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SNF RD MDS teamwork

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Looking for best practice protocols for performing computerized MDS, CAA, and

Care Planning RD duties in a small facility where the RD is only scheduled 12

hours a week.

How do you service the resident best, optimize your input on the IDT, and stay

compliant with MDS charting dates when you are not there everyday?

Current facility protocols

1. RD visits patients while there two days a week.

2. RD leaves certain assessments unlocked in the computer, for an MDS

coordinator to lock them on the appropriate date.

3. MDS coordinator placing a generic care plan in the chart which includes basic

Dietary care planning procedures. Reason being, facility doesn't want a working

careplan in the chart until the observation period is over. Is this feasible?

Looking for best practices to modify protocols

Can an RD complete an assessment (5d, 14d, 30d, quarterly, annual, change of

condition) on the date she/he is there, lock it, and develop a care plan and

place it in the chart/computer on the dates present?

I am not trying to be a " difficult to work with Interdisciplinary Team member " ,

but I have issue with letting an MDS coordinator complete the RD work to hit MDS

dates,

If this is standard practice, I accept that, but would like to here how this is

scenario is routinely handled.

Appreciate your insight.

Osowski MS, RD, LD

Osowski MS, RD, LD

Registered Dietitian

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