Page 75 - Ombudsman Participant Manual Optimized_Neat
P. 75

Sample    Care  Plan Process:

                                       s admitted or their Care Plan is "DUE"
                     Resident        i



                                                               Disciplines   enter data obtained




                                    Disciplines   meet with resident                         RNAC   prints out "triggers"



         RNAC   sends a notice to all   and   conduct aninterview and     from   resident interview and     from   assessment anda






                 t
        disciplines     complete an MDS                            record   review intothe



                 o
                                       clinical record   review                               Care   Plan is developed

                                                                 resident's   individual MDA
                             s notified of Care Plan meeting/invited to attend
           Resident        i



                                                                                       i

                                                                                       s

        RNAC   convenes meeting andCare Plan is   Care   Plan is further adjusted to reflect     Care     provided to resident basedon the







         reviewed;   Care Planis adjusted to make                                              Care   Plan








           sure   all modalities are coordinated     resident's   preferences and direction


























                                                                                                    Ombudsman
                                                                                            of
                                                                                       Office of the LTC Ombudsman
                                                                                       Office
                                                                                              the
                                                                                                LTC
                                                                                         Version
                                                                                         Version 1.0 September 2020 2020
                                                                                               1.0
                                                                                                 September
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