Always refer to the coverage criteria for the RUG-III codes. What is the resident's ADL score? For example, if the resident qualified for Extensive Services due to the nature of the service but the ADL score was less than 7, it drops to Special Care. Injection qualifies in Clinically Complex but not in this scenario. Chemotherapy is also listed in Clinically Complex and that does apply. You give the chemo drug and then monitor for effect as well as with the CBC.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Davina DeMerritt
Sent: Tuesday, December 16, 2003 9:39 PM
To: [EMAIL PROTECTED]
Subject: RE: Can I keep this res. skilled?...
Are you still looking for the cause? I would think yes if
there are order changes due to the CBCs. If the resident is stable and no
order changes then no they would not be skillable.
Davina DeMerritt, RN
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Behalf Of Olga Lawrence
Sent: Tuesday, December 16, 2003 5:43 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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