Doing the RAPS should not make you feel redundant.
You can actually join several RAPS together and just
refer to RAP# REVIEW NOTE for your other RAPS 
IF THESE RAPS ARE INTERRELATED.
Also, I would insist that each discipline address
their RAP triggers otherwise the whole process will
not be interdisciplinary. Yes, you may be the RAP
expert & yes, your team members maybe amateurs in
addressing the RAPS as you do
but that's the reason why you are the coordinator.
You should have the ability to lead the whole team
to do their part to the most of their ability
and therefore be effective as a team. 


--- Betty anderson <[EMAIL PROTECTED]> wrote:
> 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.
> 
>          
> 
> 
>
----------------------------------------------------------------------------
>      
> 


=====
Melinda de la Cruz, R.N., B.S.N., RAC-C
MDS Coordinator

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