ARD's, care plan dates & information

[rukiddingme]

we're having some problems at my facility, and i am hoping to get some new ideas here.

the other members of the mds team are stating that they don't have enough time to get the information together, reviewed and turned into us before the care plans. before this new 3.0, we mds nurses did most of the gathering of info, thus we didn't have this problem.

example: our ard's are on friday & saturday the week before the care plan - our care plan meetings are on tues & wed after those ard's (in the afternoon, starting at 1:30pm)

is everyone else having similar problems?

how does everyone else have their ard's set, in comparison with the care plan meeting date?

[NurseMomDori]

I did the same with short deadlines for the shorter sections. Soc Services, dietary, and activities start their interviews during the AR period. Our ARD is Wednesday, family conference is the day before. We try to address the family concerns, and care planning issues on Tues, and Wed, then have MDS due Thurs, and CAAs on Friday. I wrap up and verify all other sections by close of business on Friday, and if necessary, use Monday to finish my sections.

Sections may be done anytime in the AR period, with signing done after the AR date. I also have a note sheet for the family conference which all participants sign at mtg, then we mail a copy (a week or so later) to the family with resolution of problems addressed at the mtg. This helps to keep families updated if they don't come to conference, or if they want a record of what was discussed. After the family leaves, we go over current care plan with the CNA, CP team, and identify changes and new problems to address. The team member responsible (or me if that person is slow or computer ignorant) then is resposible to make the changes in the computer for printing the following week.

[GRACERN47]

We copied the actual pages from the MDS for each department and they use it as part of their admission assessment . It is kept in the resident's chart and we put that info into our computer by the 10th day so that gives us time to get everything done by day 14 . It has worked out well for our facility . Good luck !