123 Flash Chat > Chat Rooms > Live Chat - Open Discussion > Message History
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2020-11-17 07:07:33 PM dianes thank you
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2020-11-17 07:27:55 PM kellisheehan desiraes hey
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2020-11-17 07:28:09 PM anavillicana hello
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2020-11-17 07:29:49 PM ckelly1 gd evening im here to discuss Behavoirs but where do we get the information from to discuss the topic .ive been so confused about this live chat can anyone explain this live chat
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2020-11-17 07:30:35 PM priyab Good evening everyone
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2020-11-17 07:31:06 PM shedenaalexander Good Evening ckelly go over to speciality chat room this is where live chat starts now
2020-11-17 07:31:29 PM jeanneb Hello
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2020-11-17 07:31:55 PM shedenaalexander Good Evening ckelly go over to live speciality chat room that where live chat begins now
2020-11-17 07:32:01 PM galjan15 hello everyone
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2020-11-17 07:40:17 PM ckelly1 how do i get over there to the speciality chat room
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2020-11-17 07:40:48 PM jeremytilton174 Hi
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2020-11-19 07:51:26 PM desiraes good evening i am here
2020-11-19 07:51:38 PM desiraes I had to work a little late
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2020-11-19 09:18:09 PM annan Hi everybody
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2020-11-19 10:00:56 PM annan we have class yes
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2020-11-20 07:58:10 PM bobbieduke where is the discusion on mds
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2020-11-23 11:54:46 AM thomasodougherty enter the chat room
2020-11-23 11:55:24 AM fillmorepam8 hey guys
2020-11-23 11:55:32 AM thomasodougherty Michelle and Pamela? Good morning.
2020-11-23 11:56:02 AM greenmj86 Good Morning
2020-11-23 11:56:28 AM fillmorepam8 so glad..right place right time this was the only thing needed to complete my 8 weeks
2020-11-23 11:56:37 AM thomasodougherty Same
2020-11-23 11:56:38 AM greenmj86 Mines too
2020-11-23 11:56:56 AM thomasodougherty Shall we wait a moment longer for Beverly?
2020-11-23 11:57:15 AM fillmorepam8 yes we have 3 minutes tik tok
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2020-11-23 11:57:48 AM greenmj86 Thomas all this time i thought you were a part of the faculty
2020-11-23 11:58:13 AM thomasodougherty No, I was just asked to lead some of the live chats, because of my back ground in social services.
2020-11-23 11:58:26 AM lothropjoyce1 enter the chat room
2020-11-23 11:58:43 AM fillmorepam8 oh wow u did last weeks chat, aren't u special lol lead it like a true professional
2020-11-23 11:59:07 AM lothropjoyce1 Hello everyone thankyou for joining.
2020-11-23 11:59:11 AM fillmorepam8 yay we have 5
2020-11-23 11:59:23 AM fillmorepam8 hi joyce
2020-11-23 11:59:31 AM greenmj86 Hello
2020-11-23 11:59:40 AM thomasodougherty Hello
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2020-11-23 12:00:37 PM bobbieduke enter the chat room
2020-11-23 12:00:50 PM fillmorepam8 hey bobbie lol
2020-11-23 12:01:19 PM bobbieduke going to try to stay but Im a work
2020-11-23 12:01:29 PM lothropjoyce1 is everyone ready to discuss the mds 3.0
2020-11-23 12:01:31 PM bobbieduke hello
2020-11-23 12:01:41 PM greenmj86 Yes
2020-11-23 12:01:43 PM thomasodougherty Indeed
2020-11-23 12:01:46 PM fillmorepam8 yes
2020-11-23 12:01:48 PM bobbieduke yes
2020-11-23 12:01:57 PM thomasodougherty Does everyone have experience working with MDS?
2020-11-23 12:02:08 PM fillmorepam8 yes
2020-11-23 12:02:34 PM fillmorepam8 I have been doing section F but never the V til these classes
2020-11-23 12:02:42 PM greenmj86 I took the MDS class offered here
2020-11-23 12:02:47 PM lothropjoyce1 I have experience with the activity assestments,preferences, careplans, and completeing section F
2020-11-23 12:03:06 PM greenmj86 I have had a significant issue with CAAS
2020-11-23 12:03:20 PM thomasodougherty So then we all have a general understanding of what the intended purpose of the program is? This should go smoothly then.
2020-11-23 12:03:22 PM fillmorepam8 i didn't know they had an mds class..cool
2020-11-23 12:03:31 PM lothropjoyce1 I am still learning myself with section V.. it is hard!
2020-11-23 12:03:48 PM thomasodougherty I'm not familiar with CAAS. What is that an acronym for?
2020-11-23 12:04:07 PM fillmorepam8 yeh our mds person did all of ours so i said i would start doing mine..its a lot
2020-11-23 12:04:26 PM lothropjoyce1 CAAS is an acronym for Care Area Assessments
2020-11-23 12:04:35 PM lothropjoyce1 It has to do with section V
2020-11-23 12:04:41 PM thomasodougherty Ah.
2020-11-23 12:04:44 PM bobbieduke i had a hard time learning when to do what
2020-11-23 12:04:54 PM greenmj86 Section V...Care Area Assessment
2020-11-23 12:05:25 PM thomasodougherty I have been told by a (self proclaimed) MDS expert that a lot more effort than is really necessary often gets put into Section V.
2020-11-23 12:05:45 PM lothropjoyce1 Me too.. I am having issues with other departments going in and completeing their section.. and then it triggers mine
2020-11-23 12:06:01 PM greenmj86 I do believe that now after taking time to actually learn about it, prior it was a pain
2020-11-23 12:06:19 PM thomasodougherty The important thing (as I've been told) is to identify why the section triggered, what your goal is, how it is going to be care planned, and whether or not an outside referral is needed.
2020-11-23 12:06:22 PM fillmorepam8 yes me too...when the other sections show problems it ltriggers the v but she said hardly ever for activities..but we r small
2020-11-23 12:06:58 PM thomasodougherty It is frustrating. Especially when other departments identify something that contradicts what you've identified.
2020-11-23 12:07:08 PM bobbieduke it shows you what has not been filled out in the assessment
2020-11-23 12:07:10 PM greenmj86 Activities usually triggers for me when residents don't have activity prefrences
2020-11-23 12:07:13 PM lothropjoyce1 Exactly!
2020-11-23 12:07:16 PM fillmorepam8 Thomas ikr?
2020-11-23 12:07:57 PM thomasodougherty Yes; I think the only time it will trigger in Section V is when a Resident indicates they have no preference on participating in "Activities that they enjoy".
2020-11-23 12:08:09 PM fillmorepam8 number 5 usually on section f will usually trigger ours...i don't use it unless i have to
2020-11-23 12:09:14 PM thomasodougherty Does anyone have any specific concerns with the section that makes it difficult for them?
2020-11-23 12:09:36 PM bobbieduke sometimes it takes so long to get the assessment filled out
2020-11-23 12:09:59 PM thomasodougherty Overall, or specific areas?
2020-11-23 12:10:06 PM fillmorepam8 yes I have only done the V once and there is like hella stuff on it but witho0ut it in front of me i can't ask
2020-11-23 12:10:12 PM lothropjoyce1 It is time consuming.. we have had so many admissions it is hard to keep up with all the assesments.
2020-11-23 12:10:18 PM bobbieduke with the resident
2020-11-23 12:10:20 PM greenmj86 Making sure the care plan is individualized is often hard when the templates often cover a lot
2020-11-23 12:11:08 PM fillmorepam8 i had all the individual stuff in the last section of the c/p
2020-11-23 12:11:17 PM lothropjoyce1 Does everyone use PCC software?
2020-11-23 12:11:28 PM thomasodougherty Yes
2020-11-23 12:11:32 PM fillmorepam8 pcc shure makes it better than manual
2020-11-23 12:11:33 PM greenmj86 Yes
2020-11-23 12:11:49 PM bobbieduke for sure
2020-11-23 12:11:57 PM fillmorepam8 shure? lol sure
2020-11-23 12:12:15 PM lothropjoyce1 PCC does make it a lot easier that is for sure
2020-11-23 12:12:40 PM thomasodougherty I find it beneficial (and something better might work for you All) to be very general, short even, in my initial assessments. Especially now during mandatory quarantines. Getting the formal business done makes it easier when I double back for a more informal greeting.
2020-11-23 12:13:28 PM fillmorepam8 true...especially because many time they are a whole different person a couple of weeks later
2020-11-23 12:13:41 PM thomasodougherty Especially since I feel our section requires inquiries that in no way benefit our department. Bathing preferences? Activities doesn't give a lot of baths at my facility.
2020-11-23 12:13:52 PM lothropjoyce1 I agree.. thats how I have been doing it too. Everything at once and getting it done..
2020-11-23 12:13:57 PM fillmorepam8 true dat
2020-11-23 12:14:06 PM thomasodougherty Also, very true. A new admission is still adjusting to their new environment.
2020-11-23 12:14:22 PM bobbieduke true
2020-11-23 12:14:34 PM greenmj86 Yes i have done an assessment on a resident that never liked puzzles
2020-11-23 12:14:43 PM lothropjoyce1 Very true - amost of the preferences that I have to go over dont pertain to our department
2020-11-23 12:14:44 PM fillmorepam8 we aren't taking COVID positive patients...admissions are slow right now
2020-11-23 12:14:47 PM greenmj86 now she does an 1000 piece puzzle once a week
2020-11-23 12:15:29 PM lothropjoyce1 We do lots of puzzles in our facility too haha
2020-11-23 12:15:59 PM bobbieduke you mean you can go back later and add to your orginal assessment ?
2020-11-23 12:16:04 PM thomasodougherty Not a lot in mine. We have a "younger" population that tend to stay isolated from one another. Even prior to covid.
2020-11-23 12:16:53 PM fillmorepam8 yeh mine too thomas but now even if they r 6 ft apart our ED does not want me to do group so its pretty much in their rooms
2020-11-23 12:17:14 PM thomasodougherty I don't go back and add to the original assessment, but when I have a lot of assessments I need to get done for new admits, I just pump them out. I feel the initial assessment is a solid base line, but as we've briefly discussed here the initial assessment doesn't really accurately reflect the who the Resident really is.
2020-11-23 12:17:21 PM lothropjoyce1 no we can't add to the assesments once their locked
2020-11-23 12:17:25 PM greenmj86 half of my facility is memeory care and the half that is not i try weekly to get them engaged in anything
2020-11-23 12:17:25 PM fillmorepam8 bobbie you can't add to your original assessment but progress notes and add to cp
2020-11-23 12:17:36 PM thomasodougherty I do the initial assessment, submit it to he MDS, make their Care Plan, then adjust the Care Plan as necessary.
2020-11-23 12:17:50 PM lothropjoyce1 yes thats how I do it progress notes also.
2020-11-23 12:18:08 PM thomasodougherty Yes, yes. Always progress notes.
2020-11-23 12:18:11 PM bobbieduke ok got it
2020-11-23 12:19:10 PM thomasodougherty I find it difficult to honestly speak on the benefit of MDS. Honestly, it's sole purpose is to justify how our facilities bill Medicaid, Medicare, etc.
2020-11-23 12:19:26 PM lothropjoyce1 how do you add a activity, like passing out cookies to everyone, into the care plan.
2020-11-23 12:19:29 PM fillmorepam8 mds is even harder now because the things that do pertain to activities aren't allowed
2020-11-23 12:20:05 PM fillmorepam8 activity log for stuff like cookies, events, snacks r on pcc
2020-11-23 12:20:31 PM lothropjoyce1 how do I find the activity log
2020-11-23 12:20:47 PM thomasodougherty You have to order them I believe.
2020-11-23 12:21:12 PM thomasodougherty Your Medical Records Department may even have some.
2020-11-23 12:21:14 PM lothropjoyce1 I put their daily activities into participation notes in the care plan
2020-11-23 12:21:21 PM fillmorepam8 i eed the computer in front of me and i am at home...anyone else its in clinical and then i can't remember
2020-11-23 12:21:30 PM thomasodougherty Oh no! That must take forever!
2020-11-23 12:21:49 PM greenmj86 So do you not chart daily Joyce
2020-11-23 12:21:51 PM lothropjoyce1 yes it does, lol
2020-11-23 12:22:24 PM fillmorepam8 yeh thats what activity log is for and faster but honestly thats the one thing i do manually still cuz it takes too damn long in pcc
2020-11-23 12:22:40 PM greenmj86 you can run a documentation report on residents to do quarterly assessments
2020-11-23 12:22:58 PM lothropjoyce1 not in a daily log, I put the activities in the care plan but I literally just finished october and started on november
2020-11-23 12:23:24 PM thomasodougherty https://www.activityconnection.com/forms-worksheets/
2020-11-23 12:23:37 PM fillmorepam8 i beleive at least in our state, surveyors will want to look at your daily log
2020-11-23 12:23:39 PM lothropjoyce1 ok Thankyou.
2020-11-23 12:23:55 PM thomasodougherty These aren't the forms I use, but they would be better than having to individually document a progress note for each person every activity.
2020-11-23 12:24:11 PM greenmj86 ok maybe im missing something
2020-11-23 12:24:20 PM greenmj86 what is the activitiy log
2020-11-23 12:24:55 PM thomasodougherty The Activity Log indicates the activities that you provide. Each Resident has one and on it you indicate whether or not the participated.
2020-11-23 12:25:15 PM lothropjoyce1 So I could use a a journal and write in it everyday?

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