Looking to the resident's needs usually works. For example, if the resident were in the hospital for a new hip fracture or a new CVA they probably need therapy beginning on the DAY OF admission. If they were in the hospital to manage an infectious process such as pneumonia or UTI, or some other medically managed process, having therapy begin later in their stay is very acceptable. That is assuming that Nursing works with the restorative processes from the beginning of the SNF stay so the resident doesn't loose additional ADL skills. ----- Original Message ----- From: [EMAIL PROTECTED] Sent: Wednesday, January 28, 2004 6:13 PM To: [EMAIL PROTECTED] Subject: Rugs and therapy minutes I think what some companies are doing is using day 1 or 2 for 5 day ref.They don't let rehab write any eval or treat orders until after the ard,that way the first MDS could prob be an SE3.CMS thinks this is a manipulation of the system,sure some patients are too ill to take rehab early on.Most of my short term admits,I could get an SE3 if I did this ,but they come to us for rehab.This patient expects therapy to see them on admit,if not by day 2.[we provide therapy 6 days a week]As I said before, RV is the Rug we usually get.In a rare occasion I will look to get an SE3 and ask rehab to wait a day or 2 but this particular resident prob can't tolerate more than a RM anyway.This is what made me ask this question to begin with,I attained an SE3 and had rehab mins on day 1 but this patient was an RM.I can now understand the indexing.Sorry if I caused more confusion but I am all set.
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