At my last facility I did not skill for a skin prep, they are comparable to alcohol
wipes, the purpose is to dry the area so the cap falls off.
>>> [EMAIL PROTECTED] 04/02/04 12:02PM >>>
The coverage for Medicare Part A is for a daily skilled service, and I am not
clear on what the daily skilled service is for this resident. What treatment
is involved in "skin prep"?
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
> 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
> From: [EMAIL PROTECTED]
> Reply-to: [EMAIL PROTECTED]
> To: [EMAIL PROTECTED]
> Sent from the Internet
>
>
>
> 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
>>
>
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