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

Scheduler for Part Time Team MemberThe following are recommended strategies for the RAI Coordinator to follow while supporting part time nutrition care team members with theRAI-MDS 2.0 assessment and care planning process.1. Set ‘Assessment Reference Date (ARD)’ or the last day of the observation period prior to the scheduled workday of the part time staff.For example, if the part time dietitian works only Wednesday, set the ARD on Monday or Tuesday. This way he/she can start orcontribute to the coding assessment when in the facility. If this is not possible, nursing can complete the RAI-MDS 2.0 assessment for other disciplines. Depending on the home’s policy,nursing may make referral to the part time dietitian to review coding.2. Sign the R2b to indicate that assessment is complete prior to the scheduled workday of the part time staff.For example, if the part time dietitian works only Thursday, sign the R2b on Tuesday or Wednesday. This way he/she cancomplete or contribute to the RAPs assessment summary documentation and care planning when in the facility.If this is not possible, nursing can complete the RAPs documentation and the plan of care. Depending on the home’s policy,nursing may make referral to the part time dietitian to review the RAPs documentation and the plan of care.The following diagram illustrates how to set the ARD to facilitate the dietitian involvement in the RAI-MDS 2.0 assessment and care planningprocess.Scenario Example 1 Part time dietitian works one day a week on Wednesday.In this situation, the home will decide whether the dietitian will contribute to the coding or RAPs documentation and care planning. It is highlyrecommended that the dietitian contributes to RAP documentation and care planning. If the dietitian discovers coding errors during the RAPanalysis, he/she can refer to the RAI Coordinator to make coding correction and then re-trigger the RAP.Day7ThursARDRD inRD inFacilityFacility8 9 10 11 12 13 14 15 16 17 18 19 20 21Fri Sat Sun Mon Tues Wed Thurs Fri Sat Sun Mon Tues Wed ThursRAI-MDS2.0AssessmentCompletionSigned R2bRAPsCompletionSignedVB2Plan ofCareCompletionSignedVB4Scenario Example 2 Part time dietitian works 2 days a week on Tuesday and ThursdayRD inFacilityRD inFacilityRD inFacilityRD inFacilityDay 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21Sun Mon Tues Wed Thurs Fri Sat Sun Mon Tues Wed Thurs Fri Sat SunARDRAI-MDS2.0AssessmentCompletionRAPsCompletionPlan ofCareCompletionSigned R2bSignedVB2For Information: 416.327.7625 21ltchrai@ontario.caSignedVB4