MDS Charting Emphasis for Staff

Jan 03, 2005 12:38 AM

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.

crayola1 · Jan 04, 2005, 02:51 PM

Rnac

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.

My opinion is that if the staff does not chart what you need, you always have the option of assessing the resident and writing your own supporting documentation. Take care.

ktwlpn · Jan 04, 2005, 03:32 PM

Our mds co-ordinator posts a notice at each nurse's station and updates it weekly regarding any med "A" charting-she actually lists the diagnosis and symptoms that we must address in our notes...She has inserviced us regarding our tracking sheets and the importance of talking to the cna's about each residents needs each day.It helps if all nursing staff has a good undertanding of what the MDS actually is-in facilities with good MDS teams it is surprising how little the staff nurses on all 3 shifts actually understand about the process....And the acronyms mean NOTHING to many nurses..

TriageRN_34 · Jan 04, 2005, 03:37 PM

I am sooooooooo lucky...I can actually get away in a little area on most forms by giving symptoms and let lab or other facilities look through the books and figure it out (okay well if they don't they don't get paid...so...)! Whew...if I didn't I would so need a year or so in just that alone...updated every 6 months! LOL!!!!!

When I do get a copy of the updated ones....which I have heard happens when frogs jump out of the ocean and take over coastal communities...I do list it appropriately! I think??? LOL!!!!!!!!

kathi yudin · Jan 09, 2005, 10:38 AM

mds charting

what i did as mds coordinator and even as don.. is .. with any new medicare admit.. i would type up a note and place it in front of the nurses notes and in 1,2, 3 order state what they need to hit within the documentation.. ie: admitted with pneumonia.. #1 would be respiratory assessment.. is there a cough.. is it productive... if on atb... which one how long.. plus s/s of n/v/d if any.. they are required to write it out not just no adverse reactions.. what they are.. no n/v/d or rash..i expected continence or incontinece to be documented on as well as what level of adl's could they do for themselves.. and how much assistance was required... this was spoonfeeding but it worked!!!..hope that this helps..

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.

donmomofnine · Jan 11, 2005, 11:35 AM

We developed a PPS charting form. It is two sided and has room for documentation for all three shifts. It has blanks to fill in for vital signs, objective data, subjective data, new MD orders, meal and fluid consumption, elimination, therapies and progress in therapy, etc. It also has blanks for filling in diagnosis at the top and then a space to comment on assessments/symptoms related to diagnosis. This seems the best way to get all the info we need! After it is filled out it is placed in the resident record and substitutes for the nurses note. Fattens up the charts quickly, but gets us the info!

bellcollector · Jan 12, 2005, 09:11 AM

I am ashamed to admit that I have been an LPN for nearly 6yrs and just recently was told what I needed to document on skilled residents. Obviously I hadn't worked with this type of thing before or done this type of charting.

I admire you for taking the floor nurses into consideration and trying to make their job easier. I think it is unprofessional for one to suggest that you do your own assessment and back up documentation. It only makes good nursing sense that the floor nurses that work day in and day out directly with the residents/patients would do the supporting documentation. Don't let comments like that get to you. Most professional nurses realize that it is their job to do good supporting documentation. I personally think you will be great at your job.

A cheat sheet of sorts would be a great help. Thank you for thinking of us floor nurses.

robin_mds_nurse · Jan 20, 2005, 06:58 PM

PPS Charting Form

Originally Posted by donmomofnine

We developed a PPS charting form. It is two sided and has room for documentation for all three shifts. It has blanks to fill in for vital signs, objective data, subjective data, new MD orders, meal and fluid consumption, elimination, therapies and progress in therapy, etc. It also has blanks for filling in diagnosis at the top and then a space to comment on assessments/symptoms related to diagnosis. This seems the best way to get all the info we need! After it is filled out it is placed in the resident record and substitutes for the nurses note. Fattens up the charts quickly, but gets us the info!

Could I have a copy of your PPS charting form? We are having a horrible time with PPS charting! Our district has had several audits, and so our consultants are on us to make sure documentation between therapy & nursing matches. I was a floor nurse for 8 years, so I know how busy they are.

Thanks a bunch, Robin

brown eyes · Jun 07, 2005, 10:34 PM

Lpn Unit Manager

Originally Posted by GrassHopper2

Hi there:
I WOULD LIKE A COPY OF THAT FORM IF YOU WOULD PLEASE MY EMAIL IS ON THE THREAD THANKS

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.

I WOULD LIKE A COPY OF THAT FORM

brown eyes · Jun 07, 2005, 10:36 PM

Originally Posted by brown eyes

I WOULD LIKE A COPY OF THAT FORM

IF YOU WOULD PLEASE MY NAME IS BROWN EYES AND MY EMAIL IS ON THE THREAD THANKS

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MDS Charting Emphasis for Staff

MDS Charting Emphasis for Staff

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