Scenario: Patient is recerted. Now on only 5 medications - new mar written per company protocol. Patient had been on other meds but they are no where to be found and doctor doesn't respond to faxes as to whether they were d/c'd.
485 for new cert period lists all meds (same as prior 485), as if new MAR never existed.
485 is signed by CRM and submitted.
What do you think happened? I know, but want your thoughts on this, because my office is trying to bumble their way out of this problem by BS'ing me. I have done that job before and know the process and computer program. Looking forward to your answers. Thanks
Just to clarify, by making the charting disappear, I mean having the nurse error out and correct it or rewrite it with relevant information. You just wouldn't believe some of the charting I see weekly. I should start a post with some of the crazy things I have read.
I did not get the impression that this was about prescription meds only or about assessments done weeks before. Reread OP and it addressed meds as I read it. Families don't do assessments but they do use bacitracin without an order.
I was talking about the nurses head to toe assessment, not the families.
We are switching computer programs right now, so I don't know what the new system will allow, but the old system would mark D/C, change dose, etc. for the nurse to see, but these "changes" wouldn't flow to the 485- update in dose would just show as "dose" and d/c'd med would disappear. Right or wrong that's how it was....
Kyasi
202 Posts
Just to clarify, by making the charting disappear, I mean having the nurse error out and correct it or rewrite it with relevant information. You just wouldn't believe some of the charting I see weekly. I should start a post with some of the crazy things I have read.
Kyasi