skilled charting

Amazing !! That they are getting paid !

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

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?

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.