Hi. Re: COT Yes, we have to evaluate the NEED FOR a COT OMRA each 7 day period following a rehab RUG assessment. Day 1 is day after ARD. We can only be SURE if COT is needed (rehab RUG goes up or...
Hi. Maybe an approach that the TEAM needs to know the days/minutes could work. Just like the team would to know daily if a patient was still on a vent and being suctioned, the team needs to know...
Hi. Many facilities don't expect any higher level of clinical practice from a registered nurse as from a licensed practical/vocational nurse in ANY role. And they may have no idea how a registered...
Hi. Each facility needs to decide whether a unit manager position manages CLINICAL care on the unit or is a highly paid unit clerk. Too many facilities put this person into the situation described...
Hi. The MDS 3.0 used during the RAND research and pilot study was very different than what we have now. It had less data items, easy to complete and understand ADLs, lookback on most items was 5 days...
Hi. There is NO CHANGE IN THE PROCESS. Complete the MDS. Certain "care areas" (used to be called "resident assessment") are "triggered" based on MDS entries. Analyze each care area triggered (or...
Hi. Having a condition or disease does not necessarily mean that the person requires daily direct care or monitoring/assessment by licensed staff to take care of it. Can think of no situation where a...
Hi. The MDS 3.0 is NOT yet final. The RAI Manual for MDS 3.0 is NOT yet final. Contrary to what we may read on listservs or newsletters, information on handouts given out and discussed at a CMS...
Hi. You did not say the number of beds at your facility. Neither did you state how long the situation might last. Tis a terrible idea, under almost any circumstances, but could work for a SHORT while...
Hi--and that is also the answer to your question--HIGH resistance. If you are just starting in that position, please be sure you understand the "territory" before you "lay down the law"--especially...
Hi. Isn't it amazing how nurses are now responsible for understanding and implementing all aspects of ANYTHING/EVERYTHING related (vaguely or not) to the MDS or PPS? As to the generic notice... The...
Hi. Your suggestion is a good one! (just don't get too mad with yourself in September 2011!!) Here's a few more suggestions: Be sure our co-workers--social service, activities, dietary,...
Hi. Even though the medical record (and I3 on the full/comprehensive MDS) contains a diagnosis which clinically justifies an antipsychotic, there are only specific dx that "count" as appropriate for...
hi. as most of you are aware, cms in the process of updating the rai manual. these updates will include modifications already announced via q & a's and train-the-trainer conferences, as well as...
We should frown on surveyors who frown on nurses who practice nursing! Most MDS coordinators would love to teach their DN/ADN how to complete the MDS--and to "savor" the "rush" of completing 6...