Re: no more NS at chairside!
The surveyors you mean?? I know, really.
When our survey was going on, we had a lady with us from the regional office who pretty much WROTE Davita's P&P. She was right behind the surveyor as she walked around, asking us questions (right in the middle of turnaround, of course), making sure the surveyor knew what was going on. SHe would ask, "Ok, now what are you doing with that? Ok, show me how you use it. Ok, where do you record that information? How do I know this machine passed all it's tests?"
I was checking pH and conductivity, and initialing all my machine checks at the chairside computer. Davita lady comes up behind her because she starts to questions Well, how does that information get into patients chart? Etc, etc. Blah blah!
When I was returning blood, I filled my 10mL syringe and then flushed the line, then hooked up arterial line to NS line. She was just baffled! Questions, questions. Davita lady showed her P&P, this is the way we have done it forever, this is the way EVERYONE does it, here it is, Of course it is an approved method! They were going at it for a while.
Darn surveyors. But we did excellent.
Search Tags
Re: no more NS at chairside!
We were also told Medicare wont pay any longer for the NS bags and IV tubing for administration of antibiotics and iron. We did mix our Ferrlecit in 250ml saline bags now they have to push it. More pts suffereing n/v and b/p drops even administering slowly. How they can say saline and lines arent paid for in antibiotic admin is beyond me? How are we supposed to administer it then. Pts that bring thier own albumin now have to also bring thier own tubing for administration. We also limit cath care to once a week now in lieu of every treatment. Have to tear off pieces of tape and attach to our fingers then take it to the pts chairside to use and put on the chairshide table. I would think this would be a bigger issue of contamination then carrying a roll lol. Who is making up these new rules? Some paper pusher with no common sense.
Nursing News