GIP admission guidelines

GENERAL INPATIENT CARE

🔲 Patient requires short term inpatient care for pain /other symptoms management which can not be controlled in any other setting.
🔲 Place of care: Hospital / skilled Nursing facility / Hospice in patient place.
🔲 Aggressive pain control is needed
🔲 Uncontrolled symptoms is needed
🔲 Uncontrolled agitation / delirium / anxiety around end stage
🔲 Uncontrolled nausea / vomiting
🔲 Severe uncontrolled SOB severe shortness of breath
🔲 Uncontrolled seizures
🔲 Fracture with severe pain control is needed
🔲 Uncontrolled S/S requiring skilled nursing care
🔲 It is different than current care being provided
🔲 Documented : Why patient can not be taken care in any other place
🔲 Discharge planning documented : where is patient going after resolution of S/S
🔲 Bring down the level of care once problem resolved
🔲 NOT COVERED due to : General decline, actively dying, caregiver not available/ breakdown, supervision needed, for prevention of symptoms.

🔲 Admit to GIP.

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2 thoughts on “GIP admission guidelines”

  1. One of the nurses responded to me:
    GENERAL INPATIENT CARE

    🔲Patient requires short term inpatient care for pain /other symptoms management which can not be controlled in any other setting. Is not controlled in current setting. (also, qualifying Hospice terminal diagnosis)

    🔲Place of care: Hospital / skilled Nursing facility / Hospice in patient place. HSJ in-patient unit. (Hospital stay/SNF offered only if patient is on vent, high flow O2, pressers, or requiring an enclosed bed, or specialty bed, excessive loudness, behaviors not related to terminal diagnosis)

    🔲Aggressive pain control is needed Extensive/complex wound care

    🔲Uncontrolled symptoms is needed converting PO to IV and visa -versa

    🔲Uncontrolled agitation / delirium / anxiety around end stage terminal agitation

    🔲Uncontrolled nausea / vomiting titration or starting long acting Opioids (patch, methadone)

    🔲Severe uncontrolled SOB severe shortness of breath Changing route (macy catheter)

    🔲Uncontrolled seizures

    🔲Fracture with severe pain control is needed covered Same as aggressive pain management.

    🔲Uncontrolled S/S requiring skilled nursing care

    🔲It is different than current care being provided

    Documented : Why patient can not be taken care in any other place

    🔲Discharge planning documented : where is patient going after resolution of S/S

    🔲Bring down the level of care once problem resolved

    🔲NOT COVERED due to : General decline, actively dying, caregiver not available/ breakdown, supervision needed, for prevention of symptoms.
    Allowed: Family training and education for new onset wounds/incontinence, med administration. (Documentation of education documented fully)

    Reply

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