Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
MDS Coordinator Information /

Charting Frequency Long Term Care Medicaid



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,322 members! Join today to network with other nurses, laugh, share, and much more.

Aug 05, 2009 01:28 AM

Charting Frequency Long Term Care Medicaid


I am a LPN, and I have a mix of patients which are skilled, and some that are LTC Medicaid. How frequent should I be charting on the LTC residents ? (I chart by exception for them now.) I am familiar w/ the MDS process, I used to be a Food Service Director and had to do section K myself, and I remember my former facility had Medicaid audits, where the facility lost money because of inadequate documentation. Any help would be appreciated.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
8 Comments
No. 1
from 4668
Old Aug 05, 2009, 01:15 PM

Default Re: Charting Frequency Long Term Care Medicaid
I make our nurses chart each shift when they are on skilled.

The LTC residents have to be charted on each shift if there has been an incident, abx usage, new orders,
Top
 
No. 2
from crissrn27
Old Aug 09, 2009, 01:13 PM

Default Re: Charting Frequency Long Term Care Medicaid
When a LTC medicaid resident is in an assessment period I place a white sticker with the ARD date on the spine of their chart. I usually do all of the ones for the next month in the last week of the previous month. I expect a detailed note within the week before, including ADLs, B/B, any behaviors, moods, etc.

Of course, this only happens about half the time, but you work with what ya got, right?
Top
 
No. 3
from rapkeygurl
Old Oct 11, 2009, 06:52 PM

Default Re: Charting Frequency Long Term Care Medicaid
we have a monthly charting schedule for our facility plus a weekly assessment that included the Section B documentation. I did an inservice on doing a monthly summary in the nurses notes which included what abt's they were on, what are they doing in restorative, b/b, transfer status, how they made needs know, how they eat, etc..
Top
 
No. 4
Old Oct 22, 2009, 08:43 PM

Default Re: Charting Frequency Long Term Care Medicaid
Monthly summary-like a mini-physical. For the annual MDS I push for another "Admission Assessment" from nursing, going over them from head to toe, as if they were a new admit.
Top
 
No. 5
from rapkeygurl
Old Oct 23, 2009, 12:08 AM

Default Re: Charting Frequency Long Term Care Medicaid
anyone got a good monthly summary form ours stinks- they are making the nurses do weekly summarys but it is just check off list and they dont do a summary of what happened with the resident all month so hard to capture stuff.
Top
 
No. 6
Old Oct 26, 2009, 07:32 PM

Default Re: Charting Frequency Long Term Care Medicaid
Most summaries I've seen are the check off kind with spaces for comments. I don't know too many people who actually write comments. I have a summary if you want to take a look at it....IM me with your email and I'll send it to you.
Top
 
No. 7
Old Oct 26, 2009, 07:35 PM

Default Re: Charting Frequency Long Term Care Medicaid
Originally Posted by susanthomas1954 View Post
Monthly summary-like a mini-physical. For the annual MDS I push for another "Admission Assessment" from nursing, going over them from head to toe, as if they were a new admit.
Sorry, and maybe I'm being overly sensitive, but you said you push for another from nursing.....aren't YOU nursing?
Top
 
No. 8
from annaidjb
Old Nov 05, 2009, 01:04 PM

Default Re: Charting Frequency Long Term Care Medicaid
Well, I am a nurse, an MDS coordinator, but unfortunately, with 230 residents, I HAVE to rely on the floor nursing staff to do the physical assessments. Sure, I could do them, but with anywhere from 15-38 MDS assessment due weekly between Medicare PPS and the quarterly, annual, sig change...I have a hard enough time getting what I have to get done, without adding the physical assessments. I am considered Nursing administration, do oncall, and weekend manager responsibilities. I am salaried and wish I had 8 arms sometimes!!!
Top
 
Reply




Thread Tools


Who's Online
372 members
4,548 guests
4,920

1

Interesting article on ThedaCare's Collaborative Care Model

4

Possible breakthrough regarding MS

52

16th Philly area hospital to stop delivering babies: Mercy...

7

Really interesting article on Indian open hearts

4

High-Tech Pump Does What Her Heart Can't

2

Air Force RN Force RN Found Not Guilty

15

Hospital Falters as Refuge for Illegal Immigrants

6

California Imposes Stricter Rules Regarding Drug Abuse In...

40

Are older nurses being forced out of the profession?

3

An outlook in California?



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

15

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: