I am a new MDS coordinator in a facility that has a huge number of rehab patients. (We call them residents, but they come and go so fast that they are more like acute care patients to me).
Anyway, we have so many admissions and discharges that it is an overwhelming task to complete a comprehensive assessment, including RAPs, on each one.
The detail of the RAI doesn't bother me and I am a stickler for paper-documented accuracy of what I enter into an assessment, but the RAPs are killing me.
Does anyone have suggestions on how to streamline the RAPs process so I don't feel so overwhelmed?
Thanks in advance for any help you can give.
Nov 14, '07
In my facility I work the RAPS. NATURE OF CONDITION, CAUSAL FACTORS (usually the diagnosis(es)) OTHER FACTORS, RISKS/COMPLICATIONS, REFERRAL, CARE PLAN (yes or no), COURSE OF ACTION. I make sure that everything on the RAP is in the care plan, I LIMIT THE NUMBER OF CARE PLANS
TO 6 OR 7, & combine where appropriate, i.e; 1; is Information-list the PCP, Code status, discharge plan, doctors visits, DDS, POD. FLU VAC & Pneumovac. The next is COGNITIVE FUNCTION/COMMUNICATION, ADL SELF PERFORMANCE/RISK FOR FALLS, CONTINENCE / RISK FOR SKIN PROBLEMS
, NUTRITION / HYDRATION, MOOD/BEHAVIOR PSYCH MED USE. Doing this tightens up the plan of care & makes it much easier to update. I guess some facilities have a large number of separate care plans, too much for me. The way I do it makes it much easier for the other disciplines to add approaches & make the care plans interdisciplinary. I have had 5 deficiency free surveys doing the care plans in this manner. Hope this helps.
Last edit by lpnbecky123 on Nov 14, '07