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Bodga, if the patient comes in with the only
skilled service being respiratory, you will need something from the hospital:
IV's, etc. to p/u on Mcr A. Once after that, the nebulizers will
themselves skill him, but is his respiratory status so unstable that they
require skilled nursing to be monitoring? Adjustments of meds?
Oxygen? Low Pulse ox's? Usually after 3-4 weeks, these folks
stabilize. Is the doc continuing the nebulizers because the patient can't
quite make the cognitive leap to effective use of the inhalers? It will
not automatically skill on the 5 day, but will be considered a skilled service
to keep him/her on.
----- Original Message -----
Sent: Sunday, November 02, 2003 5:50
PM
Subject: Re: RUGs
How about respiratory therapy only?
Bogda
----- Original Message -----
Sent: Friday, October 31, 2003 7:38
PM
Subject: Re: RUGs
Respiratory is a "skilled service", just like
physical therapy. Therefore, if nursing is giving a 20 minute
nebulizer treatment four times a day, and assume that the patient is
receiving an hour of PT q.d., the number of minutes per 7 days of therapy is
now 860 min. vs. 300 min. for PT 5 days. Can't figure out why you have
to beat the nursing director with the manual and payment rates to get them
to change the MAR to capture the therapy minutes and Pulse Ox
scores!!!!?????
----- Original Message -----
Sent: Thursday, October 30, 2003 7:58
PM
Subject: RUGs
What impact does respiratory therapy has on
RUG scores?
Bogda.
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