I don't think that therapy can give anticipated minutes without having evaled the
resident. How could they justify the amount of days/minutes without evaluating the
resident? The anticipated minutes were developed to pay us for the therapy time that
would be given even though therapy didn't start immediately after admission and
therefore not enough done to get into a RUGS group. Since your therapists did not see
the resident at all, I don't believe that it would be appropriate to get paid at a
therapy level RUG.
As for the resident with the palm guard, the time that can be recorded for restoratie
purposes must be the time"1) where staff pr9ovide verbal and physical guidance and
direction that teaches the resident how to apply, manipulate, and care for a brace or
splint, or 20 where staff have a scheduled program of applying and removing a splint
or brace, assess the resident's skin and circulation under the device, and repostion
the limb in correct alignment. These sessions are planned, scheduled, and documented
inthe clinical record."
So, just having the brace on for more than 15 minutes does NOT meet the guidelines.
If the guidelines are met, as above (pages 3-192 and 3-193 of RAI manual) then you may
code the splint/brace assistance on the MDS in P3c.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Jan 6, 2004 8:30 AM
To: [EMAIL PROTECTED]
Subject: Section T question/ Restorative question
Resident admitted on Friday with Therapy orders. Transferred back to hospital on
Sunday without Therapy seeing her. It is my understanding that Therapy can project
minutes for the 5-day assessment even though not seen, according to the RAI. Correct?
Also,separate issue, resident ordered palm guard per Universal schedule but refuses
consistently to wear at night. Good nursing practice of course will prompt us to
change the wearing instructions but in the meantime resident surpasses the 15 daily
minutes/6-day requirement. So, we can still take credit for the minutes, correct?
Deep discussion going on here for some reason.
Input appreciated and thanks in advance.
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The Case Mix Discussion Group is a free service of the
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/----------------------------------------------------------
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
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