For a start, you only do RAPs if the PPS assessment is ALSO a Significant Change in Condition, an Annual Assm't, or an Admission assm't. You only do PPS assm'ts if a resident is on Medicare. Distinguish between an OBRA and PPS requirements.
You type RAPs??? RAPs is simply reminding you of a trigger which can be a problem or not. Such a trigger may already be addressed somewhere in the medical records or in the care plan. Simply refer that triggered RAP to that record.
Your facility should have someone who will be responsible for transmitting the MDS after you have certified its completion. The RN position is a wasted skill for a clerical job - data entry.
The MDS Coordinator should be focused on training, scheduling, maximizing reimbursements, coordinating care plans
, and facilitating prompt completion. Hence, should be a full-time dedicated position. Until you can settle in with your new responsibility, the Care Planning duties should be assumed by the ADON. It's time to have someone else do the supervision on the 3rd weekend.
I am responsible for 264 residents, an average of 50 are PPS. I also do the scheduling, care planning, coordinating rehab rx mins. to maximize reimbursements, and policing other disciplines for prompt completion. We have a clerk that does data entry and weekly transmission.
122 would be "a walk in the park".
"Work on a system and it will flow like a stream." Organize, organize, organize. Good luck!