it really depends. how large is the facility, how much support would you get, are you expected to do other things beside the mds, would you have to take call, would you alone be responsible for the department?
i have been in mds on and off for over ten years at three different facilities. 140 bed unit with 1 full time assistant, 120 bed unit with 1 full time assistant and now an 80 bed unit with a part time asst. at one, i had to take rotating call which meant i had to find coverage if a nurse called out or work the floor myself. i also had to do weekend mgr duty, which meant two 4hr days sat and sun with a day off during the week. at another, i had to take call in the past, but it was changed to just weekend mgr duty, with regular hall rounds and dining room duty daily. in this facility, i don't take call, have weekend mgr duty, make rounds, share occas. dining room duty and have many many additional assessments to complete beside the mds. i have been in charge of medicare residents in all positions and have strict deadlines when the mds have to be completed and transmitted. you have to be very organized, keep after other cooworkers to do their parts on the assessments, be aware of changes in the residents, make changes to their careplans regularly and be prepared for long hours with or without overtime depending if you are hourly or a salaried position. the facility/company depends on a timely completed and transmitted assessment with the highest reimbursment, estimates on what future assessments should bring in and to have the documentation in the chart to back the coding so the auditors don't come in and take money back.
is it stressful? oh yes! the mds formulates the quality improvement/ quality measures reports that the state looks at before they come to the building, deciding which residents to look at. you have to be part of many meetings on patient care, improving record keeping, in-servicing staff and meeting with families who can range in mood from appreciative to irate. do i enjoy doing it? i must, because i can't seem to tear myself away. there will most likely be many additional positions created with the new format and may give you the opportunity to give it a try. i would personally perfer to be the assistant, with less responsibility, but with my background the only positions offered are the director/mgr of the dept. express your interest, and see what happens. good luck!