PamRNinTX

Latest Activity

1. Medicare Diagnosis Changes

   PamRNinTX replied to Stella1688's topic in Hospice

   In Answer to Stella1688. Our MAC is Palmetto and the current LCD includes: "ICD-9 Codes that Support Medical Necessity 290.3 SENILE DEMENTIA WITH DELIRIUM 294.21 DEMENTIA, UNSPECIFIED, WITH BEHAVIORAL DISTURBANCE 331.0 ALZHEIMER'S DISEASE 331.11 PICK...

2. resources for hospice medications?

   PamRNinTX replied to texasRN_14's topic in Hospice

   If you are a continuous care LVN, you will have an RN who manages the plan of care, likely including medications and med orders. You should receive training from your employer regarding the different meds used in Hospice. Also, you can request additi...

3. How much is too much morphine?

   PamRNinTX replied to Neomikeyboy's topic in Hospice

   Back to the original question about how much Morphine is too much. For patients in pain crisis, for cancer patients, for cardiac patients with angina that does not respond to NTG, really, there is no such thing as too much. But, if you continue to ha...

4. Medicare Diagnosis Changes

   PamRNinTX replied to Stella1688's topic in Hospice

   First of all, CMS is not denying Dementia as a terminal diagnosis - if coded properly. We use Senile Degenerate Brain for our Dementia DX. Secondly, I disagree with CMS's clarification that AFTT and Debility are "ill defined" as a terminal DX and the...

5. September 2013 Caption Contest: Win $100!

   PamRNinTX replied to Joe V's topic in Announcements

   So I misspelled a word - don't know what the big deal was... I documented "patient dead after wife visited" instead of "patient read after wife visited"...