Starting October 1st, 2008, Medicaid will no longer be reimbursing for "never events" which are classified as;
* Stage III, IV pressure ulcers
* Fall or trauma resulting in serious injury
* Vascular catheter-associated infection
* Catheter-associated urinary tract infection
* Foreign object retained after surgery
* Certain surgical site infections
* Air embolism
* Blood incompatibility
* Certain manifestations of poor blood sugar control
* Certain deep vein thromboses or pulmonary embolisms
I work in a medical/surgical ortho/neuro unit. However, as of this weekend it appears that we will be erasing the "medical" part. Infections and the medical patients will no longer be allowed on our unit.
The concensus amongst I and my coworkers is that we will miss the odd medical patients that we got each day (maybe 1 patient out of 5 on our teams).
Even infected orthos will be sent to another part of the hospital. The concession is that an ortho certified RN will be available to be pulled to help out with such patients. This is at the insistence of the ortho docs who think we're the best :redbeathe . This also means that every RN on our unit will be faced with a lot more "pulls"
As the charge, it was odd (and difficult) this weekend to turn away the type of patients we normally get on the weekends when there are no surgeries scheduled (medical stuff from the ER). Our census actually dropped pretty hard to the point that our unit was over half empty.
I signed up to be a nurse because I wanted to help people! I realize there are other units that can take these types of patients, but it was hard to turn away the people in need. I know that sounds cheesy, but that's honestly how I felt.
Anyways, just curious how the new rules will be affecting your practice, and what changes/rules/policies your hospitals are making to deal with the new medicaid rules?
Nurse Ivana, you talked about your organization's never events policy, are you able to share more detail about that? My internship project requires me to get samples of several hospital's new policies regarding the cms never events. I'm supposed to write a policy for a fake hospital to turn in and would love to get some samples to guide me. Thank you greatly for your help!!
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HealthServicesIntern
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Nurse Ivana, you talked about your organization's never events policy, are you able to share more detail about that? My internship project requires me to get samples of several hospital's new policies regarding the cms never events. I'm supposed to write a policy for a fake hospital to turn in and would love to get some samples to guide me. Thank you greatly for your help!!
You will be able to use the PM and Email function on this board when you have 15 posts on the board.Please do not post your Email address on the public board as this is against the TOS of the site,which you agreed to when you signed up.
Nightmare.....Moderator.