You may use grace days as long as this benefits the resident. Remember, though, if you are only going to capture a low, medium, or high rugs category, then you can project without using grace days. If you are using all eight grace days and still not getting 5 days of therapy, then you have a problem. Either the resident is not physically able to do the 5 days of therapy or the therapists are not pushing hard enough.
Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [mailto:[EMAIL PROTECTED] Sent: Monday, November 17, 2003 11:15 AM To: [EMAIL PROTECTED] Subject: Back to basics-Use of grace days or need for 5 days of 1 therapy I know that 5 days of 1 therapy is needed for a resident. However, very often, in order to get the 5 days, I have to use grace days (gd). I use the gd because the resident did not get admitted to our TCU early on the day of admission or had a skilled need and could not participate in therapy right away, or no therapy on Sunday, etc. Sometimes I use all 8 days as the look back period and still only have 3 or 4 days of therapy minutes to use in Sect. P. I know that gd are only to be used sparingly. I don't know which is more important - use of grace days or 5 days of therapy. What is the accepted protocol to follow in this situation? /---------------------------------------------------------- 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 -----------------------------------------------------------/
