Re: coding uti

[RRS2000]

For infection control surveillance, the infection control nurse should be using the current standard of practice for data collection.  For the MDS, the RAI User's Manual instructions must be followed.  All of the following criteria must be met during the 30-day observation period or UTI is not to be coded on the MDS:

--The resident must be symptomatic
--Documentation supporting this must be in the chart.
--Significant laboratory findings must be on the chart.
--A physician's diagnosis must be on the chart.

For MDS coding purposes, this is all that counts.  See the RAI User's Manual instructions for coding UTI under Section I2.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: RE: coding uti
Date: 2/5/04 7:15:07 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
CC: [EMAIL PROTECTED]
Sent from the Internet









>From: Nancy Kavleski
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: coding uti
>Date: Thu, 5 Feb 2004 10:08:29 -0800 (PST)
>
>
>Please help to clarify coding UTI.  Infection control nurse states we should not code UTI unless they have 3 or more of the following sx:
>
>1.  fever over 101
>
>2. new or increased dyuria
>
>3. new flank/suprapubic pain
>
>4. change in mental state
>
>5.  change in color/chara. of urine OR 100,000 organisms by culture
>
>Is what she told us going along with MDS guidelines?  She is also stating a fever, foul smelling urine and a postive culture does not always indicate UTI.
>
>We are currently coding a UTI if they have a postive lab culture and at least one sx such as fever.
>
>
>
>
>
>