I have a question for the group. Hopefully I did not make it too confusing.... Resident is here coming up on 60 days.(we are scu in hospital this length of stay highly unusual) For the 60 days he has received IV ABT,(MRSA) and bid dressing changes to a stasis ulcer on ankle. Here is the problem. The director and case manager are working on discharge for this resident. He would go home with his wife.He is alert and oriented and independent in all adls.He does have severe COPD and O2 dependent. He and wife are very reluctant to leave they want to stay here and continue with IV abt and bid dressing changes.They know they have 100 days. I have discussed with them the pro's and con's of using all 100 days. Director and case manager have given them a number of options, and all include cont his IV abt and dsg changes. I am uncomfortable with this , and have had my say because he is still skilled in my eyes. Are they able to force the issue and insist he leave as he can get the same level of care at home going to outpatient care for the IV abt and dsg change. I have told my director that I feel they cannot force him to leave as long as he remains skilled in medicare's eyes. Even if he can get the care as outpatient. They tell me we send people home all the time with IV meds, dsgs etc. And I agree but because that resident wants to go home.... This resident does not want to leave. Am I off base on this one. Please clarify this for me . THANKS KAREN
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