rena R. Shephard, MHA, RN,
FACDONA, RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: Re: LPN's Role in MDS
Date: 2/22/04 3:52:30
PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the
Internet
Do you mean that some states do not allow
LPN's to complete the MDS even if an RN signs off on it or are you only
talking about care plans? Or both?
D Nichols
----- Original Message -----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent:
Sunday, February 22, 2004 5:25 PM
Subject: Re: LPN's Role in
MDS
This is a state-specific scope of practice
question. If you are not sure about what is appropriate under
your license, contact the state agency that licenses
you.
Rena
Rena R. Shephard, MHA, RN, FACDONA,
RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: Re: LPN's Role in MDS
Date: 2/22/04
3:20:56 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the
Internet
I am not clear on a LPN not being able
to develop a care plan-what exactly does that mean? Does that
mean the RN must write all the care plans and the LPN can then
update them as needed? Please elaborate on this since the
LPN's I have ever worked always did their own care plans and now
that scares me a little since I was unaware of this.
Thanks
Lisa
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