CAT & CAA's...help!!!

[MystyDreamer]

Does anyone have any good info on the CAT & CAA for 3.0? Our corp office wants us to use the forms in RAI to do the CAA's with....talk about labor intensive!!! Are most of you doing short summaries with references to data location in the chart? Have I understood the schedule correctly...the MDS and the CAA's are all due by the ARD date?? :devil:Our careplan software does not intergrate properly with the MDS software and this has turned into a nightmare! There are only 2 of us in the MDS office and we have 162 beds. We had around 12 admits and d/c at change over plus all the new one's since. I feel like we are drowning...plus our MDS software is not fully functional yet!!! Any info would help!

[LPN3RAC-CTMDSC]

Your mds is due 14 days after the ard, unless it is an admission assessment (due 14 days after admission), or a significant change assessment (due 14 days after determination that a sig change is necessary). Remember, the caa's are just a pathway to the care plan. It supposed to get you thinking so that your care plans can be more effective for the resident. If you are spending hours doing caa's and filling up pages of caa notes, you are missing the point. If you don't have mds software, you need to seriously talk to your executive committee. Remember, all facilities must have ehr enabled by 2012. Well, they'll probably change that a little, but you should be aiming for it.

[katoline]

I basically do the CAAs the same as we did the RAPs. No, I don't write down each and every document and date i got the info from. If it's ADLs, i'll write ADL flow sheet, or therapy eval and notes etc. We already have the ARD and the time frame. If the info came from the admission hospital records, i put that, or H&P if the attending has been in and written that note.

I guess it depends on your software. We have a button on the bottom to pull up triggers. I look at that section of the MDS and coordinate it in my summary note. I basically take into consideration the reason the resident was in the hospital (i do PPS), what the resident's previous and current capabilities are and just use common sense. All these complicated examples of what SHOULD be done are idealistic. None of us has the luxury of spending that much time on an assessment, let alone be able to hold on to a chart for any length of time before someone else needs it. If someone has advanced dementia, a toileting program isn't going to work. Their incontinence can be included under skin breakdown. A bed/chair bound tube fed resident that is missing teeth doesn't need dental intervention unless they have pain or sores. Likewise if the same resident does not communicate and you can't get an accurate vision assessment, then vision is adequate for level of care. Someone else i might write is able to grasp and use utensils etc. I guess i put more emphasis on my note and i make them as short and to the point as i can.

[katoline]

NurseMommyRN, bless you for hanging in there with 9 days of training and "loving it"!!!:heartbeat

[DixieRedHead, ASN, RN]

Nine days of training?

I got three. I am brand new at this and the CAAS are killing me.

If any of you could provide me with a sample, just one same for something general like say, Increased Risks of falls and the approaches. All I ever seem to write is "see nurses notes (or ADL sheet or whatever) and "will proceed to careplan."

I would really be grated for just one correct example and I believe I could go on from there.

Thank you.

[tyvin, BSN, RN]

Over 80 clients each! Whew; that's just wrong

[tyvin, BSN, RN]

My goodness, I sure bumped that one. It just astounds me when I hear that people are breaking their backs like that. We are suppose to be thinking and benefiting the resident, not going crazy and blindly running to finish something we don't understand. Good luck to all...