RAPs

so what exactly is your question? When I write raps I start my rap by writing what triggered the rap and then i write out my reasoning as to why I do or do not agree with the trigger and whether or not I will write a care plan (does that make sense) surveyors have not had any issue with my raps and my don trusts that i know what i am doing so she doesnt double check either. Everyone needs to develop a system that works for them.

Hi. Please don't take this the wrong way...

"Doing" the RAPs? Or defining the Resident's Actual Problems?

The RAP form requires consideration of these areas: why triggered (nature), complications, risk factors, referrals. Then, care plan or not? It is a part of the nursing process--look at all information-->analyze information-->problem definition-->CP if a problem.

You can independently look at the MDS, and its minimum data (the boxes checked in your software program), check more boxes, fill in more blanks, and try to analyze if a trigger is a problem needing a plan for care.

(Fall "trigger" becomes "Risk for falls")

Or the "team" can discuss/analyze MDS data, other meaningful assessment findings, and confer with the resident/family to define the actual problem.

(Fall "trigger" becomes "I can't see to the right--this affects almost everything I do"--with specifics/approaches/goals about environment, falls, driving, taking meds, eating, etc.)

The LOCATION OF INFORMATION depends on how/where you document your team analysis (or where others have documented their findings).

Your question is not really clear--but I don't think it is really about check boxes...