Ask the Experts, MDS 3.0 Items

Is an RN required to co-sign with an LPN when they do their sections on the MDS?

Q: Is an RN required to co-sign with an LPN when they do their sections on the MDS? Our facility has us co-sign but I thought the LPN could sign on their own attesting to their section for accuracy, and an RN just had to sign that the assessment was complete.

A: LPNs/LVNs can encode the MDS and sign off to certify the accuracy of the portions they encode. RNs do not have to co-sign, but an RN is required to function as coordinator and sign to certify completion of the assessment. However, facilities are allowed to implement their own policies to ensure the correct completion of the MDS. This may just be one of those policies that is particular to your facility.

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