Oasis Confusion

Specialties Home Health

Published

Does anyone have advice on this scenario?

Nurse visits patient, finds him in respiratory distress and sends him to E.R.

Patient dies 6 hours later in CCU.

Does the nurse do a transfer oasis assessment (RFA #6 or #7) and discharges the patient?

Or does the nurse just complete a death oasis (RFA #8)? I thought this was only for patients who die at home. ????

The nurse argued that since the patient was not admitted for 24hrs to the facility, a transfer oasis would not be allowed.

UUUUUUGGGGHHHHH! I'm not sure.:uhoh21:

Specializes in ICU/CCU/MICU/SICU/CTICU.

I have been doing home care for a long time..... I would complete a Tranfer to Inpatient............. he was technically admitted to CCU and listed as an inpatient.

Im sure that NrsKaren, Hoolahan, and Renerian can answer this too.........they are a wealth of knowledge

Specializes in Vents, Telemetry, Home Care, Home infusion.
would complete a Tranfer to Inpatient............. he was technically admitted to CCU and listed as an inpatient.

:yeahthat:

I have been a case manager in Home health for about 5 years..If the pt had not died then you wouldn't have to do a transfer unless he was an inpatient for more than 23 hours. So, I would say do a discharge oasis due to death...hope this helps..

I have a question about a patient in regards to MO 680 toileting. If you have a patient who wears diapers due to occasional bowel incontinence related to diarrhea, (because she is unable to make it to the toilet on time) but who is physically able to be assisted on and off the toilet and is able to tell when she has to use the restroom, would you classify the patient as answer 1 or answer 4 on this (MO680). I am having a battle of "wits" :rotfl: with a therapist, who thinks that because a patient is occasionally incontinent, that renders her completely dependent, even though her family can transfer her to the toilet. Thanks!:confused:

If they can tell the cg when they need to go the bathroom, Then they should be classified as #1....you're on the winning side of this "battle of the wits".

I was instructed to do a transfer to inpatient facility then a d/c d/t death when this very thing happened to one of our patients.

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