Besides access issues the other common reason for administering some medications after dialysis r/t drugs that are excreted via the kidneys. Basically dialysis washes out the medication then it is reintroduced at the end to float in the body till next dialysis and on and on. That is also the reason some meds are held on dialysis days till after tx and/or at a frequency that is not common practice.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gola, Tammy Sent: Wednesday, October 29, 2003 11:26 AM To: '[EMAIL PROTECTED]' Subject: RE: Consolidated Billing Scenario We often get patients with orders like that. They are ordered to be given after Dialysis (while they are there). It may be that since they are at dialysis and are "accessed" that the Doc's are thinking it is easier that way, I'm not sure. It wouldn't hurt though to ask the ordering doctor if you can administer it at your facility after they get back from dialysis. Tammy Gola BSN, RN, CRNAC Wilkes-Barre General Hospital Transitional Care Unit 575 North River Street Wilkes-Barre, PA. 187641-0001 570-552-5417 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Wednesday, October 29, 2003 10:19 AM To: [EMAIL PROTECTED] Subject: Re: Consolidated Billing Scenario Ron, Interesting scenario. If the resident is not getting the Med for ESRD and it's not excluded from CB, then why don't you admister at the facility and take the credit for it? Not a very good answer, but wondering with you!!! Okay billing Guru's--what's the answer? Jan In a message dated 10/27/2003 2:39:50 PM Eastern Standard Time, [EMAIL PROTECTED] writes: Resident goes out to dialysis 3x/wk and receives tobramycin IV while at dialysis. Facility currently sends the IV medication with the resident for the dialysis center to administer. We know that we cannot take credit for it on the MDS. The tobramycin is not related to the ESRD diagnosis. My first thought was to have the dialysis center supply AND administer the drug. However, since tobramycin is not excluded from CB, could the dialysis center bill for this or would the SNF still be responsible. I am thinking the facility is responsible since it is unrelated to the dialysis but may be wrong. Any thoughts? Thanks Ron /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
