Fwd: vegetative state

[Raiqueen49]

State surveyors just left yesterday and we got dinged for coding coma on a pt. that is in vegetative state.  There is an MD documentation and no documentation that pt. respond to any stimuli except she grunts when being turned.  Grand daughter told surveyor that her grandmother speaks to her in the morning but no one else heared it nor saw it the whole time she was on our floor.  Pt's eyes open spontaneously.
 
I showed the surveyor MD's documentation and she said MD's assessment is different from MDS assessment?  I wanted to ask her if she has read the Manual and attended AANAC conferences and became RNA-C?  It sounds like she was looking very hard to find faults and she LOOOOOOVE her POOOOOOWEEER!  How do we make plan of correction on this instance?
Thanks!

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Either one, as long as there is a documented diagnosis.

 

Ron

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Friday, April 16, 2004 1:20 AM
To: [EMAIL PROTECTED]
Subject: vegetative state

Do we code B1 as 1 for vegetative state or only for coma?
Thanks!

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