i can't stand it, i just can't stand it. our assessments are assigned to the person whose weekly assessment falls within the period. that way they are divided among all the shifts. we do 8 hours shifts through the week and have 12 hour baylor positions on the weekend.
our mds coordinator will move dates after the weekend nurses are gone for the week, and end before they come on for the next weekend. she doesn't take the time to look when the assessment will be done (although i have provided her with a schedule.)
now i know assessments have to be moved. [color="r ed"]but she has to tell someone. then i get all this crap about "missed assessments" and lost money.
she is not doing it on purpose. she is just a lost puppy when it comes to her job. always late,behind and having to have corporate mds to come in and bail her out. she does her job without ever having seen a resident. i just don't know what to do. help!!!!
Quote from mds1
Mine come in on weekends, too, that helps. Yes, you can have a COT if in Assessment window, you have to use the COT date if within allowed days for that particular assessment. A COT lookback/potential is every 7 days.
In our facility they sent the rehab coordinator to the new training, not us nurse managers who do MDSs... She will ramp up or down WITHOUT COT if in an assessment period. Let's say a 14 PPS is coming up and she is going from high to ultra, she says no COT is due. Her system did not flag it.
Adding: Which I guess makes sense since the COT is to change the RUG level and since a 14 PPS is going to generate a RUG I guess that would be OK so no COT would be needed, right? BUT if we are between a 14 PPS and a 30 PPS and not within the 30 PPS ARD and she can't get her minutes, we would need to COT to create a new RUG right? I can't believe they handed me and my counter part a paper power point for our training versus sending us to the meeting. Oh well...
Last edit by PsychNurseWannaBe on Dec 1, '11
: Reason: Adding