Books to help:
Manual of Home Health Nursing Procedures
by Robyn Rice http://www.amazon.com/exec/obidos/tg...books&n=227657
Handbook of Home Health Nursing Procedures
by Robyn Rice
Handbook of Home Health Standards and Documentation -- Guidelines for Reimbursement **** A Must, new ed coming 2004
by Tina M. Marrelli
Nurses' Guide to Home Health Proceduresby Jean Smith-Temple, Patricia A. Carr, Joyce Y. Johnson (Editor)
Competency in Home Care (Must have measurements for competency
by Terasa M. Astarita, Gayle Materna, Cynthia Blevins, Tarasa Marie Astarita
Only book I know have is Marelli, my bible for care plans.
Have heard many peope say Rice's books great. other Home Care
Manual by rovinski is from 1989--couldn't find more recent issue.
Great new Article I read tonight:
The Agency for Health Care Policy and Research Guidelines: Implications for Home Health Care Providers http://www.aacn.org/AACN/jrnlci.nsf/.../ArticleTwo93?
RE cath care/supplies--What Medicare intermediarys permit:
Indwelling Catheters (A4311 – A4316, A4338 – A4346)
No more than one catheter per month is covered for routine catheter maintenance. Non-routine catheter changes are covered when documentation substantiates medical necessity, such as for the following indications:
1) Catheter is accidentally removed (e.g., pulled out by patient)
2) Malfunction of catheter (e.g., balloon does not stay inflated, hole in catheter)
3) Catheter is obstructed by encrustation, mucous plug, or blood clot
4) History of recurrent obstruction or urinary tract infection for which it has been established that an acute event is prevented by a scheduled change frequency of more than once per month
When a specialty indwelling catheter (A4340) or an all silicone catheter (A4344, A4312, or A4315) is used, there must be documentation in the patient's medical record of the medical necessity for that catheter rather than a straight Foley type catheter with coating (such as recurrent encrustation, inability to pass a straight catheter, or sensitivity to latex). In addition, the particular catheter must be necessary for the patient. For example, use of a Coude (curved) tip indwelling catheter (A4340) in female patients is rarely medically necessary. Documentation of medical necessity may be requested by the DMERC. If documentation is requested and does not substantiate medical necessity, payment will be made based on the least costly medically appropriate alternative (A4338, A4311, or A4314, respectively http://www.adminastar.com/Providers/...Supplies34.htm
P.S.: Our agency standard is to place on 485 POT "2 prn SNV for foley catheter leakage/malfunction" on all foley catheter clients.
Wound Care Words Of Wisdom: What Medicare considers appropriate supply amounts http://allnurses.com/forums/showthre...+care+medicare
? about SN frequency orders on 485 http://allnurses.com/forums/showthre...4302#post54302
Home Care Services--has multiple links http://www.nlm.nih.gov/medlineplus/h...eservices.html