A change in a medication order, including a dosage change, is counted as a day with an order change.  The RAI User's Manual instructions are to include "written, telephone, fax, or consultation orders for new or altered treatment."  A change in a coumadin dose qualifies as altered treatment as long as it is not the pharmacist who is writing the orders (RAI User's Manual, p. 3-205).

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Sent: Monday, December 29, 2003 2:33 PM
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Subject: coumadin order


Hi
 
   Do you count coumadin's orders in P8 everytime it is adjusted with the lab vaule.?
thanks
nancy




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