I am not Rena, but would like to answer your question. If the resident is now eating 100% of her meals and is only receiving flushes through the tube, she is NO LONGER receiving skilled services. Her Medicare A coverage should be ended and begin a break in skilled services. You should not exhaust her 100 days if she is not receiving the amount of fluids and percentage of calories required for skilled services. The mere presence of a gtube is not a skilled service. ----- Original Message ----- From: "Cathy Dale" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, March 15, 2004 5:04 PM Subject: G-tube question for Rena
> Rena, > We have a resident admitted s/p G-tube placement. On admission she > received greater than 51% of calories, fluids and meds via G-tube, > Resident is on Medicare Part A, she completed PT/OT and ST, and NOW > consuming 100% of calories from meals PO and receiving 100cc of H2O > every 6 hrs and all medication via G-tube. The g-tube is to remain, > therefore she will not renew her 100 days. Can we exhuast her 100 days > as she is? Nursing providing flushes, meds and monitoring. Thank you > Cathy Dale RN > > > Catherine Dale > CRNAC MDS Coordinator > Los Angeles Jewish Home for the Aging > 18855 Victory Blvd. > Reseda, Ca 91335 > (818)- 757-4468 > [EMAIL PROTECTED] > > > > Cool Fact: At the Jewish Home we have more residents over the age of 100 than under age 80. > > ----------------------------------------------------- > If you are neither the intended recipient(s) nor the employee or agent responsible for delivering this information to the intended recipient(s), you are hereby notified that any disclosure, distribution or action taken in relation to the content of this > communication is strictly prohibited. > > If you receive this communication in error, please notify sender immediately and destroy all documents received. > ----------------------------------------------------- > <> > /---------------------------------------------------------- > 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 -----------------------------------------------------------/
