Hospice in Nursing Homes
CMS has issued new Interpretive Guidelines for nursing homes which will be implemented on November 28th. Regarding the use of anti-psychotic medications, it states "PRN orders for anti-psychotic drugs are limited to 14 days and cannot be renewed unless the attending physician or prescribing practitioner evaluates the resident." The required evaluation before writing a new PRN order entails a DIRECT examination.
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