mds 3.0

Bella'sMyBaby · Aug 9, 2010

Well, I'm still waiting to get my 3.0 training.....supposed to happen later this month. Are you supposed to be the one training all the other disciplines? If so, sounds like your Adm/DON are dumping on you.....are you part of a Corporation? If so, there should be some assistance with training available. If not, you might want to contact your State MDS Coordinator. :)

susanthomas1954 · Aug 9, 2010

Got the corporate train the trainer stuff for 3 days, then got a nifty little flash drive with all the info on it. Then had the regional nurse come and watch me use the train the trainer materials with a $50 adapter that I had to buy because I don't have anyone in my freakin building that can use a flash drive AND has Power Point, nor do we have an HDMI television available. I didn't finish with social services, because I started too late in the day, which turned out to be MY FAULT for not scheduling the regional nurse to be there at 8 AM. (Her, I thought I was doing her a favor, saving an overnight stay. Turns out, she was supposed to oversee my training for all disciplines, and I thought she just needed to see enough to determine whether I knew what I was doing.) So, now I have to finish with social services (4 people, only 1 actual social worker who knows a BIMS from a BIMBO) without being watched and everyone has their pants in a wad over it. May I add that none of these people are going to remember any of this come Sept. 30. I told my administrator that we might all be dead by October anyway, and he did not see my humor at all. (We recently had a resident threaten to get a gun on her next LOA and come back and shoot staff. The ER Psychiatrist sent her back, saying nothing was wrong with her. Did not acknowledge Homicidal Intent with a plan as being something anyone needs to be petitioned for, but I digress.)

A colleague has told me she is in denial about 3.0, and I suppose we shall all just wait and panic together on Sept 30.

I believe that all the states have state training, which is possibly full by now. I know ours is.

Good luck-ST

rukiddingme · Aug 10, 2010

Our DON has started making changes by telling the Restorative nurse that she is now responsible for all the ADL scoring in sect. G (along with the ROM limitations area in sect. G, and her program info on sect. P)

The patient questionaires are going to be our responsibility, I believe. Unless they somehow get the 'forgetful' social service helper to do the "mood" questionaire. (she can barely handle a change in paperwork format)

Each of us in the MDS dept. have 50+ residents, and it's going to be tough adding the questionaires to the already long list of duties.

Medfordguy12 · Aug 11, 2010

I suggest attending an MDS 3.0 seminar. Here is a link to upcoming seminars and also MDS 3.0 updates http://blog.harmony-healthcare.com/mds-30/bid/48568/RUG-IV-and-MDS-3-0-Seminars

luvwine · Aug 12, 2010

I did attend a seminar. I plan on attending one more later this month. I got cue cards and interview forms. I need to redo ADL and wound forms and Admission Data base. I need to get policy and procedures written for everything. I also moved all my scheduled Annuals and Quarterlies from Oct to Sept. I also meet with staff briefly before our weekly UR meeting. If anyone has any other suggestions please advise.

Thanks

sls73 · Aug 12, 2010

I dont have corporate to help me- wish I did. I am the DON and I am overseeing the conversion to MDS 3.0. I have recent experience as a RNAC, so the language is not foriegn to me. I have met with the ICP team twice. They are working on cue cards and reviewing the forms/tools they use. I have our software program for the mds's setting us up a test company so we can perform parallel assessments with a few residents until the implementation date. It should help the staff practice thier inteviewng techniques. I received audits from our MR consultant to help check the accuracy. That will also give the ICP team a chance to see what they need to change in forms ect...prior to Oct 1st. We are also updating polocies ,so we can just print off and sign the signature sheet to the MDS and keep the rest of it electronic. Saves on chart bulk. We are purchasing laptops to make the interview process easier- they can code the MDS at the same time. Re-assigned the sections that needed to be to various disciplines- we have a group of staff that complete the MDS not just one person. The RNAC oversee and does certain sections. And- we are educating both staff and family to the new process. We looked at moving our assessments up in September, but it wasn't feasible for us.

luvwine · Aug 13, 2010

We are not a corporation nor do we have a consultant. I have been pleading with Adm to obtain one so far no luck. Thanks for the advice re software setting up a test company.

PammyRN,CEN · Aug 19, 2010

This is what we are doing at my Organization..... We have backed up our MDS schedule .. October back to Septemeber .. Sept. back to August We have 2 with ARD of 10-1 and other than that do not have any scheduled MDS until mid OCtober....

katoline · Aug 20, 2010

wow! boy do i feel ill prepared. we did go to a 2 day training our company put on. they basically read from the manual. two of those nurses from our building are no longer with us. the other mds nurse, myself and the interim DON are going to a state 1 day course the end of this month. as far as preparing, i don't have a clue. i wish our administrator had been at the training. she is an RN and knows about mds, but i don't think she is aware of how time consuming this new one will be. the discharge assessment alone is 27 pages. we have been talking among ourselves and really don't think the residents will want to sit through these assessments. they are redundant, and sometimes almost condenscending. i guess we can try to make them fun at least for our long term care residents, but to ask the same questions over and over of the short term medicare rehab patients i'm afraid will get old.

so far we haven't been offered any more help or had any of our other duties lessened. at least we don't take nursing call. we do feed residents for an hour daily, have twice monthly late duty to assist in the supper time dining room, have an 8hr weekend manager duty every six weeks where we are so busy, there is no time to get to assessments, besides all of the required meetings, QA, medicare, careplanning, care standards, morning mtg. i actually enjoy the rest, it's just a time thing. and now we have just 14 days to transmit. as far behind as i get, a few non payments or defaults are going to either cost me my job or have people wondering what i am doing. maybe i should keep a record and do a time study.

rukiddingme · Aug 21, 2010

Going to my 2nd 3.0 seminar this coming Tuesday. We've got the last week of September clear of regular scheduled MDS', so we don't have any care plan meetings that week -- to give us a couple days to make sure we have all the 2.0 stuff wrapped up before starting the 3.0.

Haven't mentioned it to the DON yet, but the hour (or more) long morning meetings have got to be shortened, that's 5 hours that we will need for all the new interviews that we'll be doing on the 3.0.

I have 52 residents (mixture of regular & medicare) and find it hard to keep up now, so I've gotta find some new ways to get organized and make this change over as stream-lined as possible.

catnip3 · Aug 26, 2010

I am admittedly discouraged and petrified about the upcoming change. Our corporation has handled everything with 3.0, with absolutely no input requested from us RNACs. Corporate went to all the nice seminars/training sessions, and now they will train us in just 4 sessions coming up in September. In addition, despite the much heavier work burden coming up with 3.0, they are CUTTING the facility's RNAC hours significantly. Our "duties" are being "reorganized", yet we have not yet been provided with any job description of what our responsibilities are going to be. It is so much to take in and will be like completely learning a brand new job from scratch. I know we are expected to "embrace" change, but this "change" seems like things will be SO much harder.