Nine Or More Meds?

So right! We should be care-planning for the resident, not the staff, the QI’s or the surveyors….but this is what’s happening everywhere, and Debbie is right….coordinators are expected to, and instructed to care plan anything and everything whether a problem or a potential problem, or not a problem! It has become a tedious, all day long, never-ending job, and in many cases, without team participation. Whenever the resident farts, the first question to the MDS coordinator….”did you put a care plan in for that???? Did the resident smoke 20 years ago? Better care plan that! Did the resident complain about a staff member?? Better care plan that they are uncooperative and non-compliant!! Were they sad and crying 15 minutes ago??? Better call psych...and don't forget the care plan! We care plan the disease, the fall, the behavior, the mood, the med, the splint, the meal…and on and on, without really identifying if it is an actual problem for the resident…all to cover our butts….and please the surveyors’.