-----Original Message----- From: carol maher [mailto:[EMAIL PROTECTED] Sent: Saturday, January 31, 2004 11:37 AM To: [EMAIL PROTECTED] Subject: Re: How does RUG deal with classification of residents in a comma
Each ADL is coded separately. The code of 8 , Activity did not occur, can only be used if the ADL did not occur at any time during the 7 day observation window. Bed Mobility would certainly be happening, the resident would be turned and moved in bed by the staff, so the code would be a 4 Total dependence . Transfer--was the resident out of bed at all during the past 7 days? If not, then an 8 would be appropriate, but if your staff moves the resident to a recliner chair then transferring would have occurred and again most likely a 4 for total dependence. I code mechanical lift transfers as total ( the lifts that do not require any resident assistance) Eating--the resident would be getting some type of intake--via tube or TPN or fed--again , for a comatose resident, the code would most likely be a 4 Total dependence. Only code an 8 for intake if there was absolutely no nutrition or fluid intake during the entire 7 day window. Walking --an 8 Locomotion--depends--was the resident transported via stretcher or bed or recliner any time during the window? IF so a 4 for total, if not transferred at all during the window and no movement then 8. Toileting--incontinence care would have been provided by the staff , so a 4 for total dependence is appropriate Personal hygiene tasks would have been provided by the staff, so again a 4 for total is appropriate. Your CNAs would also need to document whether or not they required 2 to complete the task at any time during the observation window, also. This greatly affects your ADL score and therefore the payment for the RUGS group. Total dependence in all categories with 1 assist adds up to 15, but if 2 assists were needed for each area it adds up to 18. That can translate to a big difference in reimbursement. Hope this helped. ----- Original Message ----- From: "Paul Beaulne" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, January 31, 2004 6:02 AM Subject: RE: How does RUG deal with classification of residents in a comma Do you code all of G1 A and B part as 8 activity did not occur -----Original Message----- From: carol maher [mailto:[EMAIL PROTECTED] Sent: Saturday, January 31, 2004 12:39 AM To: [EMAIL PROTECTED] Subject: Re: How does RUG deal with classification of residents in a comma Residents who are comatose usually code out as CC1 or CC2. They would be totally dependent for ADLS so have an ADL score of 18. If they have other problems like ulcers, or procedures like IVs or trachs they could RUG out higher. ----- Original Message ----- From: "Paul Beaulne" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, January 30, 2004 10:40 AM Subject: How does RUG deal with classification of residents in a comma I was curious as to how bed mobility, transfer, eating, and toileting are coded? I know that the CPS score is set to 6. What RUG group are they usually put into? /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
