After 2 months..what do you think of the MDS 3.0?

Specialties MDS

Published

Now that we've all had a chance to get used to the 3.0 what do ya'll think? I hate the bulk of the whole thing and our corporation's software program is sooooo slow it's painful most days, but.. surprisingly I think I like the 3.0.

For the most part, our interviews are going fairly well. We've had several residents that I didn't think would even be able to participate with interviews do surprisingly well at at least making an attempt to follow along and answer questions (even if their answers were off the wall).

For the most part the questions themselves are more relevant and we've lost some of the "dumb" questions...I mean who really cares if someone took 14 vs 15 meds in a 7 day period.

What do you all think?

Specializes in Long Term Care, Medical Surgical, ER.
Why isn't social services doing section C?

Ok, so... why have social services get involved with the MDS process of the MDS Coordinators are already fully overloaded with their own current duties... I know I am. I would much rather just do all the MDS sections myself then have to stop what I'm doing to attempt to explain a section over and over, which that will happen here. Social Services, like other departments have so many responsiblities already, I'm just not sure I want to get them involved in something that requires attention to detail.

But thats my opinion.

Specializes in Long-term care, home health.
Good luck. It looks like I may get some help in the form of my company is hiring an MDS/CM manager for my department to "take the department to another level." Yes, of course, hiring someone to manage me and ask me for statistical reports will help me a great deal. The 84 line job description for the position includes only 3 tasks that I am not already doing. Good, I would love to just do MDS's and let this manager person do all that, but I am thinking that ain't what's gonna happen. Wish me luck.

Good luck! If only change meant good things for once, but it rarely ever does.

Specializes in ICU, CCU,Wound Care,LTC, Hospice, MDS.

We've taken MDS off the chart entirely. It was just too cumbersome. They are kept in file cabinets in a separate room.

As for 3.0, it still has many problems in my opinion. The wound section leaves a lot to be desired, but then I'm a wound nurse. The D/C's are totally ridiculous! How can you interview someone who is already gone to the hospital! Are we suppose to hold the ambulance-"Wait, I have to ask him a few questions about pain before you go."?

Specializes in LTC,Hospice/palliative care,acute care.

We were passing the news about the death of Elizabeth Taylor through the unit the other day-the look on the RNAC's face was priceless -she looked so weobegone and downtrodden-then she realized we were talking about the actress, not a resident! What a relief when she figured out that she did not have to do the MDS on that one!

Specializes in MDS/ UR.

A death in the facility assessment shlould like take you 5 minutes.

Specializes in LTC,Hospice/palliative care,acute care.

I wouldn't know- I'm a floor nurse. I do know that they have cut staff in every dept. and given us more and more responsibilities. Maybe that 5 mins was just too much. You would have had to been there-it was just too darned funny.I guess the humor failed to translate to you...

Specializes in Long Term Care, Medical Surgical, ER.
A death in the facility assessment shlould like take you 5 minutes.

LoL, the only reason they take 5 minutes was because they developed a very special character code called the "dash" or simply - . Haha

Specializes in MDS/ UR.
LoL, the only reason they take 5 minutes was because they developed a very special character code called the "dash" or simply - . Haha

Have you looked at one or ever done one?

It is the Death in Facilty form I am talking about.

It is 8 pages and is only an administrative/demographic item.

Haha?

Specializes in Long Term Care, Medical Surgical, ER.

Oh crap, I'm sorry... for some reason I thought you where talking about a plain discharge. I wasn't paying attention, my apologies. lol

Specializes in gerontology.

I was broken-hearted just a few days ago while interviewing a dementia resident for the BIMS. She is not so far along in dementia so she KNOWS that she is losing cogntion and ended up crying because she could not answer "sock,blue, bed" after also not knowing the year, month ,or day of the week! This is just a cruel reminder for these folks! I have a 68 y/o aunt with dementia whom I love more than anything. She GETS IT that she doesn't have a grasp on things, and I see her daily struggle with dignity because of that.

I understand the indignity of repeatedly proving to the resident that they can't do it. On the other hand, it must be balanced with the importance of recognizing positive and negative changes in their condition. Would changing the frequency that the questions are asked make a difference? Would alternating/rotating between different methods of testing help? Is there a way to mask the test so it is not so easily recognized by the resident?

Specializes in gerontology.

Sorry, no. the questions MUST be asked verbatim. Not what I would want but somebody smarter than I am oredered this.

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