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Geriatric Nail Care



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Jul 20, 2006 09:29 PM

by tinkle
Updated Jul 20, 2006 at 09:38 PM by suebird3

I am thinking of starting nail care in our community as I think it is really needed. I know our podiatrist charges $50.00 and does a terrible job. Then will tell the nurses that they could do this and he doesn't know why he comes in. Some of these nails are very thick and the nurses really cannot do them.

Do any of you have any suggestions? Tinkle


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6 Comments
No. 1
from suebird3
Old Jul 20, 2006, 09:40 PM

Default Re: Rn
At my facility, ONLY the Podiatrist does toenails, especially if the patient is a diabetic. I don't want the legal ramifications if anything goes wrong; my license is too valuable. I would tell the Doc that, too.

Suebird
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No. 2
Old Jul 20, 2006, 09:44 PM

Default Re: Rn
Some of the things you need to think about before launching into this as a career path are the following: 1) are you going to try to bill insurance??
or 2) expect payment directly?? 3.) I know that some clinics in our community do feet care, but are connected with a larger entity, such as hospital or health clinic 4) gotta be really careful lest you be perceived as practicing medicine w/o a license. In my state at least, you cannot bill for services to insurances and medicare/medicaid unless you are a midlevel practitioner (ARNP or PA-C) or physician. This requires a UPIN # and being on insurance panels. Do some investigating -check with your BON etc. before going forward. Just some words to think about.

Morghan, MSN, ARNP
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No. 3
from tinkle
Old Jul 20, 2006, 09:45 PM

Default Re: Rn
Suebird, our nurses donot do the nail care with the residents. But I do think our community could use someone to do them. Our podiatrist is not very helpful to us. I was not advocating for them to do them just wondering is anyone had experience doing them outside of LTC.
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No. 4
Old Jul 20, 2006, 09:48 PM

Default Re: Geriatric Nail Care
You might want to check out the entrepreneurship forum here for nurses starting their own businesses .
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No. 5
Old Jul 22, 2006, 05:09 AM

Default Re: Geriatric Nail Care
I am a nursing assistant, and seeing people's untended toenails is one of my pet peeves. I hate having to put on TEDs and socks over long, pointy, sometimes broken, toenails and I'm not allowed to do anything about it. How terribly uncomfortable it must be to have long toenails and wear tight shoes. I resort to dressing some of my residents in slippers.

I would like to get the education and tools needed to do toenail care. Whoever is supposed to be doing it certainly doesn't do it often enough where I work.
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No. 6
from Narnia456
Old Jul 22, 2006, 06:43 AM

Default Re: Geriatric Nail Care
Can they just go get a pedicure from a manicurist? Or if you wanted to start that as a buisiness, just get a manicurists license and do it under that?
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