When a res is admitted with orders on admission its my understanding these can not be counted unless there is a change in the original orders during that day. Most of my admissions come with evale and treat orders for therapies. The following orders are clarifying the admission order. 01/01/04 Admitted with ST/PT/OT orders for evale and treat( why is this not a complete order?) 01/02/2004 received clarification from Dr for TX
-----Original Message----- From: Nathan [mailto:[EMAIL PROTECTED] Sent: Tuesday, February 17, 2004 3:35 PM To: [EMAIL PROTECTED] Subject: Re: Doctors orders The term "Standard Admission Orders" does not mean the orders written when a resident is admitted. This refers to standing orders that are applied to all admssions for a certain MD. As for not being able to use admitting orders to count for therapy...I have never heard. There is a problem when the MD writes "Eval and Treat". That is not a complete order. The MD must as some point indicate the days and minutes of therapy to be delivered. Therapy must be doctor ordered, not therapist ordered. If the MD is not willing to write actual minutes and day without an eval (most won't and I don't blame them) This becomes a three part process to do correctly. One - MD writes an order for "Evaluation and recommendation" for the therapist. Two - The therapist does the eval and recommneds X days and X minutes per day. Three - The MD then writes a second order for X days and X minutes per day of therapy. I would guess that part three could be fulfilled by an order from the MD to "Eval and Treat as recommended" as long as the third part was dated/timed after the second part. In effect, the recommendation of the therapist would become part of the MD order. Nathan ----- Original Message ----- From: "Richardson, Christine" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Tuesday, February 17, 2004 1:02 PM Subject: RE: Doctors orders > Section P page 3-205 in RAI under physician orders states > Does note include standard admission orders, return admission orders, > renewal orders or clarifying orders with out changes. > > -----Original Message----- > From: Jennifer [mailto:[EMAIL PROTECTED] > Sent: Tuesday, February 17, 2004 1:39 PM > To: [EMAIL PROTECTED] > Subject: RE: Doctors orders > > > Where does it state we can't count therapy orders? I > read through the whole section? > > Jennifer RN BSN MDS Coordinator > > --- "Richardson, Christine" > <[EMAIL PROTECTED]> wrote: > > Cant count clarification orders, or therapy > > orders.Read section P in RAI > > manual > > > > -----Original Message----- > > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] > > Sent: Monday, February 16, 2004 4:47 PM > > To: [EMAIL PROTECTED] > > Subject: Doctors orders > > > > > > If a resident is admitted with orders for Speech, > > Occupational and Physical > > therapies that state treat and eval as indicated, > > can you count orders the > > next day when they come in and the order is writtent > > to clarify specifically > > what they are going to do for example: speech > > therapy to treat 5x week x > > 6weeks for ....... > > > > Thanks, > > Carol > > > > > > > __________________________________ > Do you Yahoo!? > Yahoo! Finance: Get your refund fast by filing online. > http://taxes.yahoo.com/filing.html > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
