I think that the nursing observation alone would be enough to keep her skilled for a while.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Vogt, Kathy Sent: Thursday, April 15, 2004 3:37 PM To: [EMAIL PROTECTED] Subject: skilling for wound care I have a pt who has a midline incision that dehisced. She had a wound vac on with us changing twice a week and going to wound clinic for the third change. She also was recieving skilled therapy. The wound began to tunnel and open up more on the outside. She went to hospital and has had several surgical procedures. They have not closed it. She will be coming back to use probably on Monday. My question is if therapy is contraindicated and after an appropriate observation period, the only skillable service would be the wound care. We would consider this a surgical wound and at least 1 skin treatment being the three times a week dressing change. Can I skill on this since the dressings won't be daily changes. Would it be enough to be monitoring healing, infection, promoting nutritional intake? Thanks, Kathy Vogt NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure. It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available). In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611. /---------------------------------------------------------- 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 -----------------------------------------------------------/
