I'm not Rena but would like to respond. The long-acting medication question has been addressed in the August update to the RAI manual. On page 3-178 it states, "Determine if a specific long-acting medication is still active based on physician, pharmacitst, and/or PDR input."
Then, if you determine by those sources that the medication is present in the resident's system during the 7 day lookback window , code section O4 the following way per page 3-180 "If teh resident uses long-lasting drugs that are taken less than weekly (examples given) enter "1".
As for the dressings and surgical or ulcer care. The manual clearly includes the use of dressings in its description of both ulcer care and surgical wound care. It would require that the assessor answer both "Application of Dressings" and Ulcer Care (or Surigical Wound Care). It would not be appropriate to choose only one of those answers--which would you choose. The instructions for section M5 states"To document any specific or generic skin treatments the resident ahs recieved in the past 7 days."
You would need to check both boxes.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 23, 2004 9:34 AM
To: [EMAIL PROTECTED]
Subject: Fwd: Question for Rena re. Long-Acting Chemo Drugs
In a message dated 3/19/04 12:03:45 PM Eastern Standard Time, SPNHKATE writes:
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 23, 2004 9:34 AM
To: [EMAIL PROTECTED]
Subject: Fwd: Question for Rena re. Long-Acting Chemo Drugs
Subj: Fwd: Question for Rena re. Long-Acting Chemo Drugs
Date: 3/19/04 12:03:45 PM Eastern Standard Time
From: SPNHKATE
To: [EMAIL PROTECTED]
In a message dated 3/15/04 1:17:19 PM Eastern Standard Time, SPNHKATE writes:
Subj: Question for Rena re. Long-Acting Chemo Drugs
Date: 3/15/04 1:17:19 PM Eastern Standard Time
From: SPNHKATE
To: [EMAIL PROTECTED]
1) If a resident is receiving a long-acting chemo drug by injection at the doctor's office every 3 months, is it appropriate to use this in Section P1a (under chemo received) if it is not given in the 14-day timeframe for the MDS?
2) Is it appropriate to check Section M5e for Ulcer care and M5g for dressing change if the reason M5e was checked was only for a dressing change? In the same light, if a resident has a surgical wound is it okay to check surgical wound care (M5f) as well as dressing change (M5g)? Our state auditor said that this would be "double dipping". In reading the manual, ulcer care and surgical wound care include dressing changes. Also, if a resident had an ulcer on his foot and ulcer care was M5e was checked, should dressing change at M6f) be checked as well??
Thank you for your answer.
