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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/----------------------------------------------------------
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-----------------------------------------------------------/
Cliff Peebles,
RN
Director/Nurse Manager
Skilled Nursing Unit
Lane Memorial
Hospital
Zachary, Louisiana
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