Re: skillable or not

[Rnlncoh]

In a message dated 1/15/04 8:17:16 PM Eastern Standard Time, [EMAIL PROTECTED] writes: Just got a Med A from a rehab facility has been in hosp since 11/26/03.  Just recently had a flap over a prior decub on the 8th.  Is in bed rest for 3 weeks.  Has o2, fc and last received IV on 1/11/04.  Administrator wants me to skill her for the 3 weeks until weight bearing status changes.  I can get 1 Restorative program,  obviously rom for 3 week.   What do you all think?  There are no dressings to the flap-staples intact and open to air.  Is it possible to skill her for 3 weeks and for what?  I am so use to therapy that when a Med A comes in with no therapy orders I lose it! Lisa You can skill for nursing care plan management, providing that there are things being done that can only be done by a nurse.  What about pain management?  The flap still has to be monitored by a nurse for healing purposes, infection, ect.  And if there is a foley cath, monitoring for a UTI is a must.  Can do I&O's.    As for restorative, what about communication?  Need more info about the resident.  And I would get the therapy orders immediately that state that she will start therapy after a three week delay d/t weight bearing status.  The therapy needs to start within 30 days and a doctors order stating the delay is acceptable for skilling down the road if you can't find enough to skill for during the three weeks.  Just some suggestions.   Sherri