RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

Day 0 First Day of New Admission On Admission, Nursing:• Completes 24 hour care plan• Obtains diet order from physician• Notifies nutrition manager and dietitian of crisis placement and priority residents• notifies kitchenette, nursing staff and nutrition manager/food service department ofnew admission and diet order including allergiesDay 1-7 Observational Period Dietitian, Nutrition Manager or Nursing:• collects information for RAI-MDS 2.0 coding• interviews resident, family members and care providers as required• reviews documentation• observes the resident at meals and snacksDietitian:• follows up regarding priority residentsstarts Admission Nutrition Assessment Worksheet (optional)Day 8-14RAI-MDS 2.0 Admission Assessment andRAPs DocumentationDietitian:• Completes RAI-MDS 2.0 coding• Completes Admission Nutrition Assessment Worksheet (optional)• Assigns nutritional risk level as per home policy• Reviews Section V and triggers for each nutritional RAP• Reviews RAI-MDS 2.0 full assessment to identify non-triggered clinical problemsrelated to nutrition care• Completes RAPs and non-triggered clinical problems assessment summariesfollowing the 5 step critical analysisProject Recommendations:• input RAI-MDS 2.0 coding between Day 8 to 10• complete RAPS documentation between Day 11 to 14Day 15-21 Care Planning Dietitian Completes admission nutrition care planRecommendation: care plan can be completed early but not later than 21 days ON ADMISSIONFor Information: 416.327.7625 18ltchrai@ontario.ca1818