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Director of Therapteutic Recreation

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Hello, When there is a significant change at our long term care facility, the MDS coordinator has "dashed" section F and then sends us an email to keep a hard copy of the interview in the office to "show that we did it."

This happens because she works one day a week at different hours and if she can't get one of us to input section F (after she determines a person is "sig change") then she dashes it.

Is this legit?

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Hi.  your facility routine is definitely unique .. it doesn't follow regulation but it seems that the only thing missing is a way to communicate to the Coordinator the information from the Activity's Dept as to whether or not there is a significant change in activities. All departments know of the residents with significant changes within a facility, you might take a copy of the Sec F and mark the information as it pertains to each resident and leave it for the Coordinator before hand.  Anything to promote teamwork, it makes life so much less stressful..

thanks Pennie

" A significant change is determined by 2 departments usually nursing and dietary. Therapy also determines a significant change. Activities would not trigger, but reinforce one determined by the other depts. When you look at section F it would never change from the initial documentation. I know that the MDS would remain the same. Activities rarely triggers a significant change.   Kathy"


Edited by Pennie
Follow-Up from Kathy Hughes, ActivityDirector.org Instructor
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     Thank you for correcting the information that was released. I recently took the test for certification with NAAPCC and it was a very comprehensive and thorough test. It was not a simple easy test to get you certified. You had to know the information in order to complete and pass. I would recommend this avenue to anyone especially if finances are a struggle for MEPAP I & II. I did purchase the book for long-term care seventh edition and without that I would have struggled.
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    Celeste is awesome!! Anytime i have a question she gets right back with me and she is very informative. At first I didn't know if i was going to like the new course just for the fact my MEPAP course was the own pace and I work Full time plus have 3 kids. But i am loving it! It is very structured and with due dates I feel like i am holding myself more accountable for completed assignments sooner than later. It has actually been a beneficial change for me.. Thanks so much!!!
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    Good Evening I wanted to let you know that I had completed mepap 1 and had only a couple weeks left of mepap 2 so I had looked at path 2 and have taken the activities test and passed so just sending in the application. I wanted to thank you for giving all your time to us even while Kathy was ill. It didn't go unnoticed, you was a great support and helpful at ideas or even different ways of changing thoughts to positive while feeling defeated. Thank You Stacey Passa AP-BC
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