I would certainly continue to skill her until the URI resolves. I would just alert my staff to do good documentation supporting this.
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: Billy Jo Stewart [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 27, 2004 11:47 AM To: [EMAIL PROTECTED] Subject: questioning Med A skilling Hello Everyone, I have a resident that is on Med A. Today is her last day of therapy. I reviewed her chart to check for anything that nursing can skill this resident on. Upon investigation resident has recently developed an URI. On 1/26/04 a chest x-ray was ordered and it showed small opacity and pleural effusion or thickening. She was started on a z-pak. She has been running an elevated temp (1/25/04 temp 101.3, 1/26/04 temp 100.7). Pulse ox has been monitored and her pulse ox has been above 90% on RA so she has not needed any oxygen. Nurses notes revealed: bilateral eyes with yellow drainage, nasal congestion and drainage, and a cough (robitussing was ordered for the cough). Would you continue to skill her for nursing observation? Thanks in advance, Billie Stewart, RNAC [EMAIL PROTECTED] /---------------------------------------------------------- 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 -----------------------------------------------------------/
