
Tis funny--the MDS, itself, can be completed by any healthcare worker who is trained to complete it. It's up to the facility to decide who is qualified.
If so, is it truly an "assessment"? (in the professional sense)
The RN is supposed to "conduct (lead, manage, organize) or coordinate" the MDS data collection and assure that all is completed--sounds like a task for a scheduler or unit clerk to me.
YES--perhaps RAPPING is a professional "task"--but how many nurses actually RAP/plan with other professionals? A recent A __ __ __ C survey reported that 75% of the nurses who responded did the RAPs themselves. Both the RNs and LPNs I know say they LOOK at notes, LOOK at the MDS, and write a summary--no extra thinking--they don't have time. All triggers are problems to proceed to CP. Who has time to take a professional approach with other professionals to figure out the real problems??
So our nurse practice acts say that only the RN can "assess", synthesize the findings, develop a "diagnosis", and create an initial plan--other disciplines have similar practice acts for the "professional."
But unless RNs and other "professionals" step up--care enough to use their knowledge and degrees, neither the "law" nor CMS will ensure a thorough assessment, thoughtful problem identification, and evidence-based plan for success.
Nursing News