Latest Comments by Ciege911

Ciege911 1,223 Views

Joined: May 8, '09; Posts: 6 (67% Liked) ; Likes: 4

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    lindy_ likes this.

    I got my CFCN training at Emmory in Atlanta and recently took certification test--let me know if you need help with that too. We did a traveling foot clinical at Emmory and they would disinfect instruments on site and then take instruments back to the hospital for sterilization. I know this practice is okay with CDC and should give you coverage in event of problem. Perhaps you can do the same, I would think that public health has a autoclave on site. Congratulations on the grant/contract, I work for IHS under somewhat similar circumstances and must meet certain goals/guidelines for funding. You can also look up IHS best practice guidelines which may help you to develope your PP manual. www.ihs.gov/medicalprograms/diabetes. This should help, because it is all gov guidelines but it does focus on diabetics only.
    Let me klnow if I can help anymore and good luck.

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    Hi Lindy, I would refrain from using bleach on your instruments between patients. Bleach may/will cause pitting in stainless steel and void manufactor warranty. (I paid way too much for my instruments to void warranty and ruin them!!!!) Your instruments need to be sterilized between patients, not just disinfected. I use a surgical instrument cleaner and and a disinfectant prior to autoclaving my instruments b/t patients. You can use cold sterilization but the dwell time is often 6+ hours and the cost averages about $25 per gallon with 1 gallon used daily (depending # of clients/instruments). If you have enough instruments you could cold sterilize over night. Unfortunately cold sterilization is expensive and the products typically have a low shelf life once open (10-30 days usually). For best practice I would follow CDC guidelines for cold sterilization, I don't have the exact webdress--but start with CDC.gov/ and search cold sterilization. I do know Cidex is often used as a cold sterilizer (quick search on McKesson got $100 for a case--product # 387213). Anyway, I hope this helped. Overall I would make every attempt to buy, borrow, or steal an autoclave--it takes 20 minutes and instruments are STERILE and ready to use. Just kidding on the steal part--don't want to hear Ciege911 said I could--ha ha.

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    lindarn likes this.

    Not certain if this is the same, but I have a foot clinic and I obtained my NPI # online from National Plan and Provider Enumeration System. My foot clinic is just a part of the whole clinic-but I bill for my service under my own clinic using my NPI #.

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    sallyspring likes this.

    Emmory was all power point. I will do some more looking today in regards to updated videos and post what I find here. I would like a simple video to show patients as well as one for teaching staff members.

    Lani, here are the Medicare reimbursement requirements: DM alone does not qualify for reimbursement, must have DM and neuropathy one of the following documented components-nontramatic amputation of the foot, ischemioc component, absent DP or PT pulse, lack of hair, thickened nail, changes in skin pigmentation, skin atrophy, dependent rubor, claudication, temp. changes, edema, parestheias, burning/tingling, mycotic nails, pain in limb, gait abnormality, ankle/foot arthritis or deformities.

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    Uncertain about the video Deborah, I have not seen anything while searching the net on foot care. If you can swing it, the Emory Foot care course was excellent and offers hands on clinical. If you could send a nurse, they will most likely be able to perform the lions share of foot care in your facility and or train others. Sadly though, one of their educators has moved to Florida. If you do happen to come across a video--please post. Thanks!!!!!!!!!

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    lindarn likes this.

    Hi, new foot nurse, or will be soon. I am attending the Emory University training this May. I just started working with IHS and they have an awesome diabetic program which includes educations grp/individual, dietician, and foot care (me). I have been nursing for almost a decade but new to "foot care". If there are any tips/hints/web sites that you could post for me that would be great. I am really looking forward to this chapter of my nursing career and am excited that I have found this site/thread. I would appreciate any specific advise in regards to how to treat foot problems, equipment care and what equipment to use/purchase (IHS is very supportive in getting me what I need). Thanks again for any help.



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