Skilled nursing services Sample Clauses
Skilled nursing services. Skilled nurs- ing services includes application of professional nursing services and skills by an RN, LPN, or LVN, that are re- quired to be performed under the gen- eral supervision/direction of a TRICARE-authorized physician to en- sure the safety of the patient and achieve the medically desired result in accordance with accepted standards of practice. Sole community hospital (SCH). A hos- pital that is designated by CMS as an SCH and meets the applicable require- ments established by § 199.6(b)(4)(xvii). Spectacles, eyeglasses, and lenses. Lenses, including contact lenses, that help to correct faulty vision.
Skilled nursing services. Skilled nurs- ing services includes application of professional nursing services and skills by an RN, LPN, or LVN, that are re- quired to be performed under the gen- eral supervision/direction of a TRICARE-authorized physician to en- sure the safety of the patient and achieve the medically desired result in accordance with accepted standards of practice. Spectacles, eyeglasses, and lenses. Lenses, including contact lenses, that help to correct faulty vision.
Skilled nursing services. Skilled nursing services are those ------------------------ which require the technical skills of a nurse (i.e., specialized training and knowledge). Examples would be catheter care, postural drainage and percussion, NG tube insertion and feedings, manual removal of fecal impactions and dressing changes requiring aseptic techniques. A nurse may instruct the patient or family Members in performance of the procedure. Nursing procedures performed during the course of teaching are considered skilled. Services that can be safely and effectively performed (or self administered) by the average nonlicensed, non-medical person without the direct supervision of a licensed nurse are not skilled nursing services, even though a licensed nurse may provide the service. Capitated Medical Groups/IPA (now referred to as "PPG") who authorize skilled nursing services adhere to the following criteria:
a. PPG must determine the need for Skilled Nursing services; formulate a treatment plan; and include the order for home health services in the Member's treatment plan.
b. PPG must consider both the inherent complexity of the service and the condition of the Member when weighing the need for home health services.
c. A service is considered a skilled nursing service when it is performed or directly supervised by a licensed nurse. Skilled nursing observation and evaluation may be necessary if a change (i.e. medications, therapies) is made in the treatment plan by the Member Physician. Generally three (3) weeks is considered the maximum limit on the skilled observation and evaluation if the Member is stable and no changes have been made. The criteria for skilled nursing observation and evaluation are as follows:
a. When the Member is medically unstable.
b. When the Member has frequent contact with a Participating Provider for medical treatment.
c. When Member has changes in medications (date and reason).
d. When Member has a new diagnosis. e. When Member is under a new treatment plan.
Skilled nursing services. 180 units will be provided to 10 senior citizens. A unit of service is one hour (DPHHS-Aging 102-2).
Skilled nursing services. Medically necessary skilled nursing services ordered by and to be administered under the direction of a physician that may only be provided by an advanced practice nurse, a registered nurse (RN), or a licensed practical nurse (LPN) working under the supervision of an RN. 162. Social Determinants of Health: Social, economic, environmental, and material factors surrounding people’s lives, traumatic life events, access to stable housing, education, health care, nutritional food, employment and workforce development.
Skilled nursing services. Skilled nurs- ing services includes application of professional nursing services and skills by an RN, LPN, or LVN, that are re- quired to be performed under the gen- eral supervision/direction of a TRICARE-authorized physician to en- sure the safety of the patient and Sole community hospital (SCH). A hos- pital that is designated by CMS as an SCH and meets the applicable require- ments established by § 199.6(b)(4)(xvii). Spectacles, eyeglasses, and lenses. Lenses, including contact lenses, that help to correct faulty vision.
Skilled nursing services. Services that meet applicable CMS or MA Organization’s applicable coverage guidelines, including all of the following criteria: (a) delivered or supervised by licensed technical or professional medical personnel in order to obtain the specified medical outcome and provide for the safety of the patient; (b) ordered by a Physician; and (c) necessary for the treatment of the sickness or injury. Services relating to Custodial Care are not Skilled Nursing Services. A determination whether a service is a Skilled Nursing Service is based on both the skilled nature of the service and the need for Physician-directed medical management. Whether a service is a Skilled Nursing Service is not determined by the caregiver who performs the service.