Originally Posted by GrassHopper2 Hi there:
I am new to the MDS Title and really need some help with organizing charting for Nursing Staff. I got a great flow sheet from the AANAC for CNA's and would love to share this if anyone wants it. The flowchart is on Adobe Acrobat and I think I can download it for anyone here if you would like.
I am hoping to get some help with assisting staff with charting savy We all need help with support documentation for residents tht matches MDS and Staff/Nurse Charting.
Any and all help is appreciated.
Wow! This is such an interesting thread! Although I worked predominantly in the hospitals, I spent my last 4 clinical years in LTC. I am now studying Health Information Management and the MDS is right up our alley. Somewhere, I have a package of papers that was given to us on what to address in charting on skilled Medicare patients. They are broken down into body systems. The home where I worked pulled the current narrative nurses notes for any patient requiring that extra charting (pt. on antibiotic, pt. had a fall or other incident) and placed them in a 3-ring notebook at the nurses station. A specific charting guideline was placed next to each patient's notes so that when you opened to that patients notes, the charting guideline was on the left side and the page of nurses notes on the right. The charting guideline, of course, reflected what was on the care plan. Every charge nurse was to chart on these patients every shift. We had a supervisor and sometimes the MDS nurse who checked those notebooks every day to make sure the patients were being charted on and for the right things. I would love to pass these guidelines on to you all, but I don't know where I've got them stashed at the moment. The facility I worked for got the skilled nursing/Medicare guidelines from a MDS consulting firm and the ones for cold, flu, infections, and falls were developed by our MDS/Care plan nurse specifically for our facility.
:hatparty: :Melody:
Could you email me a copy of the form
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