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
