Stacee,
Look on the AANAC site for the August update to the RAI manual. Then take a look at
3-153 in the revised pages. It says "do include the IV fluids in IV piggybacks.' when
talking about coding Parenteral/IV in section k5a.
-----Original Message-----
From: Stacee Kunse <[EMAIL PROTECTED]>
Sent: Nov 24, 2003 5:49 AM
To: [EMAIL PROTECTED]
Subject: Re: clarifying IV fluids with section G
I didn't think that we coded IV meds under IV fluids--only under meds.
This e-mail and any attachments are confidential information intended
for the sole use of the addressee listed. If you are not the intended
recipient, please notify the sender immediately via return e-mail, or
call our Management Information Systems Coordinator at (989)673-4117,
and delete the e-mail. Unauthorized use, dissemination, distribution or
copying of this e-mail or attachments, in whole or in part, is strictly
prohibited and may be unlawful.
Stacee Kunse, RN
MDS Coordinator
Tuscola County Medical Care Facility
1285 Cleaver Road
Caro, MI 48723
Phone: (989)673-4117
Fax: (989)673-6665
Email: [EMAIL PROTECTED]
>>> [EMAIL PROTECTED] 11/23/03 2:21 PM >>>
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 -----
From: Suzanne Holko
To: [EMAIL PROTECTED]
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
------------------------------------------------------------------------------
Do you Yahoo!?
Protect your identity with Yahoo! Mail AddressGuard
/----------------------------------------------------------
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
-----------------------------------------------------------/
/----------------------------------------------------------
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
-----------------------------------------------------------/
