edhcinc

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 down) on day 8. If needed, ARD must be day 7. You...

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 rehab days/minutes daily. Total/cumulative minutes fo...

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 nurse with a MSN can be more valuable than one with ...

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 by nursemel11. What a waste of professional skills...

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 (it takes almost 25% more time if the lookback is ...

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 holistically analyze all care areas triggered) by cons...

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 blister on a foot, of or by itself, would require...

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 inservice may change and NOT make it into the final ...

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 if the LVN is trained in completing the MDS 2 and...

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 since you don't KNOW (or make) the facility's law or...

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 Generic Notice is required to be given at least 48 ...

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, etc.--understand their new responsibilities and interviews. Who...

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 others that cms deems appropriate. one of the propo...

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 the QI/QM--they are listed in the QI/QM manual. (an...

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 admission, 1 SCSA, 10 quarterlies, and 6 PPS MDS with so...

Sounds like a plan! Just be flexible --there WILL BE more changes! :grn:But don't believe anything until you see it in writing from CMS. Be sure to share any/all information with your colleagues. The PHQ9 and BIMS will be of interest to your social w...

Hi--just a few words more Try to go to sessions given in part by your state RAI coordinator--will be cheaper, and he/he has no "agenda" except to have you LEARN 2nd best--sessions sponsored by your state AHCA or AAHSA affiliate if you don't yet kno...

Hi. Re--MDS--if you have gathered additional information to support accurate coding or to add to the evaluation of care given, you, and ONLY you, should document what YOU found out during your interview or physical assessment. If you complete a sec...

Hi. Hopefully your session will be AFTER mid-June so you will hear about what CMS hopes will be the final final MDS and RAI Manual. WHATEVER you are "taught", you need to read all the RAI Manual material yourself--before-hand if possible so you can ...

Hi. Here's a good question to ask when considering whether or not to continue MC skilled coverage-- Assume that another patient came off of MC skilled 20 days ago. Assume that he/he has exactly the same problems and care needs as patient you now wa...

hi. hopefully, by now everyone is somewhat familiar with the proposed mds 3.0 (current version 1.00.2) and the accompanying rai manual. attendees at last week's conference also learned the following: ***despite all that has been said and written...

Hi! The "signoff" is part of the software--the name/credentials of the person who completed an item are automatically identified by his/her system and software login. The date and time of completion automatically "defaults" to the actual system date/...

Hi. If you are a self-directed learner with common sense and ability to think logically, CMS will post all Train the Trainer materials they use during their training sessions either on the MDS 3.0 site or the National Conference site. We should also ...

Hi--tis true-- Many persons in many facilities do NOT know what is involved with scheduling, completing, transmitting, correcting, and printing/filing the MDS. But whose fault is that? And can it be corrected? Many persons in many facilities do NO...

hi--guess that joke is the real "bs"...am blonde, so i can say it... as to time-- the rand study showed less time to complete because the studied and recommended mds was shorter and much, much simpler. cms continued to claim that it took less ti...