I have not been on the net for a week so if this has been answered sorry.
Global RAPs is a term used on the Accumed software program [and perhaps others?] It allows the facility to write a narrative RAP note. My clients use it all the time.
No reason not to use it. I give clients a template that works well and it allows combination of related triggers and very individualized one person documentation. It is a fantastic tool.
The only improvement I would like it to be able to format the text a bit better than the software permits.
Save us from nurse consultants who do not EXPLAIN THEIR RECOMMENDATIONS.---WHY WHY WHY. Is it a facility or corporate policy? Has to be, no other reason. And if it is a unique policy WHY
Delores
I've been off work for awhile d/t a car accident and subsequent surgery. While off, my regional clinical nurse came in to do a "score card" of the facility and when she found that I had addressed all my raps by referring to a Global Rap Summary, she had a cow. She says they are not allowed to be used. This was on an Annual, in which there wasn't any change in the resident from the year before. I addressed every rap that triggered and other issues. Why would this not be acceptable? It was very comprehensive. I also use Globals on Admission assessments when the person leaves after the 14 days and is not returning. There is no need at that point to work the raps and I use the Global to state the reasons why. I also have already done an interim prior to that. Any comments?
Sherri
Delores L. Galias, RN, RHIT
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