RN aphabet letters for MDS completion

katoline · Sep 4, 2011

Pixie, I think the answer to that is a varied as the not only the different company policies, but also facility to facility.

I have worked at three different long term care facilities and each did things differently. I liked and disliked things at each. In the end, with the cutbacks and shortage of staff, I end up doing whatever it takes to get assessments completed on time.

Where I am now I know by heart from signing at completion, I am responsible for B,C, G, H, I ,J, L, M, N, O, P. In a pinch i will do K and sometimes D&E, but I would hate to have to do F. Of course F only occurs on a comprehensive assessment, so I am pretty much saved by that. I do just about all the CAAS except dietary. SW, Act, Dietary do their own careplans. Not sure who does A, maybe it populates from somewhere else in the resident's records. I sign at Z.

At a previous facility, the SW did cognitive, as well as mood/behavior, we had a wound nurse do section M which was a big help.

Our admissions position was eliminated, so SW stays VERY busy. She has an intern at times and that helps. Therapy gives us any minutes and signs for just that section of O. I enter them. At another facility I was at, the software (I liked much better) automatically entered the minutes.

Some people are better at some things than others. If everyone works together, respects coworkers and no one feels like thier toes are stepped on or that they are being taken advantage of the accurate picture of the resident, their needs and strengths are what really matter. sps

pixie120 · Sep 4, 2011

Fortunately, we have a very strong SW and Activities person, and our MDS nurse's code dietary, do all the CAA's and careplans. Unfortunately these nurses are very weak at coding/assessments and driving the MDS/PPS, but we are working on that. Thanks very much for the information, appreciate it.

itthybitthythpider · Sep 12, 2011

When I was MDSC, SS did A500-1400, D, E, first half of F, Q, Activies did last half of F, Dietary did all of K except the questions about IV and GT feedings, Therapy did the minutes for O. I did everything else.

pixie120 · Sep 12, 2011

When I was MDSC, SS did A500-1400, D, E, first half of F, Q, Activies did last half of F, Dietary did all of K except the questions about IV and GT feedings, Therapy did the minutes for O. I did everything else.

Thanks very much, this helps a lot!

pixie120 · Sep 12, 2011

Pixie, I think the answer to that is a varied as the not only the different company policies, but also facility to facility.
I have worked at three different long term care facilities and each did things differently. I liked and disliked things at each. In the end, with the cutbacks and shortage of staff, I end up doing whatever it takes to get assessments completed on time.
Where I am now I know by heart from signing at completion, I am responsible for B,C, G, H, I ,J, L, M, N, O, P. In a pinch i will do K and sometimes D&E, but I would hate to have to do F. Of course F only occurs on a comprehensive assessment, so I am pretty much saved by that. I do just about all the CAAS except dietary. SW, Act, Dietary do their own careplans. Not sure who does A, maybe it populates from somewhere else in the resident's records. I sign at Z.
At a previous facility, the SW did cognitive, as well as mood/behavior, we had a wound nurse do section M which was a big help.
Our admissions position was eliminated, so SW stays VERY busy. She has an intern at times and that helps. Therapy gives us any minutes and signs for just that section of O. I enter them. At another facility I was at, the software (I liked much better) automatically entered the minutes.
Some people are better at some things than others. If everyone works together, respects coworkers and no one feels like thier toes are stepped on or that they are being taken advantage of the accurate picture of the resident, their needs and strengths are what really matter. sps

It seems like our A section auto populates except for 3 parts, so RN should sign for A? SW does D, E, and part of discharge part, and Activities does her section F, so our RN's should sign: A, b,c,g, h, I , J, KI, L M, N, O P and z, correct? (We enter therapy and dietary)

pixie120 · Sep 12, 2011

When I was MDSC, SS did A500-1400, D, E, first half of F, Q, Activies did last half of F, Dietary did all of K except the questions about IV and GT feedings, Therapy did the minutes for O. I did everything else.

Out of curiousity, did nursing do the first half of F? I have helped with some of the MDS, and I was able to do all but D,E, and F, I entered the minutes for therapy, and did A (most auto populates) and did the section at the end where the discharge plan is. So, I should sign for all of that, correct?

pixie120 · Sep 12, 2011

I have another MDS question, do you print out your MDS? We printed entire MDS and kept the 15 mos parts at the nursing stations. Other building prints out nothing,here a littel confusing, printing admit sheet, d/c sheet and first and last part of mds and still signing hard copy? I wonder about that part cuz the RN'sare signing electronically, duplication necessary?

itthybitthythpider · Sep 13, 2011

Out of curiousity, did nursing do the first half of F? I have helped with some of the MDS, and I was able to do all but D,E, and F, I entered the minutes for therapy, and did A (most auto populates) and did the section at the end where the discharge plan is. So, I should sign for all of that, correct?

Nursing did F100, SS did the first half of F, and Activities did the last half of F. I did do all of F on occasion, though, when one or the other was unable to get her part done. At some point or another I've done every section lol.

You have a program that autopopulates questions. It doesn't only have you sign for the questions that you answered yourself?

We had to print ours out. We had to have 8 5" binders, and even that wasn't enough! We had to print them because one of our building got sited by the state surveyors for not having 15 months "in the medical record" and since some of our charts were hardcopy, we had to have the MDSs on the station. We didn't sign the hardcopy, though, only electronically.

itthybitthythpider · Sep 13, 2011

And yes, I signed for all autopopulated questions, since I was the one that opened the MDS, unless someone else "verified" the answer was correct.

PsychNurseWannaBe, BSN, RN · Oct 14, 2011

IDT signs the same sections on the MDS depending on what it is. You will see this with electronic signatures. For example, I open the MDS and put in the ARD, section A. SW comes around and answers the questions about mental disabilities. I put in information regarding O for treatment and procedures, but therapy puts in their own minutes. I don't touch mood, behavior, swallow, cognitive, activities. There is a reason why it is called an Interdisciplinary Team. They can code their own speciality. I just oversee that they do things correctly and timely. They are also responsible for their respective CAAs and CP... again, I ensure that they are timely, correct with appropriate interventions

montecarlo64, ASN, BSN, LPN · Oct 14, 2011

I do A, B, G, H, I, J, L, N, O, P... social services (there are 2 in my building & just 1 of me) do C, D, E, & Q...activity does F, dietary does K...Wound nurse does M...Dietary does nutrition caa & care plan, activity does activity caa & care plan, ssd does behavioral, psychosocial caas and care plans, and I do the rest of the caas and care plans...Some of the questions in A are autopopulated, but I verify & finish.