Strange message, but I can see your questions.
1. I do not code floor mats in P2. They are on the care plan, but I do not think that
they fit the intent of the question in P2.
2. An abrasion or skin tear are no longer coded as ulcers. The word injury was
deleted from the description of ulcer in the August 2003 update, unless the cause of
the skin break was related to pressure. So, a scab over an abrasion or skin tear
caused by injury would not be coded in M1 at all. The August update also clearly
states that scabs on ulcers(that meet the definition of ulcer) are coded as a stage 2.
You can find the August update on the AANAC website.
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> 1. Can bed and chair alarms and floor mats (used for protection in case of a
> resident rolling out of bed) be coded in P2d?
> 2. How do we code "scabbed" areas where it appears a shallow abrasion or skin
> tear is healing? First, they are not "open" per se, they appear shallow w/o
> surrounding erythema. In the strictest "letter of the law" they should probably
> be coded "4" in M1d since we don't know what they look like under the "scab,"
> but this seems like overkill. Since it is not "open" do we need to code it at
> all?
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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
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