Course Code: REL-PAC-0-MEDSD
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Identify at least two general documentation guidelines.
Discuss nursing documentation concepts to support skilled nursing services.
Explain documentation considerations to support the coding of the MDS 3.0.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Documentation Guidelines
Why Document?
Back to the Basics
What Should be Documented?
Supporting Medicare Part A Skilled Coverage
Medicare Documentation Sources
Review
Summary
Section 3: Skilled Nursing Documentation
General Considerations
What is Critical Thinking?
Direct Skilled Services
Indirect Skilled Services
Documentation to Support Therapy Services
Review
Summary
Section 4: Documentation and the MDS
MDS 3.0
Sections of the MDS that Affect Nursing
Review
Summary
Section 5: Conclusion
Course Summary
Course Contributors
References
Subject Matter Expert: Bobbi Whittington, BSN, RN
Bobbi is currently an SME writer for Post-Acute Care at Relias. She began her nursing career as a Certified Nursing Assistant (CNA) in long-term care, where she discovered her passion for working with older adults in post-acute settings. In 1997, she earned her Licensed Practical Nurse (LPN) certification from South Central Area Vocational Technical School in Missouri. Demonstrating a commitment to advancing her education, she obtained an Associate Degree in Nursing from Texas County Technical Institute in 2007, followed by a Bachelor of Science in Nursing from Chamberlain College of Nursing in 2013. With more than 24 years of clinical and managerial experience in the skilled nursing industry, Bobbi has dedicated her career to enhancing the quality of care for older adults.
Target Audience:
The target audience for this course is: Administration; Nursing Personnel; in the following settings: Skilled Nursing Facility.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.