kujhawkrulz

First week has been really different. I found out that 4 ARD's had come and gone and there were like 13 assessments not printed and in the charts, so it really made me think that perhaps the care plans hadn't been updated, so I went searching and found that there was an admission assessment over looked, so I'm going in on Sunday to fix it. I took the first day to get in there and check dates, and make a list of all the delinquent assessments and the next night I stayed and worked until almost midnight trying to make heads or tails of what was going on. I put out a very "polite" memo to dept heads with their sections of the MDS and made sure they realized I needed them back ASAP so that I could get the default assessments done and when I went to find out what was going on in the chart...I found that not one nursing assessment had been completed ugh I spent the next day trying to update assessments and get things in order. Basically for my stand point, it's literally been a mess, but I'm working hard to try to change things without ruffling too many feathers. I was called into the office and basically told that I was pushing too hard and when I explained what I was asking and showed the administrator my letter, he stood there and said "they haven't been doing their part of the MDS!!" Well he was amazed and told me he'd deal with them and to keep on doing what I'm doing and keep him in the loop so that he could stave off the naysayers!! Anyways, the dynamics of the facility are quite strange, I don't think that the DON will be there very much longer...there have been a few firings as of lately and I was given permission to hold an education session with the CNA's and CMAs on documenting ADLs properly and working on behavioral charting. I feel like I bit off a bit more than I could chew, but I'm not a quitter. Hopefully, when all is said and done, I might actually have some documentation to properly code from. Anyways, on top of all of this...I take state boards for my RN soon, so that's been in the back of my mind as well...life is good all in all, but it sure is stressful right now!!

Thank you so much. I've talked to a local MDS Coordinator in this area and she said the same thing...the resistance you will meet will at times be unreal, but educate and not criticize. I thank you for your words of advice, Monday will probably be one of the longest days of my short career, but I'll do my best to get to know everyone and feel things out. With the new changes coming on the 3.0, I really need to make sure that everyone is ready, and the owner of the facility has put that on my shoulders. I hope to be able to explain to them what the word "holistic" means and that their input on the residents stay while at our facility is just as important as any nurse. We'll see how things go, your advice is wonderful. Thanks so much :)

I am starting a new MDS Coordinator Position on Monday. As of what I can tell by reviewing the charts while working on the floor PRN, the MDS Coordinator is filling out every section of the MDS and there is no interdisciplinary approach at all. I am curious what sections you assign of the MDS 2.0 to what departments. So far, I've decided to assign social services to: AA. Identification Information AB. Demographic Information AC. Customary Routine AD. Face Sheet Signatures A. Identification and Background Information B. Cognitive Patterns E. Mood and Behavior Patterns F. Psychosocial Well-Being P. Special Treatments and Procedures (1, a, m-q, and 1, b, e) (2, a-f) Q. Discharge Potential and Over-All Status R. Assessment Information Activities: N Dietary: K I'm hoping by beginning an IDT that we can get some uniformity before the MDS 3.0 starts...I'm certified in MDS 3.0 now, and in reading the RAI Manual, it stresses that policy be activated to assure an interdisciplinary approach...it's kind of scary knowing that I'm walking into a place Monday where the staff expects the MDS Coordinator to do all of the MDS and I'm wondering what type of resistance do you think I'm going to incur when I change the game plan. Thanks for your input!!