[Jost930]

Has anyone out there changed your admission process due to the proposed CoPs? How long does the admisson RN spend in total - in the home and documentation? It appears the new CoPs require an RN initial evaluation of the pt's immediate care and support needs within 24 hrs after the MD order and the 'comprehensive' assessment including all core disciplines within 4 days of MD order. If a referral comes from non-MD resource do you wait to make the visit until an MD order & records can be obtained?
Thank you for any input.....

[Mazzi]

Last admission I did took 5 hrs. I am a 13 year hospice nurse. The day we admitted the same day as the referral is over. By the time you get Dr OK/order, set up with MSW a meeting with the pt/family, get living will, POA, Medical rep IN WRITTING, check with insurance, talk with pt/family, get approval, impliment POC, and then finally do you true nursing care like making pt comfortable, set up in the home setting or in the ECF. In between all this you do a little charting but know you set down at your desk to finish all the paperwork. YEP about 5 hrs.