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Discussion

RAPs

I'm wondering how the rest of you do RAPs.

I learned that I was supposed to answer the questions in the top section, and go into further detail in the bottom section.

If I believe the answer to the question is No, that's what I put, even if there was something that triggered for that question.

At this new job that I just started, my coordinator/supervisor wants me to answer Yes to any question that has a box with a trigger checked off.

I explained that it's not how I had been doing it, but she insisted that basically I was doing it wrong, and told me to do it her way.

I wish I had some of the RAPs here to give examples, but I don't, and I can't remember exactly what the areas were. Maybe I can check tomorrow, and get back here with some examples tomorrow nite.

It's been bothering me, so I wanted to get some other opinions.

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so what exactly is your question? When I write raps I start my rap by writing what triggered the rap and then i write out my reasoning as to why I do or do not agree with the trigger and whether or not I will write a care plan (does that make sense) surveyors have not had any issue with my raps and my don trusts that i know what i am doing so she doesnt double check either. Everyone needs to develop a system that works for them.

hi. please don't take this the wrong way...

"doing" the raps? or defining the
r
esident's
a
ctual
p
roblem
s
?

the rap form requires consideration of these areas: why triggered (nature), complications, risk factors, referrals. then, care plan or not? it is a part of the nursing process--look at all information-->analyze information-->problem definition-->cp if a problem.

you can independently look at the mds, and its minimum data (the boxes checked in your software program), check more boxes, fill in more blanks, and try to analyze if a trigger is a problem needing a plan for care.

(fall "trigger" becomes "risk for falls")

or the "team" can discuss/analyze mds data, other meaningful assessment findings, and confer with the resident/family to define the actual problem.

(fall "trigger" becomes "i can't see to the right--this affects almost everything i do"--with specifics/approaches/goals about environment, falls, driving, taking meds, eating, etc.)

the location of information depends on how/where you document your team analysis (or where others have documented their findings).

your question is not really clear--but i don't think it is really about check boxes...:stone

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