Regarding coding for the newly comatose resident: Follow the instructions for coding as you would for any other assessment, taking into consideration data collected from all of the days in the lookback period. You do have 14 days to complete the SCSA after determining that the resident's status meets the criteria for a SCSA, so you could wait a bit longer to see if her condition improves and/or to allow for an assessment that is more representative of her new status. However, there is no requirement to wait.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj:
Date: 4/5/04 4:38:44 PM Pacific Standard Time
From: [EMAIL PROTECTED]
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To: [EMAIL PROTECTED]
Sent from the Internet
O.K. all you experts out there. I've gone totally brain dead this afternoon
and I need help. My Don wants to know how the percentile rank is figured on
a QI. Here' s the scoop: Cognitive patterns: # in numerator =2; # in
denominator =7; facility percent is 28.6, comparison group percent is 9.7
%. percentile rank is 92%( it was flagged, of course). Now, I need to know
how they arrived at the 92% number. I can get all the other numbers, but
can't figure that one out.
Now, another problem. I have a resident who had a cva yesterday, 4/4/04.
She is comatose and I am starting a change of condition MDS on her. I have
skipped the areas it said to skip if the resident was comatose and now I am
at section G, physical functioning. This area has a 7 day look back, but
she has been comatose only 48 hours, so I can't mark her as an 8 because it
hasn't been 7 days. Prior to that she was fairly independent in adl's,
usually needing only supervision. So, how do I code that? No one here has
any idea of how to proceed.
Thanks for all your help and support when ever I need it.
June Bradford RN, MDS Coordinator
