Long-Term Care Survey Alert
Should the SNF do a Sig Change MDS Assessment in This Case?
Question: If we have done the 5-day PPS assessment on a resident who goes back to the hospital and is readmitted to the SNF, how do we proceed with the next MDS assessment, if the person has undergone a significant change in condition? Answer: The answer depends on whether you completed and submitted the OBRA initial assessment combined with the 5-day PPS assessment when the resident was discharged. You shouldn't do a significant change in status assessment until the initial OBRA assessment has been accepted into the database. If you didn't complete and submit the initial assessment, and instead submitted a discharge tracking form indicating that the resident was discharged before the initial OBRA assessment was completed, then you'd do the initial assessment combined with the readmission Medicare assessment or the 14-day Medicare assessment. Source: Marilyn Mines, RN, BSN, RAC-CT, BC, manager of clinical services at FR& R Healthcare Consulting in Deerfield, Ill.
Long-Term Care Survey Alert
- Survey Management:
Don't Go Out on a Limb: Use This 4-Point Decision Tree for Effective IDR and Appeals
Redefining your idea of a win may pave the way for one. The idea of [...] - Clinical Care:
Shore Up Your Clinical Systems for Assessing, Responding to Acute MI
Watch for this common initial sign of a perfusion change. The clock is always ticking [...] - Clinical Tip:
Beware: Pulse Oximetry Can Provide a Misleading Snapshot of O2 Status
An ED nurse expert explains why. Using pulse oximetry to assess a person's oxygenation is [...] - Care Management :
Turn to SBAR for Handoffs to the Emergency Department
Summing up what's going on can expedite care. You may send a resident with signs of [...] - MDS 3.0 Corner:
Comb Through the MDS 3.0 for These 'Rest of the Story' Details for Surveyors
Examples range from fall severity to diabetic ulcers to continence status, and more. If you [...] - Management 202:
Stop the Revolving Door: Target These 3 Common Management Mistakes
This automatic assumption can put a talented caregiver on an unhappy path. Managerial tactics can [...] - Reader Questions:
A Resident Requests Acupuncture -- Now What?
Question: A post-operative SNF patient and her family want her to have her regular acupuncturist [...] - Reader Questions:
Should the SNF do a Sig Change MDS Assessment in This Case?
Question: If we have done the 5-day PPS assessment on a resident who goes back [...] - Survey & Clinical News to Use
Patients with metastatic prostate cancer now have a new treatment option. The Food & Drug [...]
