I'm just about at my wits end. I cannot keep staff. Everyone is stressed about the continuously updated list of "you must have this on every chart" that they are ready to give up. Our OASIS reviewers/coders make so many changes to the 485/OASIS that the nurses and therapists have actually stated "why do we even take time to do the assessment because the coders change everything."
Our company was was recently sold to another huge company and if it doesn't get remarkably better soon, I have to leave. They want these 485s to have 10+ safety measures (who has heard of diabetic precautions, incontinent precautions, etc), 4-8 functional limitations (urinary incont as a limitation? Cmon the let a few drops loose when they sneeze!). They make recommendations to add the route to oxygen. How are they going to take it...rectally? Specific dates for goals to be met? What a joke! You damn well better document a FSBS and diabetic foot check on every diabetic pt, every single visit OR ELSE! No matter that the pt denies being diabetic or the fact that 4 medical records say not diabetic but ONE does.
There is so much that MUST be done but you better get X visits done per day and don't have OT. Two hours for a SOC? Sometimes it takes 40minutes to complete an accurate medication reconciliation. :/
are you all all seeing this type of stuff?