Your resident sounds pretty stable. He doesn't appear to require daily skilled services from your description. Daily subq injections are not a skilling service unless combined with frequent physician order changes and visits. Since he is having no order changes, is only monitored weekly for blood count and is fairly independent, I think it would be a stretch to continue covering him.
-----Original Message-----
From: Olga Lawrence <[EMAIL PROTECTED]>
Sent: Dec 16, 2003 2:42 AM
To: [EMAIL PROTECTED]
Subject: Can I keep this res. skilled?...
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-----Original Message-----
From: Olga Lawrence <[EMAIL PROTECTED]>
Sent: Dec 16, 2003 2:42 AM
To: [EMAIL PROTECTED]
Subject: Can I keep this res. skilled?...
Hello again!
Would Procrit s.c. injections q day and weekly CBC checks be sufficient to keep a resident skilled ? The resident has max'ed out with PT and OT, and is maintaining his baseline functional status , etc... Spouse will not take him home secondary to ADLs (does require assist. with transfers which she cannot safely negotiate). He locomotes in w/c independently, no cognitive issues, no med changes. He will be receiving Procrit for "pancytopenia", cause still undetermined (?). Any suggestions would be great! Thanks again...
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