Re: LPN's Role in MDS

[m silberg]

At our facility the Care Coordinator is an LPN; she completes the MDS and does all the care plans, including collecting data for them. She also conducts the care plan meetings with the facility staff and families present; but there is not always a RN present at these meetings. The LPN does a good job and we have never been cited for this action,however, in Pa., I do believe a RN is required to complete the care plan assessment and the care plan document itself or sign off as verification if a LPN does complete these duties. 

Joyce Nicholson wrote:

I would like to add that just because you do not have isssues with state survey is not always a valid indicator that you are doing it right....As Rena has indicated several times, you really need to read your state nurse practice act for the LPN/LVN.  My state does not allow analysis of assessment data/care plan by the LPN, but it is done by facilities all over the place and I have only seen the surveyors cite it in one instance.  We all know they do not look at every single thing when they visit, although most times it may seem like they do.

>From: "Richardson, Christine" >Reply-To: [EMAIL PROTECTED] >To: >Subject: RE: LPN's Role in MDS >Date: Mon, 23 Feb 2004 07:18:14 -0600 > >Well lets see how many states have LPN doing MDS and care planning. I'm in >MO and have been through several surveys with out a problem >CAR > >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] >Sent: Sunday, February 22, 2004 6:26 PM >To: [EMAIL PROTECTED] >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 > > > > > > > > > >NOTE: This e-mail message may contain information that is privileged, confidential, >and exempt from disclosure.  It is intended for use only by the person to whom it is >addressed. If you have received this message in error, please do not forward or use >this information in any way. Delete it immediately and contact the sender as soon >as possible by the reply option or by telephone at the telephone number listed (if >available).  In the event you cannot fulfill your obligation or there has been any >improper release of this information, please contact the Privacy Officer at Carondelet >Health at (816) 943-4611. > > > >

---

Get fast, reliable access with MSN 9 Dial-up. Click here for Special Offer! /---------------------------------------------------------- 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 -----------------------------------------------------------/

-- 
-----------------------------------------------------
Click here for Free Video!!
http://www.gohip.com/free_video/