At our facility, we have initial orders
for “eval and tx”. When the therapist evaluates the patient
they complete a 700 form which states the long term and short term goals for
the resident along with the planned tx 5 x week for 30 minutes, etc….That
form goes to the MD for signature so wouldn’t that qualify for
clarification. Its signed by the MD and it is a written tx plan.
Heidi
Ebertowski,R.N.
MDS
Care Coordinator
Valley
Memorial Homes
Grand
Forks, ND
(701)787-7937
fax (701)787-7901
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-----Original Message-----
From: Cliff Peebles
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, January 14, 2004
11:21 AM
To: [EMAIL PROTECTED]
Subject: Re:
I was recently told the orders "eval and
treat" are no longer acceptable for therapies, and the physician is
suppose to dictate exactly what/how much the patient will be treated.
Cliff
Carol Corbett
<[EMAIL PROTECTED]> wrote:
Our therapy department had been told by corporate
consultant that we had to write a clarification order for therapies once the
initial eval was done. On admission or shortly thereafter, our doctor writes an
order for initial evaluation and treatment. Then, after eval., therapy asks for
order to specifiy treatment such as "PT 45-60 minutes 5-7 times per week
for 14 days." Recently therapy was told by another consultant that there
was no need for clarification order. After reading the e-mail from Rena that
states section T is to be projected based on doctor's order, it would seem that
we would still need the clarification order. Section T in RAI manual doesn't
really specify how detailed the therapy orders must be. Do we need to write a
specific clarification order?
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-----------------------------------------------------------/
Cliff Peebles, RN
Director/Nurse Manager
Skilled Nursing Unit
Lane Memorial Hospital
Zachary, Louisiana
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