So, as you know, hospitals are going to be penalized for return admissions and CHF is a huge cause of returns. Do any of you have a CHF protocol you use to keep patients in tne building? I'm thinking I need to have policies on IV Lasix, IV solumedrol, diets, fluid restrictions.....
Oct 10, '12
by LTCNS, LPN
I have what might be a silly question regarding diets. In most of the homes I have worked in, if a resident is admitted with a specific diet like 2gm Na diet or 1800 calorie Diabetic Heart Healthy Diet for example, the dietary manager and/or DON has made the statement that they don't do "specialized diets" so they are put on a NAS or NCS diet. The answer to this is "It's too complicated so everyone on restricted diets get either NAS or NCS or a combination NAS/NCS diet." Others have expressed the fear of getting in trouble with surveyors if everything is not measured out and calculated perfectly.
Wouldn't this defeat the purpose of a specialized diet? I have always wondered about this and am seriously curious.
Edited to add: We have been instructed to do everything we can in the home if someone takes a turn for the worse and that includes IV Lasix, O2, suctioning, etc... Sending them out is a last resort. If the nurses cannot stabilize the resident in the home, then they get sent out.
Last edit by LTCNS on Oct 10, '12