skilled charting

[nrsbetrn]

For Medicare Skilled residents charting does your facility chart every shift or daily charting? The requirements say the resident must need a "daily" nurisng assessment or therapy 5xweek. So are we required to chart every shift?

[ctm985]

Our management team believes that a flowsheet that focuses on rounds, meal %, floating heels, skin checks, oral care...will be enough for our medicare patients. I tried to show some guidelines that I have re: proper documentation and the response I got was as if I hadn't said a word.

I know the guidelines, I was just asking.

Thanks though:typing

[Rascal1]

Amazing !! That they are getting paid !

[CapeCodMermaid, RN]

We use flow sheets on everyone. If there isn't specific charting on the Medicare diagnosis, you risk not getting paid.

[makes needs known]

We've been told that we will have to do this also, but I don't really know what is supposed to be charted for medicare charting?

[CapeCodMermaid, RN]

It's really pretty simple to figure out what to chart. Look at the diagnosis list...usually somewhere in the top 5 are the reasons the person needs to be in a facility. Did they break their hip and have an ORIF? What do YOU as a nurse do that a regular person couldn't do? You ASSESS the wound, the pain level, their ability to do their ADLs and what having the surgery might have done to them given the fact that most of our patients have many comorbidities. Did they have pneumonia? Any boob can give someone antibiotics but it takes the SKILL of a nurse to ASSESS lung sounds and respiratory status.