RE: To skill or not

[Patricia Whitcomb]

Title: Message

If resident is on continuous Oxygen, I would be checking lung sounds & O2 sats q shift for the first few days & then @ least daily after that.  Also, check with your provider.  We have Noridian, & they consider that as long as the resident uses oxygen @ some time during the day, on a daily basis, he would remain skilled.  The only bad thing about this is that if you have a patient who is on, & remains on, oxygen, he will never become unskilled.     Pat Whitcomb, RN MDS Coordinator Madonna Towers 507-288-3911, Ext. 3050 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, April 06, 2004 7:27 PM To: [EMAIL PROTECTED] Subject: Re: To skill or not A LTC resident is sent to the hospital.  Has dx end-stage COPD.  Come back sub-acute unit receiving po antibiotics.  Therapy does not go in since patient is at baseline upon return.  Recieves oxygen- long time use not new.  Doctor writes order comfort care, but family is not ready for hospice.  How long can you skill this resident?  If you can skill this resident longer than a 7-10 day observation on what skilled need are you skilling her and for how long? Lisa This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by HIPAA you need to hold this information as privileged and confidential. If you have received this communication in error, please destroy all copies of this communication and any attachments.