snikodym

Be happy to talk to you. I am a rural nurse on an island in se Alaska. You can email me at [email protected]

Sounds like you took all the right steps. I think the next proactive step would be to write a P&P and present it for acceptance. In fact I am going to double check my policies as I don't think we have one either. Thanks

Do your nurses belong to AANAC? They are good for courses. Also the CMS elearning site is pretty good.

There is a new course out by the American Geriatrics Society and National Council of State EMS Training Coordinators called GEMS (Geriatric Emergency Medical). I just seen the course done at an EMS symposium and lots of rave reviews web sit www.GEMSsite.com

You might go back to your state's nurse practice act. It will help to a point. What are you policies on such a procedure. Maybe it is something you need to change

You code to the highest assistance required and if this resident requires one person assist to do the pericare then you code a 2 under the ADL support provided and under the self-performance it would depend if the resident did any of the actual procedure themselves or if the staff person did it all.