Kate, We have an intake coor. who looks at all of our patients prior to
admitting---It helps in the sorting process. This is some of what she
does: looks over the acute chart to see if the pt is too acutely ill, or
if the patient is working in therapies, etc. and makes sure they meet
criteria.   She also works with the skilled floor staff to find out what
types of pt we could or should not take, such as this past week we said
no to any more confused  patients--because we couldn't keep up with the
ones we already had, and safety was at risk. Also she would find out if
the nurses could handle any more "heavy patients" . As you well know,
the acute side of the hospital only sees you as another unit---our
intake coor. is a god send--just like today we had planned on a heavy
care pt to be admitted this am, as soon as the coor. arrived she looked
into how this persons night had gone and found out they had started iv's
, done several xrays, lots of labs etc, so she called the unit and
discussed these issues and all decided that the pt was too acutely
ill---had she not looked they would have sent her over to us without a
second thought. Years ago we had worked with acutities, but it really
did not help us sort very well.  The coor. also is responsible to get
the pt admitted to our unit, then hands the care over to the floor
staff. 

>>> [EMAIL PROTECTED] 4/19/2004 5:54:10 PM >>>
I am from a hospital based skilled-28 beds. We are finding our acuities
are
getting way to high. Do any of the hospital based units have a list of
criteria they use? Our docs like to think after 3 midnights  they need
to
transfer to us.
I understand Medicare acuities, I need high end acuities. How ill do
other
units take patients?
Thanks 
Kate

   _____  

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Norma
Jean LaPoint
Sent: Monday, April 19, 2004 5:15 PM
To: [EMAIL PROTECTED] 
Subject: Survey


New York State survey team arrived this morning at our 120 bed nursing
home.
They were here last year around May 3rd.
Norma Jean
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