Re: How can an accurate MDS and RAPs help provide good care?

[Betty anderson]

I too have been doing MDS"s for 5 years. I also hand write my care plans and so does each team member. So I feel I just repeat my self doing the raps. I agree that I don't have to look at the chart, it's all in my head. ----- Original Message ----- From: Michelle Witges To: [EMAIL PROTECTED] Sent: Thursday, April 01, 2004 3:45 PM Subject: Re: How can an accurate MDS and RAPs help provide good care? There are times when I wish that I could do all the RAPs myself.  With the exception of myself all of the other disciplines have been here for numerous years and most pre MDS and they did not have good training in the begining and become resentful when I try to explain that they are not doing them correctly.  Sometimes it's just easier for me to do them.  If they had good training and did them correctly it would work out wonderful but most of the time I have to correct some points and that creates friction for me.  Just my opinion in my facility.  Michelle ----- Original Message ----- From: Park Lane MDS To: [EMAIL PROTECTED] Sent: Thursday, April 01, 2004 11:57 AM Subject: Re: How can an accurate MDS and RAPs help provide good care? When I first started doing the mds's I found them useful, but as I have been doing them for 6 years, on the same people, I find them redundunt, and not helpful, because I have gotten to wear I do them in my head.  At this point and time the only time I find them helpful, is on a new admit, this lets me assess and find out in more detail about the new resident.  But I do find that some of the raps are just a waste of time, and for a rule they eat up to 8 hours doing them.  I don't have that kind of time sometimes, especially if I have 3 sets to do.  I think that after a while, you learn what to look for.  Unlike some of you, I have to do all the raps, the other disciplines do not do them, so I find it may take me longer since I don't have the luxuary of other team members helping with them.  (facility policy).  Some times I feel very envious of you that have other disciplines help with the raps.  I get input from the other disciplines but I still do all the work.  But this is just my humble opinion. Shellie ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 30, 2004 8:12 PM Subject: Re: How can an accurate MDS and RAPs help provide good care? In a message dated 3/30/2004 10:49:53 PM Eastern Standard Time, [EMAIL PROTECTED] writes: OK gang.  I would like to hear from all of you.  How do you see the MDS process and RAPS, done well, helping with the care of your residents?  What makes you feel good about the job you are doing as MDS coordinators?     PS--get your RAP surveys in !!! This is strictly off the top of my head but I think that MDS helps most in resident care by having a team thoroughly assess the resident, his/her care plans and the medical record to find out if anything could be improved.  I don't find RAP's very helpful, sorry.  We usually have care plans complete before RAPS are done.  Sometimes they point out omissions in the plan of care but not usually. I mailed my survey a couple of days ago.