Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: RENA??? Re: please! second request, I need answer, keep medicare? eschar on ulcers,...
Date: 4/2/04 5:26:42 AM Pacific Standard Time
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Yes I know, multiple stage II or one stage III or IV, but it's not the presence of the ulcer that skills a resident, it's the daily treatment that skills them. Maybe I'm hung up on the "dressing change" instead of "treatment", since this man is only getting the skin prep to the areas, plus heel protectors. Rena? Help!
Thanks Nancy
[EMAIL PROTECTED] wrote:
In a message dated 4/1/04 6:57:53 PM Eastern Standard Time, [EMAIL PROTECTED] writes:
In a message dated 4/1/2004 6:06:21 PM Eastern Standard Time, [EMAIL PROTECTED] writes:
I have a medicare resident who was receiving therapies. Therapies have stopped. He has "multiple ischemic ulcers" on both feet (diabetic), but they are eschar covered (unstagable, but stage IV for mds purposes), and the daily treatment is for skin prep. This is not a "daily dressing change"!! Can I skill him for wounds? I need an answer quick!
Thanks! Nancy
I'm at home so I can't quote my source but I believe that 2 or more pressure ulcers of any stage or one stage III or IV will skill a resident weather or not it's got a dressing.
Who is doing the skin prep treatment? If it is a nurse, and no one else is allowed to do the treatments, then he remains skilled also. I agree with the other answer that multiple wounds can keep someone skilled. Need thorough documentation though.
Sherri
