123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-08-20 07:44:49 PM tashawade when there is a change
2020-08-20 07:44:49 PM michr When their is a change in the resident
2020-08-20 07:44:49 PM barbaramclaurin1 when there are changes
2020-08-20 07:44:50 PM thomasodougherty Covid has no effect on whether or not someone has a Care Plan and subsequently a Progress Note. Even if they are not coming out of their room they should still be receiving services and have a plan of care.
2020-08-20 07:44:52 PM dldoss significant change in condition
2020-08-20 07:44:52 PM bonnie at any time
2020-08-20 07:44:56 PM susandziegenbein When there is a significant change
2020-08-20 07:44:56 PM maninder any change
2020-08-20 07:44:56 PM jocelynp WAVERLY HAVE A GOOD MDS NURSES
2020-08-20 07:44:58 PM michaeld At the time of the quarterly and annual and or sig change
2020-08-20 07:45:02 PM deneehough quarterly or significant change
2020-08-20 07:45:02 PM vgreen Reivise them when needed, they are very fluid, you have to be flexable, these residents change, sometimes
2020-08-20 07:45:11 PM cchase what if the care plan goal you had no longer applies or has been met
2020-08-20 07:45:18 PM arshieta83 annually or when changes in health
2020-08-20 07:45:24 PM michaeld Discontinue it
2020-08-20 07:45:30 PM nicholashuffman Remove it?
2020-08-20 07:45:30 PM gwenbess you move on to a new goal
2020-08-20 07:45:32 PM rachelordille revise the care plan
2020-08-20 07:45:33 PM marisah4 redo it
2020-08-20 07:45:33 PM barbaramclaurin1 then it needs tobe discontinued
2020-08-20 07:45:34 PM tshaw discontinue and make a new one
2020-08-20 07:45:35 PM michr change it
2020-08-20 07:45:36 PM tabithapurcell i will discontinue and revise
2020-08-20 07:45:38 PM julielangenderfer moving on to a new goal?
2020-08-20 07:45:38 PM erittenhouse1683 Then you DC that goal
2020-08-20 07:45:39 PM paula12 add new goal
2020-08-20 07:45:39 PM dldoss a new one should be documented
2020-08-20 07:45:41 PM cchase ex. - res. had behaioral issue but no longer has the problem
2020-08-20 07:45:43 PM clcroom Reassess, and revise progress note and care plan
2020-08-20 07:45:43 PM brittanyanne24 then you would remove it and wrote an note?
2020-08-20 07:45:47 PM susandziegenbein Revise it
2020-08-20 07:45:47 PM balvarez Discontinue
2020-08-20 07:45:48 PM deneehough it should be documented
2020-08-20 07:45:50 PM esmec move to a new goal so the resident can progress
2020-08-20 07:45:54 PM nicholashuffman Revise and make a note on it.
2020-08-20 07:45:54 PM lyndsayt discontinue but keep prior documantation
2020-08-20 07:45:55 PM tshaw resolve it
2020-08-20 07:45:56 PM gwenbess document change
2020-08-20 07:45:56 PM paula12 issue resolved
2020-08-20 07:45:57 PM cchase correct. ..good
2020-08-20 07:46:00 PM jillh revise it! resolve original goal
2020-08-20 07:46:00 PM marisah4 we would make a new one under sig change
2020-08-20 07:46:01 PM thomasodougherty Revise to monitor for h/o behavior.
2020-08-20 07:46:05 PM racheldonohoue Discontinue and revise the care plan
2020-08-20 07:46:11 PM jocelynp WHEN THEIR ARE CHANGE
2020-08-20 07:46:12 PM cchase so it can change even if not a sign change
2020-08-20 07:46:18 PM erittenhouse1683 yes
2020-08-20 07:46:19 PM michaeld Correct
2020-08-20 07:46:20 PM santonya yes
2020-08-20 07:46:21 PM jwhit revise
2020-08-20 07:46:22 PM marisah4 yes
2020-08-20 07:46:22 PM deneehough fyes
2020-08-20 07:46:22 PM paula12 yes
2020-08-20 07:46:23 PM gwenbess yes
2020-08-20 07:46:23 PM janinereyesad yes
2020-08-20 07:46:23 PM brittanyanne24 correct
2020-08-20 07:46:23 PM esmec yes
2020-08-20 07:46:23 PM jwhit yes
2020-08-20 07:46:24 PM maninder correct
2020-08-20 07:46:24 PM deneehough yes
2020-08-20 07:46:25 PM clcroom yes
2020-08-20 07:46:25 PM arshieta83 yes
2020-08-20 07:46:26 PM melveniag yes
2020-08-20 07:46:26 PM vgreen yep
2020-08-20 07:46:27 PM tashawade yes
2020-08-20 07:46:27 PM nicholashuffman Yep
2020-08-20 07:46:30 PM susandziegenbein yes
2020-08-20 07:46:30 PM tshaw yep
2020-08-20 07:46:35 PM esmec its all about the residents change
2020-08-20 07:46:37 PM balvarez Correct
2020-08-20 07:46:50 PM michr yes
2020-08-20 07:46:52 PM erittenhouse1683 The resident can also decide if they want the goal or not
2020-08-20 07:46:53 PM michaeld cchase You are good lol
2020-08-20 07:46:54 PM cchase good
2020-08-20 07:47:10 PM tshaw good
2020-08-20 07:47:12 PM 219999 yes
2020-08-20 07:47:15 PM vgreen You may a cp that lists a bunch of family support, and that support changes, your cp needs to reflect that
2020-08-20 07:47:22 PM lauralehmann yes
2020-08-20 07:47:43 PM cchase does anyone know hoe many CAA's there are
2020-08-20 07:47:51 PM vgreen 21
2020-08-20 07:47:52 PM erittenhouse1683 A lot
2020-08-20 07:47:55 PM susandziegenbein 21
2020-08-20 07:47:56 PM lbaker1989 a lot!!!
2020-08-20 07:47:56 PM jocelynp NO
2020-08-20 07:47:57 PM esmec 20??
2020-08-20 07:48:00 PM paula12 no
2020-08-20 07:48:01 PM amyc84 23
2020-08-20 07:48:01 PM arshieta83 no
2020-08-20 07:48:02 PM nicholashuffman Well it's definitely over 10.
2020-08-20 07:48:03 PM clcroom a lot
2020-08-20 07:48:04 PM tashawade no
2020-08-20 07:48:04 PM cchase very good
2020-08-20 07:48:04 PM maninder no
2020-08-20 07:48:05 PM janinereyesad no
2020-08-20 07:48:05 PM michr No
2020-08-20 07:48:06 PM michaeld hmmmm
2020-08-20 07:48:08 PM julielangenderfer not off the top of my head
2020-08-20 07:48:15 PM barbaramclaurin1 o
2020-08-20 07:48:16 PM 219999 no
2020-08-20 07:48:17 PM melveniag ({)
2020-08-20 07:48:17 PM lyndsayt 21?
2020-08-20 07:48:18 PM sabrina08 alot
2020-08-20 07:48:21 PM cchase over 20
2020-08-20 07:48:22 PM dldoss no
2020-08-20 07:48:25 PM tshaw no
2020-08-20 07:48:26 PM rachelordille good to know
2020-08-20 07:48:28 PM brittanyanne24 ok over 20
2020-08-20 07:48:31 PM vgreen that's critical care issues, right?
2020-08-20 07:48:35 PM dldoss good to know
2020-08-20 07:48:35 PM arshieta83 okay
2020-08-20 07:48:43 PM cchase not all will trigger - turn into CATs
2020-08-20 07:48:59 PM racheldonohoue 3 or more in certain sections will trigger
2020-08-20 07:49:08 PM cchase Completion of a comprehensive MDS coded entries may identify potential triggers within the Care Area Assessment (CAA) to reveal specific areas in need of further review.
2020-08-20 07:49:21 PM julielangenderfer ahhhh
2020-08-20 07:49:26 PM thomasodougherty In section V
2020-08-20 07:49:27 PM rachelordille ohh okay
2020-08-20 07:49:33 PM paula12 okay
2020-08-20 07:49:34 PM esmec CAAs have me very scared and confused lol
2020-08-20 07:49:37 PM lbaker1989 ok
2020-08-20 07:49:39 PM jocelynp OKAY
2020-08-20 07:49:43 PM nicholashuffman Yeah section V under like number 10 iirc.
2020-08-20 07:49:44 PM tshaw ok
2020-08-20 07:49:45 PM brittanyanne24 ok
2020-08-20 07:49:49 PM esmec i dont know what to do if one triggers
2020-08-20 07:49:49 PM michr ok
2020-08-20 07:49:49 PM balvarez okay
2020-08-20 07:49:54 PM laurieh what is CAT
2020-08-20 07:49:55 PM cchase be sure you review that latest MDS before attending a Care Plan meeting
2020-08-20 07:49:55 PM janinereyesad okay
2020-08-20 07:50:02 PM cchase Care Area Trigger
2020-08-20 07:50:06 PM tshaw ok
2020-08-20 07:50:06 PM arshieta83 okay
2020-08-20 07:50:08 PM jocelynp OKAY
2020-08-20 07:50:09 PM dldoss So this is when certain answers in other sections trigger the completion of other sections not mentioned initially?
2020-08-20 07:50:12 PM melveniag ok
2020-08-20 07:50:13 PM lauralehmann if a residents doesnt like to participate in activities, it triggers the social worker
2020-08-20 07:50:15 PM paula12 ok
2020-08-20 07:50:21 PM janinereyesad thats a good reminder
2020-08-20 07:50:25 PM jillh activities and psychosocial trigger for activities
2020-08-20 07:50:40 PM racheldonohoue After there is a trigger, the IDT discusses whether it is needed for a care plan revision or not.
2020-08-20 07:50:41 PM maninder ok
2020-08-20 07:50:53 PM cchase so do resident HAVE to attend events??
2020-08-20 07:50:55 PM lauralehmann yes
2020-08-20 07:50:57 PM nicholashuffman No.
2020-08-20 07:50:58 PM amyc84 and then it gets discussed at a care conference
2020-08-20 07:50:58 PM gwenbess no
2020-08-20 07:50:59 PM brittanyanne24 no
2020-08-20 07:50:59 PM esmec no
2020-08-20 07:50:59 PM dldoss no
2020-08-20 07:50:59 PM racheldonohoue NO
2020-08-20 07:50:59 PM jocelynp NO
2020-08-20 07:51:00 PM lyndsayt no
2020-08-20 07:51:00 PM marisah4 no
2020-08-20 07:51:00 PM barbaramclaurin1 no
2020-08-20 07:51:01 PM lbaker1989 no
2020-08-20 07:51:01 PM lauralehmann no
2020-08-20 07:51:01 PM summerlane no
2020-08-20 07:51:02 PM susandziegenbein No
2020-08-20 07:51:02 PM vgreen nope
2020-08-20 07:51:02 PM julielangenderfer nope!
2020-08-20 07:51:02 PM paula12 no
2020-08-20 07:51:02 PM michr No
2020-08-20 07:51:02 PM maninder no
2020-08-20 07:51:03 PM tabithapurcell no
2020-08-20 07:51:03 PM balvarez No
2020-08-20 07:51:03 PM 219999 no
2020-08-20 07:51:04 PM santonya no
2020-08-20 07:51:05 PM michaeld NOOOOOOO
2020-08-20 07:51:06 PM jillh No they dont
2020-08-20 07:51:06 PM erittenhouse1683 It's their choice
2020-08-20 07:51:07 PM julielangenderfer its their righ tto refuse
2020-08-20 07:51:08 PM brittanyanne24 they have the right to refuse
2020-08-20 07:51:08 PM tashawade no
2020-08-20 07:51:10 PM lauralehmann no
2020-08-20 07:51:10 PM arshieta83 yes
2020-08-20 07:51:11 PM amyc84 no
2020-08-20 07:51:11 PM bonnie no
2020-08-20 07:51:12 PM janinereyesad no n no
2020-08-20 07:51:13 PM esmec its their right to say no
2020-08-20 07:51:13 PM jwhit no
2020-08-20 07:51:14 PM laurieh no
2020-08-20 07:51:15 PM arshieta83 yes
2020-08-20 07:51:20 PM jillh they can prefer independent
2020-08-20 07:51:20 PM michaeld They have the right to refuse
2020-08-20 07:51:27 PM cchase so you don't necessarily need a social worker just because the res. does not want to attend
2020-08-20 07:51:29 PM clcroom No, they ahve a right to refuse
2020-08-20 07:51:30 PM sabrina08 They have the right to refuse
2020-08-20 07:51:37 PM michaeld BINGO
2020-08-20 07:51:37 PM cchase yes they have the right to refuse
2020-08-20 07:51:43 PM ehorton have the right to refuse
2020-08-20 07:51:43 PM paula12 always
2020-08-20 07:51:45 PM maninder correct
2020-08-20 07:51:51 PM barbaramclaurin1 correcyt they have thecright to refuse
2020-08-20 07:51:53 PM susandziegenbein yes
2020-08-20 07:51:53 PM rachelordille yes
2020-08-20 07:51:55 PM gwenbess you can inform the social worker
2020-08-20 07:51:56 PM lauralehmann try 1:1s
2020-08-20 07:51:56 PM cchase some are just not into groupy things
2020-08-20 07:52:03 PM lbaker1989 true
2020-08-20 07:52:04 PM marisah4 very true
2020-08-20 07:52:08 PM janinereyesad true
2020-08-20 07:52:09 PM tashawade mmhmm
2020-08-20 07:52:09 PM arshieta83 if they can its best for them to attend
2020-08-20 07:52:10 PM vgreen they have the right and some surveyors will say we are not doing enought to get them involved
2020-08-20 07:52:10 PM paula12 yes
2020-08-20 07:52:10 PM cchase yes - good to let SS know for sure
2020-08-20 07:52:12 PM balvarez thats true
2020-08-20 07:52:12 PM summerlane we hyave alot that are not into groups
2020-08-20 07:52:15 PM ehorton its okay to be a introvert
2020-08-20 07:52:16 PM esmec its nice when you can convince them tho
2020-08-20 07:52:19 PM michaeld So ture
2020-08-20 07:52:21 PM jocelynp TRUE
2020-08-20 07:52:26 PM arshieta83 true
2020-08-20 07:52:27 PM melveniag true
2020-08-20 07:52:27 PM deneehough yes, but I ALWAYS ask everytime....
2020-08-20 07:52:28 PM cchase as the SS can inquire with family , nursing, etc.
2020-08-20 07:52:28 PM 219999 true
2020-08-20 07:52:34 PM arshieta83 yes
2020-08-20 07:52:34 PM barbaramclaurin1 yes
2020-08-20 07:52:36 PM clcroom yes
2020-08-20 07:52:37 PM paula12 yes
2020-08-20 07:52:38 PM jocelynp YES
2020-08-20 07:52:38 PM rachelordille yes
2020-08-20 07:52:39 PM gwenbess some just need enouragement.
2020-08-20 07:52:39 PM maninder yes
2020-08-20 07:52:39 PM janinereyesad yes
2020-08-20 07:52:41 PM cchase document that you have asked.... always
2020-08-20 07:52:42 PM 219999 ugh yes
2020-08-20 07:52:42 PM tshaw yes
2020-08-20 07:52:43 PM brittanyanne24 ok goof to know
2020-08-20 07:52:49 PM melveniag yes
2020-08-20 07:52:51 PM paula12 yes always
2020-08-20 07:52:53 PM jocelynp YES
2020-08-20 07:52:54 PM dldoss I was working in my facility for 2 and a half months before I figured out on my own where I document activities in PCC. It's POC. i'm almost caught up, but I just started documenting resident
2020-08-20 07:52:54 PM deneehough yes. always!
2020-08-20 07:52:58 PM lyndsayt yes
2020-08-20 07:52:59 PM julielangenderfer yes yesy yes
2020-08-20 07:53:03 PM rachelordille amen lol always document everything
2020-08-20 07:53:04 PM dldoss ......continued .....refusals
2020-08-20 07:53:05 PM tashawade yes
2020-08-20 07:53:09 PM tabithapurcell yes
2020-08-20 07:53:10 PM janinereyesad yep
2020-08-20 07:53:36 PM ehorton i make a progres note if they finally say yes :)
2020-08-20 07:53:37 PM cchase any questions on documentation?
2020-08-20 07:53:43 PM jocelynp NO
2020-08-20 07:53:46 PM ehorton i learned things
2020-08-20 07:53:47 PM paula12 no
2020-08-20 07:53:47 PM tashawade no
2020-08-20 07:53:48 PM barbaramclaurin1 no
2020-08-20 07:53:48 PM santonya no
2020-08-20 07:53:51 PM dldoss no, thank you
2020-08-20 07:53:52 PM janinereyesad no
2020-08-20 07:53:52 PM marisah4 no
2020-08-20 07:53:54 PM cchase that's a good progres note
2020-08-20 07:53:54 PM esmec yes! IDT notes
2020-08-20 07:53:55 PM melveniag no
2020-08-20 07:53:55 PM tshaw no i have learned a lot
2020-08-20 07:53:55 PM ehorton no
2020-08-20 07:53:55 PM jillh no
2020-08-20 07:53:56 PM gwenbess i make an invitiation every day over intercom then go room to room
2020-08-20 07:53:56 PM arshieta83 no maam
2020-08-20 07:53:57 PM balvarez No
2020-08-20 07:53:57 PM clcroom I don't think so.
2020-08-20 07:53:59 PM racheldonohoue I always heard that if you ask a resident to an activity and they say no, it does not always constitute as a refusal. Is that true in documentation? Or should you put refusal?
2020-08-20 07:54:02 PM susandziegenbein no
2020-08-20 07:54:05 PM lyndsayt this has been very helpful
2020-08-20 07:54:05 PM erittenhouse1683 no, but i learned quite a bit
2020-08-20 07:54:09 PM thomasodougherty Just remember the "3 D's"...
2020-08-20 07:54:14 PM deneehough You said before that you CAN document too much.... Why is that?
2020-08-20 07:54:14 PM lauralehmann no
2020-08-20 07:54:26 PM cchase I indicate it as --- declined
2020-08-20 07:54:30 PM melveniag right
2020-08-20 07:54:32 PM clcroom Sometimes when they say no, you can come back and ask again and the answer will be yes.
2020-08-20 07:54:37 PM susandziegenbein thomas, what are the 3 D's?
2020-08-20 07:54:38 PM dldoss I feel if a resident says no it means no
2020-08-20 07:54:39 PM ehorton same
2020-08-20 07:54:41 PM marisah4 very true'
2020-08-20 07:54:44 PM laurieh This was VERY informative for me. Im new to the documentation beyond the assessment. THank you
2020-08-20 07:54:51 PM thomasodougherty Document. Document. Document.
2020-08-20 07:54:52 PM deneehough ours is still set as REFUSED.... I like declined much better!!
2020-08-20 07:54:53 PM nicholashuffman Okay, I'll start doing that then. I always would just not mark a resident for something if they declined to partake in an activity.
2020-08-20 07:54:53 PM michr This has been very informative. Thank you!
2020-08-20 07:54:55 PM racheldonohoue Declined is a nicer way of putting it!
2020-08-20 07:54:56 PM clcroom We don't have a declined option. It's refusal or attend.
2020-08-20 07:54:57 PM cchase that is true - you can go back a few mins. later and they say yes
2020-08-20 07:55:02 PM amyc84 we have refual
2020-08-20 07:55:02 PM susandziegenbein ahhh...
2020-08-20 07:55:06 PM paula12 yes
2020-08-20 07:55:07 PM tashawade true
2020-08-20 07:55:08 PM michaeld Some may need aliitle helo some times to attend
2020-08-20 07:55:09 PM maninder true
2020-08-20 07:55:12 PM cchase it then becomes a behavioral thing
2020-08-20 07:55:13 PM rachelordille declined is a way better term
2020-08-20 07:55:16 PM summerlane yes this chat had so much useful info i needed to know
2020-08-20 07:55:20 PM tabithapurcell yes very imformative and thanks agian for informing us on the wrench icon
2020-08-20 07:55:20 PM sabrina08 That's so true
2020-08-20 07:55:26 PM tshaw document refulsal and let the social worker and nursing know
2020-08-20 07:55:27 PM barbaramclaurin1 I agree summerlane
2020-08-20 07:55:28 PM lbaker1989 yes thank you
2020-08-20 07:55:32 PM jillh So much time is needed for documentation!
2020-08-20 07:55:33 PM ehorton good night all thank you Celeste
2020-08-20 07:55:34 PM esmec i have def. learned alot in this chat and feel mor confident in documentation!
2020-08-20 07:55:43 PM jocelynp SO TRUE
2020-08-20 07:55:44 PM dldoss Does a Surveyor take into consideration if a resident has severe Alzheimer/Dementia
2020-08-20 07:55:45 PM balvarez this was all very helpful
2020-08-20 07:55:46 PM gwenbess thank you for the chat, always helpful
2020-08-20 07:55:46 PM cchase ok so a few mins. left
2020-08-20 07:55:48 PM susandziegenbein So what do we do with the wrench in order to see the recorded chat?
2020-08-20 07:55:53 PM maninder very helpful
2020-08-20 07:55:54 PM racheldonohoue Yes, refusal was our only option on the electronic documentation
2020-08-20 07:55:54 PM barbaramclaurin1 i work as the social worker and activities director
2020-08-20 07:55:55 PM vgreen I will not keep offering if they say no and it has never been apart of there leisure routine. We look stupid doing that
2020-08-20 07:55:55 PM cchase how are classes going?
2020-08-20 07:56:02 PM jocelynp OK
2020-08-20 07:56:03 PM lauralehmann hello
2020-08-20 07:56:04 PM ehorton fine
2020-08-20 07:56:04 PM michr Very well!
2020-08-20 07:56:04 PM tshaw good
2020-08-20 07:56:06 PM paula12 great
2020-08-20 07:56:07 PM tashawade ok
2020-08-20 07:56:07 PM brittanyanne24 very good
2020-08-20 07:56:08 PM rachelordille great!!!
2020-08-20 07:56:10 PM balvarez good
2020-08-20 07:56:10 PM amyc84 good
2020-08-20 07:56:11 PM michaeld Its almost over
2020-08-20 07:56:11 PM maninder very well! learning a lot
2020-08-20 07:56:11 PM melveniag good
2020-08-20 07:56:12 PM arshieta83 going good learn alot
2020-08-20 07:56:13 PM laurieh I have one question . When is culture change?
2020-08-20 07:56:13 PM barbaramclaurin1 good
2020-08-20 07:56:17 PM santonya im slow but good
2020-08-20 07:56:17 PM esmec very good im excited we are close to completion
2020-08-20 07:56:18 PM deneehough good! going FAST!!
2020-08-20 07:56:23 PM 219999 thanks for the information family
2020-08-20 07:56:26 PM lbaker1989 its been going great
2020-08-20 07:56:27 PM racheldonohoue Culture change was our first one
2020-08-20 07:56:28 PM rachelordille lots of great inmformation
2020-08-20 07:56:28 PM jillh good!
2020-08-20 07:56:28 PM cchase pls. review your assignment
2020-08-20 07:56:31 PM tabithapurcell great- are there anymore live chats that are going to be offered?
2020-08-20 07:56:36 PM nicholashuffman Classes are going pretty great. Just need to try to make sure to catch these chats.
2020-08-20 07:56:36 PM arshieta83 is this the last chat
2020-08-20 07:56:36 PM thomasodougherty The Surveryor will take into consideration Alzheimer's/Dementia, but their consideration will be, are you providing appropriate services for them?
2020-08-20 07:56:36 PM erittenhouse1683 Good, i'm learning quite a bit.
2020-08-20 07:56:40 PM clcroom I'm learing about things i've never done.
2020-08-20 07:56:40 PM susandziegenbein Good. Some things are a little tricker that others

123 Flash Chat is licensed to activitydirector.org