cjk02

BY the way, I explain to my patients at the start of care that the frequncy that I am suggesting to the MD is based on their current need and that if their needs change then the frequency will be changed accordingly. I have had no problems with patients wondering why they aren't getting a certain amount of visits, they are generally very understanding and reasonable about it.

My goodness! From reading your posts I feel like I have it pretty easy (but don't tell my boss!). At my agency we are still writing frequencies in ranges (1-3/wkx3wks) and in decreasing order. For dailies we do not need to write ranges (7/wkx9wks). We base our frequencies on the patient's need at the time of admission and it frequently cahnges througout the course of their treatment, in which case we write a new order for the change in frequency and the reason why. In the case of prn visits, we write an "extra visit" order as needed to cover them. The whole system seems to work out well and nobody gets missed. When I first started in home health writing frequencies was pretty confusing but I guess I've worked for the same agency long enough that it actually makes sense to me!