Resident Care Coordinator going MDS/ICF

renerian, BSN, RN · May 30, 2004

Karen I hope someone in LTC can help you. I don't have that experience.

renerian

FrazzledRN · May 31, 2004

Hi! My name is Karen. I have been in care planning now for 2 years. I work in a long term care facility. We have a skilled unit as well as an ICF. Our MDS coordinator does just that, and I do the RAPs and care plans. We have recently decided to try dividing up the building with one doing skilled and one doing the ICF. This will include the MDS, Raps, care plan and conference. I would love to get some feedback on this and if this is the general way other facilities do this. I need some real time saving methods! Please let me know what your process is! Our previous way is just too time consuming. I want to be effecient and timely. Thanks in advance for your suggestions.:balloons:

Hi!

Am not sure I understand correctly...but you do the RAPS and care plans on assessments that are done by your coordinator? That would be difficult. I think that that would be hard. Doing the entire MDS gives you much more insight into the resident which in turn helps you to do the RAPS and care plans. Everything flows more easily when you have done the MDS assessment. It flows more smoothly. I am the coordinator in a 120 bed LTC facility with around 30-32 skilled residents. We take our weekly list and divide them up evenly between us and we each do our own set of assessments start to finish including RAPS and care planning, and conferences. I try to assign the same residents to the same nurses so there is more continuity and changes are more readily seen and acted on. Some advice on time management is to take one at a time and finish it...don't try to start more than one....it gets confusing. Decide what you want to get done for the day...,make a list and go for it. I do a daily list of what I should get done for the day...though often it gets sidetracked when I am pulled to do an admission, etc.. but I just redo the list and move on. So hopefully by the end of the week everything gets done that needs to get done. Including all of the darn meetings! It is a tedious, time consuming process....and alot of the time the rest of the building doesn't understand that. They feel you aren't "doing anything"! It is frustrating! I have a feeling that you will like doing the MDS's and following to your RAPS and care plans....you may be surprised that it will make your process flow a little more smoothly. Good Luck!!

robin_mds_nurse · Jun 5, 2004

I agree with the last post. We divided our building between ICF and SNF. I think it would be very hard to do RAPS on a Resident that someone else did the MDS on. I am currently training a new nurse to work with me, and I stressed that it is a complete process starting with the 6 page nursing assessment we do with our MDS, ending with the care plan. Good Luck!