RondaS

I would love to have someone to bounce things off of. I am the only one in my facility that knows this stuff. So its lonely and fustrating.

Thanks for all the help. I have another problem. I had an admission and the next day the patient had to be discharged due to a sudden death in her family. Therapy was her skill. Therapy did not have time to do an eval. So when I did the MDS in section T where it ask if therapy is ordered I put yes it was ordered. Then thru day 15 how many days would they get therapy and second est. minutes. If I do this I get a therapy RUG score but if I answer no to if therapy was ordered that is not the truth. Can anyone help me here?

Here is another question. I had a patient who came in for 6 days of IV antibiotics. Well on day six it was decided he was to weak to go home and the Doctor ordered physical therapy. I had already done his 5 day MDS so I don't know exactly what to do. Can anyone help?

Anyone know where there is training for the RUGS. I seem to need it.

Thanks so much. I will check it out.

If you want to know the results of a state survey go to this website and down at the bottom to the right it says compare local nursing homes in your area. You should be able to find it there. I found ours. http://www.medicare.gov/default.asp

What is an AT will employer??

Lets see if I understand. Sometimes I am alittle slow. I can do the short form for the 5 day for patients that go home before day 14. But if they are not DC then I need to do a full 14 day, with RAPS, and care plan decisions. Is it ok to use the 5 day short form routinely? I never know what the length of stay is going to be. Its hard to second guess the doctors and Therapist sometimes. But its a low percentage of our residents that stay 14 days or longer.

I just started doing the MDS after not doing them for about 2 years. I know there is now a shorter 5 day MDS for MCR. We are currently still using the full assessment. How do you go about changing that?

Thanks to everyone for their replys. Sometimes I feel like I speak a different language then my co-workers. I work for an in hospital skilled nursing unit. We have only 11 beds. So I multitast. I am the DON, Activity Director, and the MDS coordinator. I have alot of people in the hospital with good intentions but not the knowledge to help me. They are really good with Joint Commision but not TDH or MCR for my area. All I usually have to do is ask and I get it. Pretty lucky there. Thanks again. Ronda

I found this website AANAC. It looks like a good place to find answers. But you have to subscribe. I will ask my facility and see if they will pay for it. Thank you for all your help.

Thanks for the website. It had alot informative information. But not exactly what I am looking for. It is because of the new RUG-53 update from Jan 1st 2006 that I'm asking. We have to test our software. So I need to know what on the MDS triggers the new RUG score? Any ideas?

Help! Does anyone know where I can get a book on RUGS? I need to know What triggers what RUG score. Thanks:confused: