I think that this needs to be looked at on a case by case basis. I would look at the route that they receive the IV ABX, their medical condition, side effects of the med, and just and all around good clinical assessment of the patient, if they are unstable and require nursing monitoring I would continue to skill them. But if they are stable and only receiving the ABX q36' with not other complicating factors clinically, I would not.
Tammy Gola BSN, RN, CRNAC Wilkes-Barre General Hospital Transitional Care Unit 575 North River Street Wilkes-Barre, PA. 187641-0001 570-552-5417 [EMAIL PROTECTED] -----Original Message----- From: Nancy Canady [mailto:[EMAIL PROTECTED] Sent: Thursday, March 18, 2004 3:03 PM To: [EMAIL PROTECTED] Subject: SNF qualifier I have a question about those patients that are in a SNF unit and receiving IV antibiotics daily on admission. Then at some point during the stay, the IV meds are changed to q 36 hours. IF they have no other skilled qualifiers, what do you do with these patients? We have a facility in our community that says they keep them on their SNF even though they don't have a daily skilled qualifier; they say their FI has no problem with this. But we have a different FI who says we need a daily qualifier. Our facility is trying to figure out how to deal with this. _____ Confidentiality Notice: This message and any attachments may contain confidential and privileged information that is protected by law. The information contained herein is transmitted for the sole use of the intended recipient(s). If you are not the intended recipient or designated agent of the recipient of such information, you are hereby notified that any use, dissemination, copying or retention of this email or the information contained herein is strictly prohibited and may subject you to penalties under federal and/or state law. If you received this email in error, please notify the sender immediately and permanently delete this email. /---------------------------------------------------------- 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 -----------------------------------------------------------/
