Skin treatments do not have to be dressings; skin treatments can mean
pressure relieving devices, turning repositioning programs,
nutrition/hydration, ulcer care, dressings, ointments, surgical wound
care. If you are providing 2 or more treatments you can cover her for
wounds. deb

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On 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

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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
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