Yes skin was intact, and a SNF and nursing home is the same here. However the is a difference in SNF and assisted living, and he was at a snf...
And the pt. was a-febrile....
Navigation
Install the app
How to install the app on iOS
Follow along with the video below to see how to install our site as a web app on your home screen.
Note: This feature may not be available in some browsers.
More options
Style variation
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an alternative browser.
You should upgrade or use an alternative browser.
Interesting call...
- Thread starter SoCal
- Start date
Yes skin was intact, and a SNF and nursing home is the same here. However the is a difference in SNF and assisted living, and he was at a snf...
And the pt. was a-febrile....
Yes skin was intact, and a SNF and nursing home is the same here. However the is a difference in SNF and assisted living, and he was at a snf...
And the pt. was a-febrile....
No, in California, your SNF (Skilled Nursing Facility) and Nursing Home provide very different levels of care and are reimbursed as such by the insurances. Assisted Living center is something else totally.
No, in California, your SNF (Skilled Nursing Facility) and Nursing Home provide very different levels of care and are reimbursed as such by the insurances. Assisted Living center is something else totally.
Well, since I don't do billing and i don't care about insurance, I DON'T CARE the difference, my job is pt. care....
Do u have an answer yet or do u still want to keep going correcting my insurance policies?
An answer to what?
If you mean a definitive diagnosis from the sketchy information provided, no.
Once a patient is in the care of a hospital, "guessing" is not appropriate.
Well, since I don't do billing and i don't care about insurance, I DON'T CARE the difference, my job is pt. care....
It is not about insurances, it is about level of care. You may accidentially get called to a SNF and be asked to transport a patient that has an IV running or a trach which may be beyond your ability. Hopefully your dispatcher does know the difference.
An answer to what?
If you mean a definitive diagnosis from the sketchy information provided, no.
Once a patient is in the care of a hospital, "guessing" is not appropriate.
I couldn't agree more.... "guessing" is not appropriate however it is the best we can do, when the docs let us down...
And out here, if we need to respond to a home/ SNF/ nursing home/ assisted living... we run it all... IV's or not, trach's or not... we make it work.... we disconnect lines we can't transport with, we bag if we dont have an RT with a vent with us... we make it happen...
Last edited by a moderator:
I couldn't agree more.... "guessing" is not appropriate however it is the best we can do, when the docs let us down...
The doctors are treating the patient in the hospital. How is that letting you down?
The doctors are treating the patient in the hospital. How is that letting you down?
We couldn't get a doc in that whole place to give us a straight answer .... it was horrible...
We couldn't get a doc in that whole place to give us a straight answer .... it was horrible...
A straight answer?
This patient sounds like he had an extensive medical history. Not every diagnosis is one of the few in an EMT or Paramedic textbook. Often it is a combination of things the exacerbates something else. Not just one system may be affected. Often something else will have to be treated to fix another symptom. That is why UTI came to mind since it can cause some of the symptoms you mentioned. Of course without the results of the UA, that would be difficult to know. What did the follow up CT Scan or MRI show if one was done? Did the other hospital, whose lab may have more capability, do a repeat tox screen? Was that afebrile temp taken rectally (core)? Were any blood cultures done?
If you look at the physicians' notes, they will have make a long list of possibilites. They may not pinpoint the exact cause but will treat what they know from the test results and see what corrects.
A straight answer?
This patient sounds like he had an extensive medical history. Not every diagnosis is one of the few in an EMT or Paramedic textbook. Often it is a combination of things the exacerbates something else. Not just one system may be affected. Often something else will have to be treated to fix another symptom. That is why UTI came to mind since it can cause some of the symptoms you mentioned. Of course without the results of the UA, that would be difficult to know. What did the follow up CT Scan or MRI show if one was done? Did the other hospital, whose lab may have more capability, do a repeat tox screen? Was that afebrile temp taken rectally (core)? Were any blood cultures done?
If you look at the physicians' notes, they will have make a long list of possibilites. They may not pinpoint the exact cause but will treat what they know from the test results and see what corrects.
Fair enough, I was just looking to others for experiences, I appreciate your input and I was not looking for just 1 answer, I was looking to see if anyone had any ideas.... no biggie....