I am a LTC nurse within facility in FL. We have an MDS cooridinator at this facility. Recently had to start using the MDS form for the admission asssessment. Does anyone else use this?
The rationale for using this is that our charting does not match the MDS. We have not had any formal training on MDS or PPS.
To me this form is too lengthy and there are questions you cannot answer, as this is a new admission and you haven't seen them for the previous 7 days, much less previous 30! I am finding that new admits are taking 2 hour block to do the paperwork and I have to stay overtime to get it all done.
Am I on the wrong track thinking that they are not using the MDS coordinator properly? They could hire someone for half my salary to enter MDS on a Computer, that would free her up to do the MDS assessment as it should be done.
I am working at least one to two 16 hour shifts per pay period because we cannot keep staff nurses. Paper work, and the fact they cut one nurse position and combined assignments. meaning we all have more pt load...but don't complain we could legally have up to 40 according to state staffing ratio...that is the day I am out the door and probably out of nursing. There would be no safe nursing care in that scenario!
Sorry so long winded!
Frustrated with changes!
Jan 23, '02
MDS is an excellent assessment tool to develop care planning needs after the resident has stayed in a facility for at least 5 days. On newly admitted residents, you need to have a good idea of what the resident needs are within 48 hours of admission. The MDS asks for the resident's status in the last 7 days (minimum). Some of the information required may not be available on the day of admission, or after a week, even longer. Hence using an MDS on admission is ineffective. You frequently would end up with an incomplete assessment. It would be a good idea however to pattern an admission assessment according to some of the MDS questionnaires (bcoz whether u like it or not u subsequently still need to complete MDS's) with a primary focus on the traditional "head to toe" assessment.
As for data entry of the MDS into the computer, a clerk would suffice (that is, if you use booklets or hard copy) or a discipline can complete the MDS sections directly into the computer. The MDS Coordinator should be focused on training, scheduling, maximizing reimbursements, coordinating care plans
, and facilitating prompt completion.
Unfortunately, MDS is there to stay in LTCFs. But MDS has many benefits tho. Not only will it be used for care planning, but also for reimbursement purposes, QA, and finally getting all disciplines to see the resident as a whole (remember the old days when nurses were only focused on a nursing care plan or a nursing point of view, and dietitians on the resident's diet, etc ?).
As with any changes, the transition period is always the most upsetting part. So right now, it's okay to whine about it. A year from now, you probably won't be able to discern the difference, including the paycheck which remains the same.
Last edit by Talino on Jan 23, '02