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Discussion

MSHO anyone?

Are any of you MN LTC nurses utilizing MSHO for your residents that have a change in condition? We attended an inservice in January, and have really increased our MSHO utilization. Just wondering if any other facilities are "skilling" people for changes in condition, med changes, etc. How do you decide when to implement, etc.

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Ka-CHING yep we've been utilizing MSHO coverage like it's going out of style.

whenever an eligilble resident has a change in their condition, we add them. UTI's, increased behaviors needing med adjustment, whatevahs going on. Then we take 'em off when stablized, sometimes it's only 3 days sometimes it's 100 days.

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We certainly can't be the only ones tho.......

I was just wondering about how you judge when to start, if you make it retro (i.e. change in condition on Friday, expect it to resolve over the w/e, Monday comes and still not resolved-- Would you use Friday as the first day (if the MD was notified of the change)? Our docs have been pretty supportive, and I think we're capturing more $ for the monitoring, etc. We just haven't had the opportunity to talk with many others about how they do things.

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