Sorry Carol! I thought you sent the
original email!
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Brenda Chance
Sent: Wednesday, January 28,
2004 1:05 PM
To: [EMAIL PROTECTED]
Subject: RE: ?skill for
nephrostomy tube
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.
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