Please forgive me for restarting a thread that is two years old. I found it to be quite informative. I am new to my position as a MDS coordinator~about a year now. Had about a month of training however only on MDS', as my predecessor hated
care conferences, care planning, as well as Rap summaries. Unfortunately, I need some help here pretty quickly if anyone might be available. We have been through three DON's in the past year. Our newest one used to work here as a Nac, then as a Rn, and left for personal reasons. Fortunately our Administrator convinced her to come back as Don, and she is wonderful as a teacher. She has been a Unit Manager at another facility, and was involved in the care planning process. I have been writing my Rap summaries based on what out QAn nurse had advised me when I asked for assistance about a year ago on references, and just what is it that surveyors are lokking for? She said the same as what another poster said in this thread about care plans
. You should
be able to read a RAP summary and know exactly who is being discussed without a resident name. And she advised narrative summaries.
Now jump to this years surveys. We got an F-Tag due to my Rap summaries "Being too difficult to follow." OMG. So I have fixed that by starting with an intro to the res, a med list, and diagnosis. Then I follow with seperating Rap summaries by paagraph, instead of essay type. Ok, DON and ADmin are happy with that. But, Another F-Tag is that I did not addres Delirium in my summaries. I over addressed Cognition thinking that it should cover it.
AS part of our Plan Of Correction- Admin is requesting from me an example RAP summary for Delirium, as well as a definition of Delirium, and common triggers/causes of Delirium. (Admin & DON are extremely supportive, and know how much of a perfectionist I am)
Please help!! Does anyone out there have a good example of a RAP summary for Delirium, and can outline for me some common interventions and things important to address?
With Much Appreciation,