matching dates

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When I started at this facility, all the signature dates matched: AA9, R2B, VB1, VB3. This threw me for a loop...how could we really be completing the MDS, RAP process and care plan process all in one day and ON the ARD - when you all know we go home before midnight on the ARD. I have instructed my team on what the dates should be - informing them of the instructions re: dates in the RAI manual. The problem is that this has thrown everyone for such a loop that no one knows what dates to put on the care plan, their progress notes and my fellow MDS nurse doesn't know when to sign the R2B. They are acting like I am crazy for suggesting that all these dates shouldn't match. They have done it this way "forever" Any advice?

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Specializes in ER CCU MICU SICU LTC/SNF.

How about you indicate the exact dates in your notification? See sample attached.

MDS ASSESSMENT LIST.pdf

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Very nice!!! Thanks!

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Omg!!! I was searching this site for help. I am having the same problem. I am new to mds but i am able to read. All 4 of our dates match (ard, rb2, raps completion, and careplan completion) which is not only incorrect (imo) but is also illogical and impossible. But that's not the worst thing...everyone is signing section a either before or on the ard. When i tried to correct this and told them that essentially every assessment up to this point is wrong, they looked at me like i had grown 3 heads. I am in danger of losing my job over this. I have refused to do any more assessments or sign anything until they make their decision on whether i am right or wrong. If they refuse to see what is black and white i will have to quit. I can't knowingly continue something that i know is wrong.

What a mess!!!

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"They" don't have to make any decision--either pick up your office RAI Manual, or go to the CMS site to download the manual. You can easily find the answer "they" need.

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