Talino 1,010 Posts Specializes in ER CCU MICU SICU LTC/SNF. Apr 7, 2008 RN4Life, nratchet, edhcinc ... Excellent pointers! You three nailed the most ideal procedure:1. Always attempt to communicate w/ the therapists and develop rapport.2. Provide therapists w/ workable ARDs.3. When all else fails, involve the Administrator.
CapeCodMermaid, RN 6,090 Posts Specializes in Gerontology, Med surg, Home Health. Has 30 years experience. Apr 7, 2008 4. When the administrator is MDS challenged, ask the DNS for help.:bowingpur
Poppyfield 3 Posts Apr 10, 2008 I know all about feeling guilty when changing ARD dates. But I always keep in mind, Higher case mix score is job security. Every MDS nurse working in a case mix state has been it your position. It just has to be done, no matter who gripes or complains. Remind everybody it's more work for you too! And, I'm a bit onery, so I just sling crap right back at them. :argue: They get the picture and hush up pretty quick!
Rexie68 296 Posts Specializes in Vascular Access Nurse. Has 21 years experience. Apr 11, 2008 no one really complains about the date changes at my facility, but they do complain about the extra mds' we end up doing. i get excited about bringing up the cmi, but not everyone does. but when they whine a lot, i just tell them to hush, 'cause i do sections bcdghijlmopqrsw, along with the raps, and their sections are a whole lot smaller!! plus, if they're too busy, on vacation, ill, etc....i do their sections. isn't this job fun? *smile* who knows what mds 3.0 will bring......
edhcinc 123 Posts Apr 11, 2008 no one really complains about the date changes at my facility, but they do complain about the extra mds' we end up doing. i get excited about bringing up the cmi, but not everyone does. but when they whine a lot, i just tell them to hush, 'cause i do sections bcdghijlmopqrsw, along with the raps, and their sections are a whole lot smaller!! plus, if they're too busy, on vacation, ill, etc....i do their sections. isn't this job fun? *smile* who knows what mds 3.0 will bring......well, it looks like we all will actually have time for fun with the mds 3.0--truly. much more straightforward, no required "expert" interpretation needed--and the opportunity to get our heads out of the medical record and actually interview and assess the resident! this mds will truly be a "source document", as the interview items would never be found in the medical record. looks like interesting times ahead!
