My mind is blanking today - could someone give me input?
First, resident had last covered day of Therapy on 4/28. We continued to cover this
resident for Medicare due to the skilled need of IV Lasix daily (push). I set the
OMRA for 5/6 and combined it with the 30-day. Today the IV Lasix is discontinued,
resident stable, so made today the last covered day of Medicare. OMRA does NOT need
done, right? And if I do not do it, does the Therapy RUG score stay until that last
covered day?
Secondly, when an order is written to change bath and shower days from one to two per
week or two to one per week, do we count that as a Physicians order under P8? Today's
rounding doctor said he will not sign them as there should be a policy on
baths/showers so that these orders could more or less be written as a nursing measure.
(?)
And a gray area - resident had a tracheostomy. Currently has no trach, only the
stoma. We can't count trach care so do we capture the care that we do under "surgical
wound care"?
I have been working TOO many hours and this info is all running together. Thanks for
ANY help you could provide.
Bonnie
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