Have any of you had the experience of having your D.O.N. "suggest" that your
coding is incorrect because we don't want that on the QI report? How did
you handle it? I always think of the correct answer and hour after the
conversation is over.
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I always say it is the job of the charge nurses and the clinical care
managers to change what is wrong on the floor and then I do not have to code
things that do not look good on the MDS- such as dehydration or fecal
impactions. I say I am much like a reporter-I do not make the "news" I
merely report it. Send out those hydration carts. Pass those snacks. Get
that bowel program going and give laxatives if no BM recorded. If the "bad"
stuff does not happen it does not have to be coded. Becky
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