This is a discussion on really? in MDS Coordinator Information, part of Nursing Specialties ... Question please... Mr X is a Medicare pt who admits 10/17 to our SNF and dc's back to acute...
Nov 9, '11
Question please... Mr X is a Medicare pt who admits 10/17 to our SNF and dc's back to acute hospital 10/27, he is then readmitted to our SNF on 10/28 and again dcs back to acute hospital 11/6, again he readmits to our SNF on 11/7 and you guessed it, back to acute hospital 11/8...
I have had plenty of time to get assessments done on him except for this last admit here on 11/7. Do I code him as 01/01/10? 99/99/10? A one day, not even 24 hours, admit is not enough time to do anything at all with him as far as MDS goes...
Now my Rant- yesterday I have begged the admitting person here along with our Director and the Doctor and the Nurse Manager to please NOT accept this patient back again without first requesting he have a psych eval as the last 2 dc's back to acute care where related to him not getting more IV MS04 so he states he will kill himself and states his plan on how he will do this. When he gets to ER he tells them his chest wall pain is 10/10, gets his drug eventually then recants his threats of hurting self and even states he said it just to get the drugs... really? Can we please get the psych eval to protect not only ourselves but also this patient and all the others here too? Ok, done ranting for now... thank you all!
Last edit by crazyforthis on Nov 9, '11
: Reason: typo
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