RE: sentinel event question . answer needed. 2 nd attempt

[Vogt, Kathy]

Good Morning.  I will attempt to answer this for you even though my brain is not working on all cylinders yet.  Read the clarification on page 3-123.  How was the stool removed?  Did the resident have any other s/sx of fecal impaction ( 2nd paragraph).  If the resident was able to move their bowels themselves after the mag citrate, then it is not an impaction just constipation.  I would certainly code it if it is indeed a fecal impaction. I would also educate the nurse that charted impaction.  If it did not meet the definition of fecal impaction.  Explain the importance of not charting impaction unless it definitely was. In my facility, we educate to just describe the stool.  That description plus how stool was removed and other s/sx is how we determine if there was an impaction.  This is where I may be wrong, but I think that since it is an admission assessment, it will not be counted in your QI.  It will show up on the report, but not figured in the percentage.   Hope this helps,   Kathy -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Monday, November 24, 2003 4:38 PM To: [EMAIL PROTECTED] Subject: sentinel event question . answer needed. 2 nd attempt HI      I have a resident admitted approc 11 days ago. She had a KUB done to confirm  a right utereral stent placement. Unfortunaley, the results read " severe constipation with dilatation of the colon and copious stool in the rectum" Also, unfortunaely , a nurse wrote in her nrsg notes fecal impaction per KUB results new order rec'd for mag citrate. THis resident's adm obra assessment is due and this ? fecal impaction falls with in the 14 day window. What would your code fecal impaction or not? please help THANKS NANCY NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure. It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available). In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.