Quote from powernurse
what has been bothering me is that where i work we are on laptops and if you do an admission you are not allowed to lock your oasis....
We are allowed to lock the SOC and the oasis coordinator has to have our permission to change anything.
also i am getting calls all the time from the office that i need to go back into an oasis and "change" my answers to a MO questions especially when it comes to COPDers that become SOB with minimal exertion yet do their own ADL's, they tell me that i cannot have it both ways....fact of the matter is that some COPDers DO ALL THEIR OWN ADLs..... AND smoke.... and are not homebound AND are very SOB with very minimal exertion....may not be the answer they want to hear....but it is the fact...and i will refuse to change my documentation based on their concerns which i believe are more focused on "did we score enough points for a big payment?"
I wish I had but a dime for every urgent phone call I've received from the oasis coordinator! :angryfire Two problems...
#1 PT's assesment of dyspnea and ADL's never jive with mine. During the last SOC I did, the PT happened to be there at the same time. She reported "no' dyspnea, excuse me honey...you never saw the pt ambulate! You pressed on her arms & legs several different ways and declared her dyspnea free. Puhlease. The pt has an ejection fraction of 17%, smokes 3 packs a day, ankles like an elephant. I won't change my assessment.
#2 No I can't have it both ways. "You mean she is doing her own meds?", "She is doing all her own ADL's, cooking, doing laundry?" all this with COPD and brittle uncontrolled diabetes? Yep! Ok we'll stand by you, call the doctor and let him know we are not admitting the pt. Poof! The pt disappears from my computer! I'm fortunate to work for a company that doesn't look at the bottom line as the reason for being in business. It's just a pain to put all that time into a SOC like that.