Can someone give me the quick answer on this question? Our RN MDS nurses do entire MDS except for SW, Activites sections, RN does the cognition/mini-mental portion of the SW section, RN codesdietary/RD section, therapies and SW does d/c planning portion.
Is this correct then? RN: A,B, C ( ), G, H, I, j, K , M, N, O , P V, Z: I know some sections are missing on this list? In this company, we have to print out 1st and last page, and all sign for the hard copy in chart (I know, duplication, what can be done, lol).
Thanks for the information. Perhaps I asked the question wrong. In our building the SW does D,E, Q Activities does F and RN/MDS does the rest....so (including CAA's) so my question is this: RN signs for and puts these alphabet letters:
A,b,c,g,h,i,j,k,l,m,o,p,V and Z Correct? (RN's imput all data from Dietician, Therapies, only other disciplines who data enter, in this company, are the SW and Activities, RN's do the cognition section).
FYI, in this building we have 3 RN MDS/RCM's, is probably why they do the "extra" work that some don't? Max patients per MDS/RCM is 20, Medicare mixed thru out all caseloads
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
Thanks for the information. We review all MDS data, as an IDT, every morning and do the quaterly/comprehensive assessments (Braden, AIM etc) and write an IDT note per each MDS due. We double checked, we are able to combine MDS nurse note with IDT note (it's in Section 2 of new updated MDS manual). It would be nice if the other disciplines did their own data entering but I have to say I much prefer this way as even now, the two other non-nurse staff have to be reminded/prodded to get their sections done and it really holds up the MDS train. I worked in several buildings such as yours, where there were just as many non-nurses "responsible" for entering their MDS information (including the Restorative nurse/RCM's for the RNA portion, Kitchen manager for the weight section) and MDS's nurses were ALWAYS in a dither to get those folks to do their portion. Given that NOW we are in the new, "real time" MDS and "real time" opening the ARD date, and given particularly for the COT's etc, I am very glad it is mostly RN's. I like our new system as well, very IDT.
Also, just as an FYI, it's not the MDS that has to be IDT, it's the assessment, careplanning and review of patient care that has to be IDT, which of course included the MDS, we just reviewed the wording, it's all nursing process, the 5, with the IDT meeting weekly or even daily to assess, plan, implement, review and re-assess). MDS is one part of that IDT process. Many things that SNF's have implemented in the last few years with regard to focus on IDT compliment the new MDS as well. Just my two cents...
Ok ladies and gents, how about another question regarding the RCM, or MDS coordinator position. How long does it take to figure the whole job out once you get it? I have been a nurse over 19 years and have also managed, taught, lead, been charge nurse ect.... mostly in hospitals, have worked with insurance a bit but never in LTC or Rehab setting. Hate to ask about the pay again but here I go, I live in Oregon, specifically the Salem area which is a bit south of Portland. What is the going rate for an RCM or MDS Coordinator, is that usually a salaried or hourly rate? Is over time expected? Do RCM's work the floor or do they just shuffle papers (MDS's).
pixie120
256 Posts
Thanks for the information. Perhaps I asked the question wrong. In our building the SW does D,E, Q Activities does F and RN/MDS does the rest....so (including CAA's) so my question is this: RN signs for and puts these alphabet letters:
A,b,c,g,h,i,j,k,l,m,o,p,V and Z Correct? (RN's imput all data from Dietician, Therapies, only other disciplines who data enter, in this company, are the SW and Activities, RN's do the cognition section).