Why would you do a significant change once therapy starts if there has been no significant change in functioning? I understand you are trying to do this to capture the therapy minutes, but this does not constitute a significant change. If she does an admission assessment, and if nothing else occurs that impacts the residents status, there will likely be no reason to do a significant change just because therapy is starting.
The way to handle this is to try to start therapy (when indicated) at a time when you can capture this during an assessment period. If you cannot and there has been no decline/improvement to indicate a significant change is needed, then you will just have to eat the payment to rehab out of your current rugs level and do what is best for the resident. Brenda W. Chance, RN, RAC-C MDS Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Saturday, January 17, 2004 9:01 AM To: [EMAIL PROTECTED] Subject: Skill or not I am sorry I misunderstood.I would skill and [as someone said}capture the IV on both the 5 and 14 day.In the situation you mention,I would do an omra sig chance when therapy starts.I don't see how you could say that a sig change is not necessary [if you meet the criteria] as the person has never had therapy in your building.I agree when rehab starts one expects improvement but in this case rehab hasn't started yet. /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
