Re: ?skill for nephrostomy tube

[carol maher]

Is she within 30 days of last covered Medicare day? 


-----Original Message-----
From: Cathy Bruce <[EMAIL PROTECTED]>
Sent: Jan 28, 2004 7:32 AM
To: [EMAIL PROTECTED]
Subject: ?skill for nephrostomy tube

We have a resident with long-term useage of a nephrostomy tube due to failed stents to keep one kidney draining.  She has chronic UTI�s and has had multiple hospitalizations for UTI and urosepsis.  Is being followed by nephrology and urology.  Nursing is flushing the nephrostomy tube q shift.  We cut her from Medicare Part A when therapy discontinued due to lack of progress.  Now she has a UTI again. 

1. Should we put her back on Med A due to acute infection and need for ongoing monitoring and assessment?
2. Should she be considered �skilled� long term like you skill continuous peg tube feeding residents, who never requalify for a Med A stay? 

 

Any feedback would be appreciated.

 

Thanks.

 

 

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