one way to make them do it even without computers to
input is to make them write down in a sheet of paper
their decision as to whether they want to proceed to
care plan and why, why not. 
they do this after they completed their sections.
then they submit it to you for review and then is
typed in the computer.
some softwares can print to you the triggered RAP and
then there is a blank space for you to write the RAP
review note. if you have such software, you can print
this out for them then they can return it to you so
the RAP process can be completed in the computer.
as to POC, you have to coordinate with your DON so
that the nurses can also participate in care plan
completion even before the MDS is completed. 
it should not only be you who should be completing it.
also, require each discipline to care plan on their
particular triggered RAP. if they don't they should
not be in the building because that means they do not
know what to do with the residents and how to care for
them - nutritionally, psychologically, psychosocially,
emotionally etc...

 
-- [EMAIL PROTECTED] wrote:
> In a message dated 4/1/04 6:07:23 PM Eastern
> Standard Time, [EMAIL PROTECTED] 
> writes:
> 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. 
> I completely agree with this.  However, our facility
> will not let the other 
> disciplines use the computers and so the MDS nurses
> do all the raps and many of 
> the poc's as well.  It is not the right way to do
> it.
> 
> Sherri
> 


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

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