when the MDS came about it was a scramble to put people in place to do this job, the Federal government did not mandate that the nurse need be educated in this position so mistakes are bound to happen, instead of punishment may be some education is in order here, this job is overwhelming as it is and everybody is interpreting the rules with some differences, when I make a mistake I acknowledge it and learn how to correct it and I don't beat myself up about it nor will I allow others who's understanding of this job is not perfect to do it either, so lets learn and support our MDS coordinators
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of carol maher
Sent: Thursday, March 04, 2004 10:18 AM
To: [EMAIL PROTECTED]
Subject: RE: Discarded RAPS--help

I think that it was more a  misunderstanding than a frustration issue.  She realized that she should have done a Significant Change instead of coding it as an annual so was thinking that she would just discard it and start over as a Significant Change to do the right thing.  She wasn't thinking that the assessment had been signed as complete and transmitted, just was thinking that she needed to do a Sig Change. (Momentary disconnect from clear thinking).  Disciplinary action has been started.  It wasn't intentional, but none-the-less causes the facility difficulty.  I am having her re-write the RAPS with today's date and a writing a note to tell of the loss of the originals.  I'm sure she is kicking herself harder than we would want to.  We all have our senior moments, nurses aren't immune, even though we are supposed to be.


-----Original Message-----
From: Dorothy Wolfe <[EMAIL PROTECTED]>
Sent: Mar 4, 2004 8:24 AM
To: [EMAIL PROTECTED]
Subject: RE: Discarded RAPS--help

Clean Clean DocumentEmail MicrosoftInternetExplorer4
Some days I'd like to rip up a whole lot more than a document. I'm sure many others here have felt that way.
 
No matter where we work, we are always expected/encouraged to report when we've made a mistake so it can be corrected.  Most often, the end result of that is termination. In my mind, realizing that will be the outcome does more to perpetuate intentionally destroying/altering documents to cover the mistake rather than risk losing your job as the means to correct it.
 
Why not find out what took her to the point of making that action and trying to correct that instead?
 
YMMV,
 
 
Dorothy

Dorothy Wolfe, BSN, MDS Coordinator
The Virginia Home
1101 Hampton St.
Richmond, VA 23220
Phone: 804-359-4093 X227
Fax:    804-358-4075
[EMAIL PROTECTED]

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Are you all missing the point here? Destruction of a legal document? It's a small step to altering a document. For this, would you "give her a day off"?

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