This is the part of the manual definition for I2j that requires that the resident be symptomatic:
"Includes chronic and acute symptomatic infection(s) in the last 30 days."
Then it goes on to say:
"Check this item only if there is current supporting documentation and significant laboratory findings in the clinical record." Here, it also describes utilizing the physician's working diagnosis of UTI while the urine culture results are pending and adds that the diagnosis of UTI must be documented in the record. However, as I said above, the resident must be symptomatic on the observation period for any of this to apply.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
----- Original Message -----
From: Olga Lawrence
To: [EMAIL PROTECTED]
Sent: Wednesday, March 17, 2004 1:30 PM
Subject: Coding UTI within last 30 days, Rena and Nathan?
What criteria needs to be satisfied for the coding of "UTI within last 30 days, etc..."? Do significant lab finding within the last 30 days and symptomology and working diagnosis (UTI) need to be present at the same time? What if the resident is being treated with the antibiotic and is not presenting with dysuria, hematuria, etc...? Do we count from the date the last dose of antibiotic was administered; or , do we count 30 days from the firs tday of antibiotic treatment? Our QIs show high occurrence of UTIs, and I feel it may hinge on how staff interpret when to code for UTI. Rena and Nathan's input would be great...the RAI manual does not seem to be clear on this issue (at least to me). Thank you!
