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Discussion

mds 3.0

What are some of the things you are doing to prepare your team for 3.0 My administrator and DON expect me to handle it all. I am overwhelmed.

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Sounds like you have great staffing! Maybe that's our problem, no restorative nurse, no QA nurse, no ADON, no supervisor for that matter and we're the "feeding cnas". Our SDC nurse is out half the time. No extra help in sight. No extra hours approved, only additional funding for paper and ink cartridges. LOL!

Looking to compare the MDS process at other nursing facilities. How many people have sections to complete, does the sections done by others get submitted to the MDS nurse in a timely manner? How does all the data get entered into the system? How are the RAP's and care plans divided?

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SS Activity Director Dietary and Thearpy all have a section to complete. SS is the worst about getting her section to me in a timely matter. She feels this is not her biggest priority. I enter all the data. We are a 78 bed facility. I have an LPN who helps me with assessments 12hr a week. I also am the case manager. I also cover for the DON and Admissions Coordinator when they are off. I do the raps each dept. is suppossed to be responsible for their own careplans.

Well our plan is.....

Social Services B, C D, E, and Q.

Activities F

Restorative G, H, P

Dietary K

MDS I,J,L, N, O

Wounds M

Therapy (part of O)

Everyone is responsible for their own raps and care plans.

This is the goal, now what is going to happen is another story. Currently MDS does all the raps, completes most of the sections and the only people who ever really get their work done is Activities and Dietary.

Some of our homes have 250 residents with 50-60 medicare, and 3 MDS coordinators. MDS can no longer be responsible for filling everything out. With 2 weeks to transmit the Administrators are really going to have to push everyone to do their work, or they default, and I am sure they won't like that.

I'm the DNS. My MDS people have gone to several seminars and I sign up for every webinar there is on the subject. Honestly...I used to be a PPS/MDS coordinator and always interviewed the interviewable residents so this doesn't seem like such a huge deal.

The one thing we've really done to get ready: we have a large supply of alcoholic beverages hidden away for the evening of 10/1!

The one thing we've really done to get ready: we have a large supply of alcoholic beverages hidden away for the evening of 10/1!

:idea: Hey, now I know how to get thru the day next Friday. (Holy crap...it really is ONE week away now)

Thankful that my nursing facility has a small medicare census. Will probably have only 10 assessments for Oct. 1.

I admit, I'm jealous. We've been approved for as much back up as it's going to take. I have 17 *extra* assessments, and unfortunately, my regulatory schedule is ugly during the first two weeks in oct. I pushed as many back as I could, but it's still nasty. ugh.

Thankful that my nursing facility has a small medicare census. Will probably have only 10 assessments for Oct. 1.

I only have one unless someone gets admitted.

We only have 4 at this point, but hey we actually have a "beer crawl" in town on Saturday (2nd). May need to send the staff. :)

Anyone have deju' thoughts of the worst rumblings of 2000? Only I think it will be the reverse- poor planning and #&$* hitting the fan come Oct. 1

Do I understand the option grid correctly? We can choose same date for 2 separate assessments in some cases?

Ex: adm to Med A 9/9, 10/2 ARD can be used for both a 14 and a 30 day?

Obviously 2 separate assessm but it would cut down on #s of assessm to be done.

Please confirm that I did not miss anything and it can be done.......

Thanks

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