|
On the assessments that my LPN completes I do not
sign AA9(unless I completed any of the MDS or helped her with any part of
it), I only sign at R2b and raps if it was a comprehensive. AA9 is
only for the people who completed a section of the MDS. The MDS user's manual
states this on page 3-11
----- Original Message -----
Sent: Monday, February 23, 2004 6:39
AM
Subject: RE: LPN's Role in MDS
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
|
