RE: spell of illness

[Brenda Chance]

Daily injections of insulin do not necessarily skill a resident.  The guidelines for clinically complex say that for a resident to be skilled for daily injections, they must have a dx of diabetes mellitus, and physician order changes greater than or equal to 2 days (in the 14 day lookback on the MDS).    If this resident has been 60 days without meeting the above criteria, then I would certainly skill her especially with a fresh surgical wound and likely needing rehab services.   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: claudia farrell [mailto:[EMAIL PROTECTED]] Sent: Wednesday, January 28, 2004 10:45 PM To: [EMAIL PROTECTED] Subject: RE: spell of illness   If they require insulin d/t the sliding scale,qd that makes them skilled. Not just prn. Claudia >From: [EMAIL PROTECTED] >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: spell of illness >Date: Wed, 28 Jan 2004 22:33:16 EST > >If a resident has an order of sliding scale of insulin and sometimes, she >received insulin because her sugar was high , would you consider this as daily >skilled service.  Im just wondering because we have resident who will be coming >back to our facility after her surgery and we were discussing if she can be on >part A when she goes back . Her last cover day from Part  A was more than 60 >days already. Thanks for the reply. High-speed users—be more efficient online with the new MSN Premium Internet Software. /---------------------------------------------------------- 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 -----------------------------------------------------------/