Rena, or some other consult for MDS coding, Can you
please verify that the results from this discussion
would be the proper way to code? Does this mean that
any one who is a self feeder that received IV abt in
fluid would be coded a 3/2 for feeding if it's the
right amount of days? and how many days does it have
to be ? This sounds too funny to me, although it would
definitely raise our RUG scores. I just don't feel
comfortable doing this.
Jennifer RN BSN MDS Coordinator
--- carol maher <[EMAIL PROTECTED]> wrote:
---------------------------------
Yes, I would if the IV antibiotic was given at least 3
times in the 7 day period.
-----Original Message-----
From: Michelle Witges
Sent: Dec 2, 2003 1:08 PM
To: [EMAIL PROTECTED]
Subject: Re: clarifying IV fluids with section G
I must have missed the clarification on this one. Are
we to be coding 3-2 in this case?
Michelle
----- Original Message -----
From: carol maher
To: [EMAIL PROTECTED]
Sent: Sunday, November 23, 2003 1:21 PM
Subject: Re: clarifying IV fluids with section G
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
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The Case Mix Discussion Group is a free service of the
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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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