allnurses: A Nursing Community for Nurses - MDS Coordinator Information http://allnurses.com Nursing MDS Coordinators networking with other MDS nurses. en Sat, 21 Nov 2009 02:06:12 GMT vBulletin 60 http://img.an-file.info/misc/rss.jpg allnurses: A Nursing Community for Nurses - MDS Coordinator Information http://allnurses.com Not catching on http://allnurses.com/mds-coordinator-information/not-catching-on-439326-new.html Mon, 16 Nov 2009 03:42:42 GMT The newest care plan nurse hired in my facility has been there since the very end of June. Near the... The newest care plan nurse hired in my facility has been there since the very end of June. Near the end of October I starting giving her some extra training and assistance (because she said she didn't receive enough when hired - which was about 2 wks worth by the gal that she replaced) I've been reviewing her MDS' for the last 2 weeks (at the request of my supervisor) and finding numerous coding errors. So I went to her, and after going over the mistakes I found, I said "After this much time doing this job, and the extra training that you received at the end of October, I expect that your MDS' be getting better - and their not". Her reply was "Yah, I know". That was it. And she thanked me for helping her out as much as I did. Needless to say, the bosses are looking for her replacement -- and she's probably looking for our -- considering her reply and lack of concern voiced. Thanks for letting me vent. Tara ]]> MDS Coordinator Information gerinursetara http://allnurses.com/mds-coordinator-information/not-catching-on-439326.html Staff RN doing MDS http://allnurses.com/mds-coordinator-information/staff-rn-doing-439189-new.html Sun, 15 Nov 2009 11:23:24 GMT Are staff/floor nurses responsible for MDSs at other LTC/sub acute facilities? We were required to... Are staff/floor nurses responsible for MDSs at other LTC/sub acute facilities?
We were required to compete a certain number of MDSs per month. There is a MDS nurse on staff.
These assignments were often handed out arbitrarily - Requiring a nurse to do a MDS on unfamiiar residents. Considering how important MDSs are it seems counterproductive to have floor nurses perform these duties. counterproductive but cost cutting.
More often than not we did not have time to complete the assignments during our shift hours. we were told to stay late however overtime was frowned upon so some of the staff nurses complied with management's 'request' to punch out and finish the MDSs. (another issue and a biggie)
Is it a common LTC policy to assign MDS responsibiities to floor nurses? ]]> MDS Coordinator Information RNMLIS http://allnurses.com/mds-coordinator-information/staff-rn-doing-439189.html ADL care plan http://allnurses.com/mds-coordinator-information/adl-care-plan-437603-new.html Sun, 08 Nov 2009 01:55:08 GMT I'd like to know how other MDS nurses care plan the ADLs, especially the MCARE ones. How specific are you with the problems and goals? Usually our rehab pts go home, so a goal may be: will improve from mostly limited assist to supervision by next review date. Since I haven't worked MDS outside of this facility, I'd like to know what others are doing. Thank you all! ]]> MDS Coordinator Information nyteshade http://allnurses.com/mds-coordinator-information/adl-care-plan-437603.html MDS 3.0 Data Specs (Final) 10/30/09 http://allnurses.com/mds-coordinator-information/mds-3-0-a-435588-new.html Fri, 30 Oct 2009 15:54:43 GMT MDS 3.0 INFO (http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp) Most of the... MDS 3.0 INFO

Most of the recently posted dls are technical specs. The 1st link MDS 3.0 Item Subsets (V1.00) contains printable documents with the required subset of data items for each MDS 3.0 assessment and tracking document (e.g. admission, quarterly, annual, significant change, discharge, entry, omra start/end of therapy, etc).

'seems we have to wait 'til November to see the MDS 3.0 RAI User's Manual.


Quote:
Please Note: Although this is the material that will be applicable with the October 1, 2010 implementation, CMS strongly encourages that all parties refrain from or delay conducting training until after the "Train-the-Trainer" sessions have been completed (scheduled for the spring 2010.).
]]> MDS Coordinator Information Talino http://allnurses.com/mds-coordinator-information/mds-3-0-a-435588.html coding section C - communication http://allnurses.com/mds-coordinator-information/coding-section-c-435293-new.html Thu, 29 Oct 2009 15:12:52 GMT We have several residents who speak only Portuguese. They are alert and oriented and easily able to... We have several residents who speak only Portuguese. They are alert and oriented and easily able to converse in their native language. However we don't always have Portuguese speaking staff available. Should we be coding "ability to understand" and "ability to be understood" as always (0) since the resident is 100% able to converse appropriately in his native language ...or usually (1) because therer is not always a portuguese speaking staff member available to speak with him? ]]> MDS Coordinator Information glm777 http://allnurses.com/mds-coordinator-information/coding-section-c-435293.html McareA, McareB, Skilled Mcaid, 60 day break http://allnurses.com/mds-coordinator-information/mcarea-mcareb-skilled-434538-new.html Mon, 26 Oct 2009 22:22:43 GMT Can someone explain Mcare A, Mcare B, Skilled and 60 day break? Do you do OBRA for privateINS, or... Can someone explain Mcare A, Mcare B, Skilled and 60 day break? Do you do OBRA for privateINS, or follow PPS? Thanks ]]> MDS Coordinator Information whomovedmycheese http://allnurses.com/mds-coordinator-information/mcarea-mcareb-skilled-434538.html The QI report is not my fault http://allnurses.com/mds-coordinator-information/qi-report-not-433557-new.html Fri, 23 Oct 2009 02:11:41 GMT The QI report from CMS is NOT MY FAULT! Yet another management team has decided to screw with the... The QI report from CMS is NOT MY FAULT!
Yet another management team has decided to screw with the MDS process, and when my partner and I try to explain that QI's for the next three months are going to look REALLY BAD, we get the deer in the headlights looking back at us. For years, untrained nurses have been completing quarterlies and annuals in this 200+ bed facility, and they now decide trained professionals need to do them. Excellent choice, but they have to understand that we are going to CODE THE FACTS! We are appalled at what we are finding in the long term care MDS's of the past. The floor nurses have done all the basic mistakes you would expect:
#1) Doing the MDS from "knowing the patient." Like coding the unusable side of Ms. S's body as having no limit to range of motion. Yes, I know it's "normal" for her, but that is not what they are asking, so....QI will flag for the way we are coding this.
#2) Coding all the meds that are ordered, not just the ones given in the look back period (plus the monthly ones, I know) Hasn't used prn tylenol in two years, but it's on the standing orders, so let's just count it.
#3) No behaviors. Honey, I know that Ms. B bangs her cup on the table when you put her in the dining room, and she has for every meal for six years. IT'S A BEHAVIOR, EVEN IF YOU ARE USED TO IT.
#4) Even if the bed rail is a mobility device, you have to code it as such. (Bed rails used for mobility) IF SOMETHING IS A RESTRAINT, assess for it and care plan it!
#5) The surgical wound was over a year ago, news flash-It's healed. Stop coding it.
And we're only two weeks into the new process.
SO: Have any of you ever had to deal with management killing the messenger here? I have been through this before, so I know what to expect at QI, but can I somehow use this as a teaching opportunity for the people in management? I don't make the news I just report it.
Thanks, ST :eek: ]]> MDS Coordinator Information susanthomas1954 http://allnurses.com/mds-coordinator-information/qi-report-not-433557.html