The way that I look at it is that when the IV Vanco in 200cc is given, it is an episode of "total" assistance by the staff. The instructions to code includes "full staff performance of activity 3 or more times during part (but not all) of the last 7 days.  The manual clearly includes IV intake and tube feeding as part of eating.  So, if the resident received the IV at least e TIMES not 3 days, then I would code it(G1h a and b) as 3/2 in a resident who was otherwise able to feed himself orally.
----- Original Message -----
Sent: Saturday, November 22, 2003 6:10 AM
Subject: clarifying IV fluids with section G

Hi all
Before I instruct my MDS nurses to code a 3/2 for G1h a/b, I want to make sure I have this clear in my head.  The example given was IV Vanco with 200cc fluid daily.  How many days need the IV be given, 3 or more?  Page 3-81 of the RAI manual just says includes IV fluids, so does the amount included with the ABT matter or just the fact that it was present?  We have never considered fluids in with medicine as nourishment.  I guess my question is, regardless of amount or reason why, if receiving IV 'fluids' during the look back period the coding should be a 3/2 (with a pt. who feeds self food/fluids PO)?
Thank you all so much for your knowledge.
Suzanne


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