I would code internal bleeding if operative report indicated significant blood loss, if transfusions were necessary during or after surgery, if resident had drainage tube, Jackson Pratt or other device collecting bloody fluids from site. According to manual, must code if resident had blood in urine, stool, emesis, sputum or severe nosebleed (which I take to mean requires nasal packing or cautery.)
I don't code if blood is from a wound or cut. Not considered "internal" source. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Holmes, Lynne Sent: Thursday, April 22, 2004 9:07 AM To: [EMAIL PROTECTED] Subject: Internal bleeding If a resident has a recent surgical site, and there is blood on the dressing changes, do you code this as internal bleeding (section J)? Thanks for your help. Lynne Holmes, RN MDS/CP Coordinator /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
