Ahh, but your last statement is the point. They can not properly care
for a patient receiving drugs through a midclavicular line. Most
thrombosis will be clinically silent but still be doing the vein
damage. So the nursing home is accepting a situation that is
impossible to manage safely. Sure wish all of them appreciated these
risk. Lynn
At 11:18 AM -0500 3/17/06, [EMAIL PROTECTED] wrote:
My experience is in Florida homes only. There are many factors that
play into this scenario, first and foremost--PPS. LTC facilities
are also under pressure from Medicare (with 100 day limits for post
hospital care) and insurance companies to get their patients out
quickly, which does leave empty beds. Many times, as the local
hospital is full, so is the facility, if hospital census is low, so
is the facility. Sure, in some cases families have input as to
which facility the patient goes to, but they often rely on the
recommendation of the discharge planner at the hospital, who has a
relationship with one or two LTC facilities. Also, proximity plays a
role, if the family is involved, they want mom or dad close to home,
which is usually close to the hospital they were in. No matter how
the referral gets to the facility, pt, family or D/C planner
recommendation, the LTC facility will not spite its revenue stream
by saying NO. Those decisio! ns, when
Most facility DONs will take whatever....then call the pharmacy or
hospital to get the training or equipment they need to properly care
for the patient.
Chris Cavanaugh, CRNI
----- Original Message -----
From: Lynn Hadaway <[EMAIL PROTECTED]>
Date: Friday, March 17, 2006 11:07 am
Subject: Re: Midclavicular catheters
To: VICTORIA SALLESE <[EMAIL PROTECTED]>, [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED], [EMAIL PROTECTED]
I had always known that home care was as Chris described but I
always
thought that LTC had more control over who came in their doors.
With
the aging of America and the demand for skilled nursing home beds,
I
really do not see that nursing homes must cater so strongly to the
demands of referring physicians. In fact my mother has been in 3
different nursing homes now and the physician was not involved in
making an! y of thos
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
