If you mark Parenteral/IV in K5a when giving an IV piggyback as instructed by the manual, you will automatically get an ADL score of 3 for eating. See Page 6-10 of the revised manual for how an ADL score is calculated. So, the software automatically gives you a score equal to that of extensive. ----- Original Message ----- From: "Jennifer" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Wednesday, December 03, 2003 8:48 AM Subject: Re: clarifying IV fluids with section G
> 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 > > > --------------------------------- > 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-------------------------------------------------------- ---/ > > > __________________________________ > Do you Yahoo!? > Free Pop-Up Blocker - Get it now > http://companion.yahoo.com/ > /---------------------------------------------------------- > 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 -----------------------------------------------------------/
