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In a message dated 3/2/04 12:58:27 PM Eastern Standard Time, [EMAIL PROTECTED] writes:
This is not a good morning. I have just found out that one of my MDS nurses decided that an annual assessment that was completed in early February, signed and submitted, should have been a Significant Change. She is right, should have been a Significant Change. The real problem is ,however, that she got so upset that she missed the SCSA that she ripped up the RAPS that she(and others) had completed for the annual. Now, I have an annual submitted to the state that should have been a SCSA and no RAPs to go with it. Any suggestions about how to save this one? In the first place, annual or no, it still would require RAPs. Why tear them up? Guess it doesn't matter as it is already done. Well, I would reprint the original RAPs and have them signed again and put back in the chart. If the Annual was done correctly and showed the items that would have made it a significant change, at least the right data, if not the type of the assessment, was sent. It is late for a correction, but better late than never, especially while you are still within the quarter. Also, was the Sig Chg expected? Or has it continued or gotten better? You may want to do a Sig Chg now, depending on the condition of the resident.
Sherri
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