Dear frustrated I certainly do not have an answer but truly empathize. I often feel we(RNACs) see so much and end up "sweeping up around the elevators" identifying cracks in the system. I don't necessarily feel it is a disciplinary problem but a CQI problem. I feel it isn't the people but the process. Getting others to look at the process IS for me the problem. signed In The Same Boat
-----Original Message----- From: MDSNancy [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 23, 2004 2:37 PM To: [EMAIL PROTECTED] Subject: RNAC's, do you do mds documentation? I have a question for all the rnac's out there. This has come up before. I have asked a question of this type before. I am not interested in the disciplinary process for nurses who are not documenting what needs to be documented during an assessment week. My problem is new nurses, not totally familiar with the process (I am inservicing), agency nurses who don't really care (sorry to all the agency nurses out there), and nurses who are resigning. This is leaving a big hole in the documentation (particularly vision, hearing, memory, decision making, etc.....). This is my question. 1. If the information is just not there, can I use "dashes" on the mds? Even for PPS mds's? 2. How many rnac's are doing their "own" assessments during the assessment period? And I did see a comment about this as a potential problem for surveyor's that the only documentation is from the rnac. I don't mean fall assessments, or braden skin assessments. I mean documenting on vision, hearing, memory, and things like that. I guess I'm frustrated today! I just heard another nurse is resigning today, she is the only nurse who consistently documented what is needed on that unit! So, any thoughts? Thanks, Nancy Do you Yahoo!? <http://taxes.yahoo.com/filing.html> Yahoo! Finance Tax Center - File online. File on time. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
