RobinLynn

Your DON is correct, the quarterly/annual notes should have the date of mds, activities mds part is a week of observation on what the resident has been doing. Example: MDS due date 7-17-07, the MDS should state what the resident did from the 10th to the 17th, as well as the quarterly notes stating all that. Sometimes your MDS due date may change if resident goes to hospital and is re-admitted, then they will get new MDS dates. Make sure you put note in chart of re-admission usually stating res. re-adm. to facility, no change in act. pattern/pref. Will cont. with plan of care. (as long as nothing changed with res.) Remember to put a re-adm. note in chart (1-2 lines), so your dates will not get confusing for you. After re-adm., it starts a new cycle of MDS due dates, although in Florida, they must be in hosp. for 3 nights. HOPE THIS HELPS!! ROBIN

west palm beach florida

this is what a typical progress note would look like for my resident: Res. cont. to reside in room 202, res. is A+Ox3. Res. in w/c-able to propel self. Res. cont. to attend group act. Res. attends: and I document all activities they go to, I document if they use adaptive equiptment. How they participate. Do they need encouraging/cueing. Does music set them off, do they start dancing. I simply document responses. In all my progress notes, I will document physical, mental, social and spiritual for each resident. I will document when family comes ie: family visits regularly-very supportive of res. needs. That shows more socialization even when not in activities. Any questions, feel free to email rhermida424@aol.com, my name is Robin

Robinlynn from WPB., Fl

I just got done with survey this week, thank god. Activities did not receive any tags. I was alittle disappointed they didn't seem too interested in activities(is that good or bad). I guess its good! They did not ask to see attendance log, 1:1 RV log. They only wanted current calendar. They didn't even sit in on group activity. One thing I must say is they asked when was the last time a man got his haircut, luckily his name was in the beauticians box for the next day and I gave the surveyor a copy of his appointment. Point is, make sure everyone is well groomed! We also had a surveyor in training, which was kind of good cause she was very nice. Give her time, she'll learn. But, as far as inspections go, its the same old thing they get ya on. They really didn't not have a major focus. Any questions feel free to ask. ROBIN

I am planning a carnival at my facility and need any suggestions for games I have rented dunk tank and cotton candy maker, DJ will be there. As far as games- I have duck pond, spinning # game, bean bag, ping pong ball in fish bowl and you win fish. I NEED MORE GAMES AND SUGGESTIONS, HELP!

Try a CD of nature sounds ie: waterfalls, birds, ocean, etc.... Try a video of the same or they have all types with animals, nature, etc.... Try a nice stroll outdoors, especially after meals(we all get sleepy after a good meal) I would find out from nurse when this patient gets his/her ativan and work around it Give patient something to hold, anything that feels good.

Your QUALITY ASSURANCE(QA/QI) comes from everything you input on the MDS, it shows who flags for what ie: wounds, weight loss, falls, little or no activity, pretty much EVERYTHING. Those are the people you should focus on as do the state. Activities usually doesn't flag, if so, someone isn't doing their job. If activities flags, make sure that person is on 1:1 RV. If you ever want to see a report ask the MDS Coor., they'll put a report for you.