Nursing Leadership Paper

10 October 2016

They have an open concept design, select menus, and our outside landscaping that allows their residents to enjoy a comfortable setting during either their short or long term stay. Their care is directed by an interdisciplinary team of professionals that includes a Medical Director, attending physicians, 24 hour licensed nurses, a dietary manager, activity director, social worker, and therapist for physical, occupational and speech rehabilitation. At Park Manor, the goal is to provide the care and services to meet the physical, emotional and social needs of each of our residents.

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I got to work with the MDS nurse, an MDS nurse is the nurse in the long term care facility who schedules and completes the RAI-Resident Assessment Instrument, a detailed assessment done at least quarterly on every nursing home resident. The MDS nurse is also usually responsible to coordinate the completion of the care plans for the resident based on the results of the assessment. We were collecting data from a whole bunch of sources; from the nurses, aides, resident, families, doctors, progress notes, therapy notes, etc.

Then we completed the paper/computer MDS form based on our complete assessment (using the data collected). A RUG score (or resource utilization grouper) score is generated based upon our answers which is used to determine medicare/medicaide reimbursement rates for the facility. The MDS is used to create the care plan, determines reimbursement rates and determines quality measures/indicators per federal standards. State Surveyors pull these reports prior to inspection visits and to know who is losing weight and who may have pressure ulcers, etc.

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