Re: would you put them on PPS?

[KDeniseSRN]

My concern is not just your case, but long term care in general. Are we missing something, in this case - what is causing the chest pain? Is the resident frequently in pain? What was the resident doing just before the chest pain? Were any kind of tests done at the hospital? Did you get any reports from the hospital that would help you care for your residents needs? Did they not give any IV fluids or IV med pains at the hospital? Do you have trouble getting information from the hospital? Is the resident on nitroglycerin? Does the resident have any fever? Are you monitoring the BP? Is the resident on any anticoagulants? Is your staff documenting observations, such as persistent dyspnea, cyanosis, decreasing blood pressure, rising temperature, and arrhythmia's? I am sure you are doing all of this. I just want everyone, not just you to be sure they are doing everything they can for our residents. If one of our residents died tomorrow would we be comfortable with knowing that everything was done that could have been done?   Sorry for the soap box, it's not your fault for sure - it's just seams like sometimes (me included) we forget there is more to our residents than what goes on paper.   Sorry again everyone. my first question would be, why did they go to the hospital? Went out bec. of chest pain. Is the resident stable? She has been stable since re-admission.    If rehab is not needed, we  usually cover them for skilled observation (following the "presumptive coverage rule" ) BUT in this case I am not so sure..now that RUG score will possibly be at  PA1 again