RE: ?skill for nephrostomy tube

[Brenda Chance]

Carol,   What rugs category will she fall into?  That is my big question.  Do you use the lower rugs categories?   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: carol maher [mailto:[EMAIL PROTECTED] Sent: Wednesday, January 28, 2004 10:55 AM To: [EMAIL PROTECTED] Subject: Re: ?skill for nephrostomy tube   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.     /---------------------------------------------------------- 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 -----------------------------------------------------------/