EACH case is different........I suppose surveyors would look at it not to "complete wound healing", but to healing to the level at which it is not longer presenting as a stage for which the regs say a foley catheter is acceptable. Of course, looking at the history, what is happening for each resident, the care plan, the treatments, etc is called for and perhaps that would mean to complete healing. Referring to the regulation itself as well as the "Guidance for Surveyors" would be important for both the facility as well as the surveyor. A specific date would be difficult to predict as each decub or wound heals at its own speed. The care plan should probably reflect reassessment of the need for the foley due to the decubitus on a regular basis so that as soon as the foley can be removed, it is, and the facility stays in compliance with regulations. Again, every case, every resident is different, and so, therefore, is how each one is looked at by each person.
Take a look at your copy of the SOM, and read the information with the regulation, that should help you immensely. Also, look at your facility policy and procedure (which should follow along with the Regulations), and be sure you are also following it.
[EMAIL PROTECTED] wrote:
In a message dated 03/03/2004 9:54:14 PM Eastern Standard Time, [EMAIL PROTECTED] writes:That's very interesting about the foley. I use the same goal when I have a foley in to promote wound healing. Obviously you can't predict when the wound will be healed. What I usually write is that foley will be removed within 7 days of complete wound healing, or as ordered by MD. Has never been questioned.Surveyors out there? What do you think of this?Wishful thinking if a surveyor may answer this. IMHO The survey team has unrealistic expectations... Because wounds heal at their own pace, it's hard to predict exactly when the foley will be removed. Holly's goal does make more sense. I don't see anything wrong with either as long as there would be documentation to show reoval when wound healed.
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