Work smart when doing this comprehensive assessment.
"If the resident has no changes in 12 of the RAPs, for example, you don't have to redo those," says Roberta Reed, MSN, RN, a consultant with Plante & Moran Clinical Group in Cleveland, Ohio. Reed. "You refer back to the previous RAPs and document that there has been no change -- that is, the triggers are the same and whatever the sig change was did not affect that RAP," she adds. Then you work the RAPs that have changed. If there are no changes in a RAP, the RAI User's Manual advises, document that "and bring that RAP forward," specifying "where the supporting documentation can be located in the medical record."