I have already skilled this resident for the 5 day PPS for IV's in the hospital and
skilled observation. They got a UTI after coming back from the hospital and the new
supervisor they just hired (EX- RNAC) thinks I should continue to skill this resident
for a UTI and I told her no. He is stable, jus being treated on oral ABT. I have to
stand my ground or she will be telling me how to do my job forever more.
> I agree with your assessment of UTI's but... what about the presumption
> of coverage, i.e. that a resident is entitled to Medicare benefits after
> qualifying hospital stay? Could you not admit them med A up through 5 day ARD
> for skilled nursing observation? I don't know how many of these you have in any
> given month but those extra Med A days add up -- legimitately.
> >
> > From: Callie Larson <[EMAIL PROTECTED]>
> > Date: 2004/01/21 Wed AM 08:37:34 EST
> > To: [EMAIL PROTECTED]
> > Subject: Re: skilling for UTI
> >
> > It would depend upon whether the resident requires skilled nursing assessment,
> observation, and/or careplan management by a licensed nurse on a daily basis!
> UTI's can be relatively benign or they can be extremely serious in our resident
> population. We have residents for whom a UTI is a serious medical situation and
> who fit that criteria, however, we do not do IV therapy at our facility so by
> the time the resident returns from the hospital after completing IV antibiotic
> therapy they are generally stable and back to their baseline and I do not pick
> them up for Medicare. If there is reason to think that they still are unstable
> enough to require daily skilled nursing care, you can certainly pick them up. It
> is the need for skilled nursing care that is the driving factor, not the
> diagnosis.
> >
> >
> > [EMAIL PROTECTED] wrote:
> > Can a resident be skilled for a UTI only- no therapy????
> > /----------------------------------------------------------
> > 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
> > -----------------------------------------------------------/
> >
> >
> > Caroline Larson, RN, MS, RAC-C
> >
> > MDS/PRI Coordinator
> >
> > Fairport Baptist Homes, Fairport, NY 14450
> >
> >
> >
> >
> > ---------------------------------
> > Do you Yahoo!?
> > Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes
> >
>
> /----------------------------------------------------------
> 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
-----------------------------------------------------------/
