RE: continued skill serivces

[Brenda Chance]

Nancy,   Also I didn’t include this on my email but I would guess she was skilled before for the trach.  If she was and has had no real change, then you may get a focused review.  If she is stable and no real changes occurring, no o2 adjustments, no s/s of infection, no teaching occurring, then I would likely not skill her.   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: Monday, January 19, 2004 3:53 PM To: [EMAIL PROTECTED] Subject: continued skill serivces   I have a resident who exhausted her 100 days. Had a wellness period greater then 60 days because she was at home. This resident has a trach for greater th en 13 years. Went to hosp , met her Part A requirments. Physcial therapy and ot picked up for 3 weeks, since , this resident had a wellness period at home ,I could skill for one hudred s regarding trach care with cont's mist , suction prn, wright????????????????     thanks a heck of alot     nancy PS. when this resident was home her daughter took care of her trach (all aspects of care.) not resident.