Conditions of Coverage

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Just wondering if any other chronic hemo units are stressing from the new Conditions of Coverage regs?

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Specializes in Nephrology, Cardiology, ER, ICU.

I work in a large nephrology practice and I know we are too.

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Just wondering if any other chronic hemo units are stressing from the new Conditions of Coverage regs?

We just had to do a on line class and little test on it.

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What specifically are your units doing?

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I am wondering how other units are addressing 'fluid management' with the new Conditions. :nurse:

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Specializes in Dialysis.

what is this? i haven't heard...can you explain?

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Tag # 504 Conditions Fluid Management/Blood Pressure=

Some units have critline monitors and others are looking at getting some way to determine true fluid removal. ESRD Network 12, I believe, might have a learning tool. Now that the Interpretive Guidelines do not address pre/post assessments ie auscultation of lungs, checking fluid status (edema periorbital, ankle, etc.) many units are not conducting pre/post assessments. Some units are only conducting such if a patient complains. However, the problem with this is that many patients have not been fully educated and are not aware of what symptoms/signs they should be reporting. Oh, and many do not address such changes as extreme heat in summer times, diarrhea, etc.:nurse: RenalRuth:nurse:

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Specializes in Nephrology, Cardiology, ER, ICU.

Here's the link from CMS:

http://www.cms.hhs.gov/CFCsAndCoPs/13_ESRD.asp

These went into effect 10/14/08.

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