In a message dated 2/27/2004 9:26:49 AM Eastern Standard Time, "Holly Sox, RN, RAC-C" 
<[EMAIL PROTECTED]> writes:

>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.
>




Once again, I agree with Holly!!
>HS
>
>Holly F. Sox, RN, RAC-C
>Clinical Editor
>
>www.careplans.com � [EMAIL PROTECTED]
>
> �----- Original Message -----
> �From: [EMAIL PROTECTED]
> �To: [EMAIL PROTECTED]
> �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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