Oh yes, my DON didn't want me to complete significant changes because they would cause 
QI's to increase the numbers on the reports and then wouldn't come off for 6 months.
> Have any of you had the experience of having your D.O.N. "suggest" that your
> coding is incorrect because we don't want that on the QI report?  How did
> you handle it? I always think of the correct answer and hour after the
> conversation is over.
> 
> 
> /----------------------------------------------------------
> I always say it is the job of the charge nurses and the clinical care
> managers to change what is wrong on the floor and then I do not have to code
> things that do not look good on the MDS- such as dehydration or fecal
> impactions.  I say I am much like a reporter-I do not make the "news" I
> merely report it. Send out those hydration carts. Pass those snacks. Get
> that bowel program going and give laxatives if no BM recorded. If the "bad"
> stuff does not happen it does not have to be coded. Becky
> 
> 
> /----------------------------------------------------------
> The Case Mix Discussion Group is a free service of the
>  American Association of Nurse Assessment Coordinators

>       "Committed to the Assessment Professional"
> Be sure to visit the AANAC website. Accurate answers to your
>          questions posted to NAC News and FAQs.
>     For more info visit us at http://www.aanac.org
> -----------------------------------------------------------/

/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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