MDS 3.0 Data Collection Tool?

  1. Does anyone have a really really good mds 3.0 data collection tool that they made? I am trying to make a good one in the right order as I am writing this, but realize I suck at making things like this! LOL If anyone wants to share my E-mail is
    Thanks so much =)
  2. Visit NurseKeller53 profile page

    About NurseKeller53

    Joined: Apr '12; Posts: 1; Likes: 1


  3. by   silverbat
    I make copies of blank MDS relevant items for each discipline such as b-e for social services, k for dietary, etc and hand them out to the individual who will do the assessments after indicating the ARD on the forms. Thsn I have a cheat sheet I use for infor from the computer. I could send it to you, if you give me your email addy.
  4. by   rukiddingme

    ard:________ 7 back:________ 14 back:________[font="calibri"]

    lastmds ard/type:__________________________[font="calibri"]
    bims:________/________ mood:________/________[font="calibri"]

    (sect.i) active diagnosis list: [font="calibri"]
    uti past 30 days? y n[font="calibri"]
    since last assessment? y n date:________________

    medicationsused/taken (in past 7 days)[font="calibri"]

    sect.j: (in past 7 days) sob w/ exertion [font="calibri"]
    sob @ rest sob whenlaying flat hospice/terminal fever vomiting [font="calibri"]

    j01800 falls (since admit or last assessment)[font="calibri"]
    no injury_________ minorinjury_________ [font="calibri"]
    major injury_________ [font="calibri"]

    sect.k: (in past 7 days)[font="calibri"]
    weight:_____________ height:____________[font="calibri"]

    sect.m: (in past 7 days) [font="calibri"]
    askin report/treatment book for pressure ulcers, skin tears, incont. skin relatedproblems, surgical wounds, etc.[font="calibri"]

    sect.n (in last 7 days) [font="calibri"]
    # of days injectionsgiven:_____________[font="calibri"]
    # of days insulingiven:______________[font="calibri"]
    # of days phys. changedinsulin orders:___________[font="calibri"]

    # of days these meds used in past 7 days: [font="calibri"]
    antipsychotic_____ antianxiety_____ diuretic_____ antidepressant_____ hypnotic_____ anticoagulant_____ antibiotic_____ [font="calibri"]

    sect.o (in last 14 days) while not a resident [font="calibri"]
    chemo radiation oxygen suction trach vent/respirator bipap/cpap ivmed transfusion dialysis hospice isolation(strict) [font="calibri"]

    sect.o (in last 14 days) while a resident [font="calibri"]
    chemo radiation oxygen suction trach vent/respirator bipap/cpap iv med transfusion dialysis hospice isolation(strict)[font="calibri"]

    flu shot:______________ pneumo:______________[font="calibri"]

    physicianexam/visits (in the past 14 days)[font="calibri"]

    phys. orders (in the past 14 days) [font="calibri"]
    *not clarifications or readmit orders[font="calibri"]

    sect. p restraints used inthe past 7 days: y n[font="calibri"]
    used daily or notdaily? [font="calibri"]

    othernotes, etc. can go on the back side[font="calibri"]