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Why wouldn't she be able to do modifications? The manual doesn't
state that only the person completing the original assessment can modify
it. If an error is discovered that needs modification, then it should be
modified by whoever discovers the error.
HS
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Friday, February 27, 2004 7:51
AM
Subject: Re: Surveyors
They really aren't necessarily going to be sig changes
since they are "probably" coding errors. You can't due
modifications as you weren't in the building. I suggest you do early
annuals on everyone and then spread them out when they come due again so you
don't do that every year.
>
> From: [EMAIL PROTECTED]
> Date: 2004/02/27 Fri
AM 05:32:13 CST
> To: [EMAIL PROTECTED]
> Subject: Surveyors
>
> Monday I started at a new facility knowing that I was walking into
poop chest
> high. MDs had not been done for the month of
February. 90 minutes after
> walking in to a new job state showed
up. I was speechless. MDS were a mess to
> put it
mildly. Example patient admitted in September ARD was 09/18/03,
>
signatures on front were 01/30/04 and the close date 02/06/04. Explain
that to a
> surveyor! Also they found an MDS ARD 12/19/03 that
had been coded 8 on bathing.
> When I looked at the CNA
documentation, it clearly stated on 12/17/03 that
> person had got a
bath and was a 4/2. I copied that and then did a modification.
> Luckily the surveyors knew that I had just started and I feel
they were
> easy. Obviously I got cited for MDS but I think it
will be at an E level. ANy
> words of wisdom to clear all this
mess up would be appreciated. Obviously due
> to coding errors I
probably will be doing a lot of sig changes. Upon looking
> at
the history of the MDS it appears this nurse did modifications on almost
> every assessment she did. Crazy!
> Lisa
>
>
Monday I started at a new facility knowing that I was walking into poop
chest high. MDs had not been done for the month of February. 90
minutes after walking in to a new job state showed up. I was
speechless. MDS were a mess to put it mildly. Example patient
admitted in September ARD was 09/18/03, signatures on front were 01/30/04 and
the close date 02/06/04. Explain that to a surveyor! Also they
found an MDS ARD 12/19/03 that had been coded 8 on bathing. When I
looked at the CNA documentation, it clearly stated on 12/17/03 that person had
got a bath and was a 4/2. I copied that and then did a
modification. Luckily the surveyors knew that I had just started and I
feel they were easy. Obviously I got cited for MDS but I think it will
be at an E level. ANy words of wisdom to clear all this mess up would be
appreciated. Obviously due to coding errors I probably will be doing a
lot of sig changes. Upon looking at the history of the MDS it appears t
his nurse did modifications on almost every assessment she did.
Crazy!
Lisa
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