how sad,  I have been in LTC for 25 years and I think the MDS is far better than what we were doing prior.  Also, the PPS system makes coverage clear.

Delores


In my facility the MDS/RAPS/CPs do not impact the resident in one way or another.  I am the only person who ever reads them other than consultants and surveyors. I am not allowed to implement any interventions. I am only to document in CP any interventions I see are being done. Most of the RAP related things like interventions for urinary incont or psychotrophic meds aren't done.  The pharmacy consultant can suggest dosage reductions.  Because I am not an RN questions / suggestions are not well recieved and is seen as over-stepping of boundries.  UI, Physical decline, dehydration is considered an inevitable part of aging.  Is this a common view in LTC?
I can see where the MDS/RAPS could be an excellant tool if utilized correctly.

Timma




Delores L. Galias, RN, RHIT

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