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

RAI-MDS 2.0 Nutrition Quarterly, Significant Change or Annual Assessment ProcessDay 1-7 Observational Period Dietitian, Nutrition Manager or Nursing:• collects information for RAI-MDS 2.0 coding• interviews resident, family members, care providers as required• observes the resident at meals• reviews relevant information including progress notes, lab results, flow sheet,weight record, intake and output etc.Day 8-14RAI-MDS 2.0 Assessment andRAPs DocumentationDietitian, Nutrition Manager or Nursing:• completes RAI-MDS 2.0 coding, RAPs and Plan of Care according to thehome’s policy.Note: Home using the RAI-MDS 2.0 Quarterly Assessment:Sections K1.c, K4.a, K4.b, K5.c, and K5.e are not included in Quarterlyassessments.Dietitian and/or Nutrition Manager:• reviews Section V and triggers for each nutrition RAP• reviews previous RAPs and non-triggered clinical problems• identifies any new non-triggered clinical problems related to nutrition care• completes RAPs and non-triggered clinical problems assessment summariesfollowing the 5 step critical analysis• reassesses nutrition risk level if applicableDay 15-21 Care Planning Dietitian, Nutrition Manager or Nursing in collaboration with theinterdisciplinary team members:• reviews and revises nutrition care plan as needed according to RAPs andnon RAPs documentation(Depending on the home’s policy, Nutrition Manager completes care plan forlow and moderate risk residents and Dietitian completes high risk residents)For Information: 416.327.7625 20ltchrai@ontario.ca2020