It's monthly summary note time!

CoffeeRTC, BSN, RN · Sep 29, 2005

OMG, we havent done monthly summaries in years! Thank goodness. I remember procrastinating with them too.

What is ASIH?:imbar

night owl · Sep 30, 2005

ASIH=Absent Sick In Hospital. He came back yesterday of course. :stone And you don't do them??? Luck you. It seems that everyone does a monthly summary on each pt meaning the doctor, the PA or NP, the dietician (sp?) The therapy people ie PT, OT and then there's mine which is a combination of everyone else's. I really don't see the point in mine. We have a template where we check off certain things and then there's a narrative where we type basically the same things every month (This 81 y/o caucasian male, admitted on 7/10/2003 with DX of blah,blah,blah etc.and so on) unless of course there's a change in their condition, but the doc covers that area pretty much in his note. The endless paperwork of LTC. It goes on and on and on.

I managed to get three done last night. :smiley_aa I'm so proud of myself!

So what made your facility stop doing them?

CoffeeRTC, BSN, RN · Sep 30, 2005

Not sure why we stopped. We do a weekly note on all the shower days. It should be a comprehensive note on the resident's satus.

Is there a reg that states we need to do them or is it state specific? As far as MDS purposes, unless it fell withing the ARD why would you do them?

johnson0424 · Oct 8, 2005

how do ya'll do monthly summaries? are they split up between the nurses? I just now found out that we need to do them? do you wait till the end of the month? let me know

night owl · Oct 8, 2005

how do ya'll do monthly summaries? are they split up between the nurses? I just now found out that we need to do them? do you wait till the end of the month? let me know

Our 60 reisdents are divied up and each nurse is assigned to do 4-5 summaries each month. I usually put them off until the very last minute only because we're usually so busy that I can never find the time to do them. I've stayed after my shift has ended to do some and I've been known to go to work early on the last day of the month just so I can get it in the computer on time, before 12 midnight on the 30th or 31st. :uhoh21: I do try to do them so that I don't have to stay over or go in early to finish them up, but sometimes it's almost impossible.

MDSlady · Oct 9, 2005

I totally understand what you guys are talking about. I worked as a floor nurse 3-11 before becoming MDS Coordinator. I am the dreded nurse at my facility that hangs up the residents that need the quarterly summaries for that month. Needless, to say, everybody is grumbling when I come around with them. And I understand that some wings could have 12 -15 a month. That's alot for the month. I split them up among the 3 shifts. We have electronic charting at my facility and the quarterly summary consists of Pain, Braden (Pressure), Bowel and Bladder incontinence, Dehydration, Wandering, Smoking, Fall, and Self-administration of medication. On electronic charting it is fairly simple as the nurses, just go into each folder and click on what applies. Before we went electronic, we had a packet that we filled out for each resident. The best way is to pace yourself through the month. If you wait, well not much I can say. If you don't have to do them, GREAT!!! But try to keep on top of them, and try not to be the only one that does them all for your shift!!! Make everyone do their share!!!!

Psychtrish39, BSN, RN · Oct 10, 2005

I work in psych and all admitted clients have to have a PTP within 8- 24 hours on the chart. Most days I guess day shift nurses are too "busy" to do theirs on their own admits so guess who gets to write them? Yes, me through the weekday nights and the other weekend night nurse. I guess we have nothing to do on night shift besides chart checks, meds, admits and keeping patients asleep and not wandering the halls.

I don't mind doing them but I don't like writing a care plan ( basically what they are) on patients I didn't admit. One of the PRN nurses who knows the DON knows how to use the computer to do them but this isn't common knowledge to all. So I stay over in the morning if necessary and finish. I figure I ought to get paid for it. Everywhere I have ever worked the admitting nurse was responsible for all paperwork on their admit unless they came right at shift change. Then you still did what you could....

I like the unit, and the patients and my Mental health techs but this passing the buck will stop with me. I am on a contract until Jan. then I will have another position because that kind of management I don't need... besides not good care to me, the day folks see them in daytime and what they act like behaviorally is totally different on nights... Of course no one on my 3 day orientation ever mentioned this to me or I would have already been doing them instead of getting nasty emails from the manager. This is what makes being a nurse frustrating the darn paperwork... :mad: