Raps, Progress Notes etc.

[Guest Guest_CPNC]

Just wandering have any of you ever saw a rap written other than your own? Do you know where if any where that I can view one just to compare? How about a progress, admission, or change of status note. Thanks ---if you can share.

[Guest Guest_karen]

http://store.businessestore.com/ppandp-565...&ParentID=42759

 

 

Copy this link and paste- it is a book about RAPS - it may help

 

Karen Connelly

[Pennie 26]

Hi,

This may be of use to you on the RAP's:

Rap's are organized in these steps;

Step 1: The problem: Give general information about how a condition affects the nursing facility population. The problem statement often describes the objectives. It is important when reviewing a triggered RAP not to overlook information in the Problem section. Step 3 contains the details, the problem section should be reviewed for information relevant to the assessment.

Step 2: The trigger: identify one or a combination of MDS item responses specific to a resident that alert the assessor to the resident's possible problems, needs, or strengths. The specific MDS response indicates that a clincal factors are preseent that MAY or MAY NOT represent a condition that should be addressed in the CP. Triggers merely flag conditions necessary for the CP Team to consider in making CP decisions. (When the resident's status on a particular MDS item(s) matches one of the "triggers" for a RAP, the RAP triggered & a review (with possibllity of additional data gathering & assessment) is required using the RAP Guideline.

Step 3: The guidleines: present comprehensive information for evaluating that may cause, contribute to, or exacerbate teh triggered condition. The Guidelines help the staff decide if a triggered condition actually does limit the resident's functional status or if the resident is at risk of developing condition.

 

ex: Find associated causes & effects. Sometimes a problem condition (falls) is associated with just one specific cause (new drug taht causes dizziness). More often, a problem (falls) stems from a combination of multiple factors (new drug, res. forgot walker, bed too high).

 

Not a form to look at but some good guidelines to use. Pennie