careplanning questions

[MDSinNE]

hello everyone!

I am a careplan coordinator and have an administrator that thinks our careplans are lousy. :angryfire She thinks they are not interdisciplinary but I disagree. Each team member has parts of the MDS that they are responsible for and the RAPs that correspond with them. They develop a careplan based on that RAP and incorporate interventions that include other departments. We also discuss each careplan at the careplan meeting. Those two things I believe make them interdiscplinary. The administrator says we are going to be "hit hard" at survey this year because she doesn't believe they are done right. My first survey last year as a new MDS coordinator was deficiency free in the careplan area. She believes they didn't even look at the careplans.

Can someone tell me what makes the careplan interdisciplinary and what the surveyors like to see.

Thanks for your help!:)

[jkaee]

hello everyone!

I am a careplan coordinator and have an administrator that thinks our careplans are lousy. :angryfire She thinks they are not interdisciplinary but I disagree. Each team member has parts of the MDS that they are responsible for and the RAPs that correspond with them. They develop a careplan based on that RAP and incorporate interventions that include other departments. We also discuss each careplan at the careplan meeting. Those two things I believe make them interdiscplinary. The administrator says we are going to be "hit hard" at survey this year because she doesn't believe they are done right. My first survey last year as a new MDS coordinator was deficiency free in the careplan area. She believes they didn't even look at the careplans.

Can someone tell me what makes the careplan interdisciplinary and what the surveyors like to see.

Thanks for your help!:)

Maybe what your admin might be looking for is interventions from each discipline under every "problem" on the care plan. For instance, a nursing dx should have interventions from every discipline.....dietary, activites, SS, etc, the same goes for dietary issues, social and emotional issues. So, if you have a dx for impaired skin integrity, there should be the obvious nursing interventions, but also interventions listed from dietary (ie: enriched foods, increased protien intake, multivite, cal count if indicated, etc.), activites (to get the pt moving, or if bed ridden, making sure the pt gets some social interaction), and social services, if needed. Review you care plans and make sure that all disciplines are involved with each problem on the care plan.

You might also want to ask the admin exactly what he/she is looking for....maybe you can get some specific guidelines as to what the state will be looking for. Unfortunately, just having care conferences and reviewing the care plan as a team isn't enough. You need to prove that all disciplines are involved in resident care, and that means all problems should try to have all discplines involved in interventions.

Hope this helps, and good luck!

Jennifer

[susanmary]

First off, kudos for doing such a great job. Review several charts with your administrator, and ask her for specific examples of what she believes would enhance the care plans. Ask for specifics. Her stating they are "lousy" doesn't cut it -- pin her down as to what she is referring to.

Make this part of your personal goals. When you meet with the team, ask for specific suggestions on how to continue to improve the patient's individualized plans of care. Care plans are only as good as the way they are implemented and updated to meet patient's needs. Good luck.

[MDSinNE]

thanks for your suggestions and encouragement. I'll try that!

First off, kudos for doing such a great job. Review several charts with your administrator, and ask her for specific examples of what she believes would enhance the care plans. Ask for specifics. Her stating they are "lousy" doesn't cut it -- pin her down as to what she is referring to.

Make this part of your personal goals. When you meet with the team, ask for specific suggestions on how to continue to improve the patient's individualized plans of care. Care plans are only as good as the way they are implemented and updated to meet patient's needs. Good luck.

[MDSinNE]

Thanks for your suggestions. What you said about each dicipline having interventions is exactly what we do. I'll keep plugging away!

Maybe what your admin might be looking for is interventions from each discipline under every "problem" on the care plan. For instance, a nursing dx should have interventions from every discipline.....dietary, activites, SS, etc, the same goes for dietary issues, social and emotional issues. So, if you have a dx for impaired skin integrity, there should be the obvious nursing interventions, but also interventions listed from dietary (ie: enriched foods, increased protien intake, multivite, cal count if indicated, etc.), activites (to get the pt moving, or if bed ridden, making sure the pt gets some social interaction), and social services, if needed. Review you care plans and make sure that all disciplines are involved with each problem on the care plan.

You might also want to ask the admin exactly what he/she is looking for....maybe you can get some specific guidelines as to what the state will be looking for. Unfortunately, just having care conferences and reviewing the care plan as a team isn't enough. You need to prove that all disciplines are involved in resident care, and that means all problems should try to have all discplines involved in interventions.

Hope this helps, and good luck!

Jennifer