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Lisa,
Even though it doesn't make a lot of sense, the instructions in
the manual are clear on it. And, regardless of what you enter in section G, if
you include the fluids on section K (which you should be doing according to the
instructions), the ADL index automatically computes a 3 for eating.
Lots of stuff doesn't make logical sense, but we do it according to the
rules. Whatever the rules are. This week.
Holly
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Tuesday, January 20, 2004 12:35
PM
Subject: Re: K5A Coding IV
Piggybacks
I disagree with the IV hung by staff changes the coding for
eating. If a resident is getting IV ABX and it is hung by staff it is
counted in both K and section P, but since it is not a hydration issue I do
not agree that it should change the coding for eating. AM I totally off
on this one?
Lisa
In a message dated 1/19/2004 3:52:25 PM Mountain Standard Time,
[EMAIL PROTECTED] writes:
It counts for both and also remember that IV's are
part of section G ability to eat. If they get IV's and they are hung
by staff that will change your coding of staff support for eating.
This is something I still have problems with.
Michelle
----- Original Message -----
Sent: Monday, January 19, 2004 4:17
PM
Subject: K5A Coding IV
Piggybacks
In the RAI update listed below, CMS seems to be saying that
if an IV medication was given in a 100ml bag hung by it self, it can
be counted as both IV Fluid ( Do include the
IV Fluids in the IV piggybacks.) and in P1ac IV
medications. My first impression is that an IV ABT in the 100ml bag normal
saline for example would be counted only for IV medication. Others are
saying that it would count for both IV Fluids(100ml) and IV meds. -- does
it count as one or both --it can make a real difference if this is a PPS
resident?
CHANGES TO THE DECEMBER 2002 RAI
MANUAL, VERSION 2.0 AUGUST 2003
Parenteral/IV - Intravenous (IV) fluids or hyperalimentation,
including total parenteral nutrition, given continuously or
intermittently. This category also includes administration of fluids via
IV lines with fluids running at KVO (Keep Vein Open), or via heparin
locks. This category does not include administration of IV medications.
Do not code IV âpushâ medications
here. Do include the IV
fluids in IV piggybacks. IV medications dissolved in a diluent, as well as IV push
medications are captured as IV medications in P1ac. Do
not include IV fluids that were administered as a routine part of an
operative procedure or recovery room stay. Do not include insulin
administered intravenously. CH 3 3-154
___________________________
Garnett Wooten
RN
Case Mix Manager
Southern Healthcare,
LLC
904-612-9893
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