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Discussion

485 after SOC

Once the RN goes out to do SOC, how long does it take for the 485 to become available in your agency? I am finding that we are seeing patients for several weeks without a 485 in the chart to be able to tell what we are doing for this pt. I feel like I am unable to teach appropriately if there is no 485 available.

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    The agency starts a 485 immediately. I have found that I sometimes have to go to the office to get a copy of the 485. I will be told it has not been returned signed yet, and I let them know that a copy of what went forward to the MD's office will do for us in the home. Better to have the unsigned version than to have none at all.

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    it can take up to a month to get the 485 printed at my agency, that is why the admitting nurse makes a copy of the oasis and places it in the travel chart.

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    The admitting nurse should be able to give you a report and let you know what diagnoses are. You should find a lot to teach about diseases, meds, diet, safety.

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    At Bayada I have a 485 on the first day a case opens.

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    • Experts
    At Bayada I have a 485 on the first day a case opens.

    Another reason that Bayada has a generally good reputation. Wish they were out where I live.

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    I have had to wait for up to a month and we use cradlemrx. I can't do my charting till they enter in the patient into the system.

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    DEfinitely have 485 - even if unsigned - in chart! Clinical mngrs are supposed to have the 485 signed and in chart prior to start of care.....And with no 485, how do you have goals etc??

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    How do you have the 485 before the soc? It isnt generated until the soc oasis is done. We copy the oasis and goal sheets and place into the travel chart until the 485 is printed

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    Well like I have said before. I am a LVN and I can't do my charting till they enter their paperwork in which means I don't get paid but still expected to make visits. When they finally get their part done I can do mine and get paid for it. It used to not be this bad but getting worse. Starting to look for another agency.

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    • Experts

    Our admit nurse/therapist creates 485 with MD input on 1st visit--all part of our admission process and instantly viewable in electronic medical record and laptop computers skilled staff use.

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