I personally would track down the info and use it. I would clarify the situation in a progress note. The very nature of tx with a UNNA boot prohibits us from removing it to just "have a peek" yet we have to code on the MDS which is a care planning tool and we know the ulcers are there. Also if it is a PPS assessment you need to support the skilled care aspect to get the RUGS etc. If I were unable to obtain the information I am not sure but UNNA boots are not applied to intact skin so it has to be at least a stage 2 or would we go the unstageable "4" route. Rena? We are also lucky in that the MD who sees our residents with UNNA boots is very responsive to our documentation needs. WE get exact measurements and staging info.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gola, Tammy Sent: Tuesday, February 10, 2004 9:28 AM To: '[EMAIL PROTECTED]' Subject: RE: Unna Boots The only problem with this is that they were put on either when the patient was at home or when the patient was in the acute care hospital. So, would I be able to use this info if it was not assessed during the assessment period and if not what are my options?? Tammy Gola BSN, RN, CRNAC Wilkes-Barre General Hospital Transitional Care Unit 575 North River Street Wilkes-Barre, PA. 187641-0001 570-552-5417 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Monday, February 09, 2004 8:02 PM To: [EMAIL PROTECTED] Subject: Unna Boots I called the vascular Dr's office and asked that each time the patient went for a change of the boots that the Dr write and draw the extent of the area on the referral that we send.I guess I was lucky because it happened.I used the Dr's description.Perhaps the nurse did it but Dr signed. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
