MDS Alert
Calling The Doctor: Guidance For Nurses
Medical director provides suggested format for getting info in a row. Nurses who prepare before calling the physician about a resident will be more likely to give the physician needed information to make a better decision, noted Bruce Robinson, MD, in a presentation at the American Medical Directors Association 2007 annual meeting. He suggested this reporting format for nurses. Preparation: Review the chart including: 1. Recent medical notes 2. Recent nursing notes 3. Advance directive information Script for Evaluation and Reporting: Age:_________ Gender:_________ Terminal/CMO/DNR? Usual chronic conditions: ____________________________________________________ Presenting problem: _____________________________________________________ (Onset, duration, frequency, severity) Related medical history: ________________________________ Major medications (med changes, warfarin): ________________________________ ROS- circle positives: Changes in alertness? Personal function? Bowel/bladder function? Physical assessment: BP____ P____ T____ R___ PulseOx____ Looks acutely ill? _________ Mouth____________________ Chest _____________________ Abdomen __________________ Skin (edema?) _______________ Pain? Agitation? Alertness? Other findings _______________________________________________________________ Recent labs: ________________________________________________________________ Report of family contact: ________________________________________________________________ Physician response: ______________ ______________________________
MDS Alert
- MDS Coding:
Cross The T's And Dot The I's In Coding, Treating UTI
3 best practices will shore up MDS coding and care. If your MDS team is [...] - In The Spotlight:
Combo Of Assessment, Interventions And 'Wait And See' Reins In Inaccurate UTI Dx And Rx
Check out this protocol for residents with one potential symptom of UTI. Looking to drive [...] - Reader Question:
Dehydration Versus Volume Depletion
Question: What is the difference between 276.50 (Volume depletion, unspecified) and 276.51 (Dehydration)? Answer: The [...] - Diagnosis Coding:
Give Section I And The Resident's Care Plan A Checkup By Answering These 3 Critical Questions
If this section is ailing, your facility may be flailing. Getting Section I of the [...] - MDS Accuracy:
Keep I3 Right On The Money And Off The F Tags
Miscoding or omitting diagnosis codes here can hurt your facility. So many diagnoses ... so [...] - ADL Coding:
These Pivotal Moves Will Keep Residents' Transfer Scores On Track
Transfer this know-how to your team and watch ADL accuracy gleam. Miscoding transfers pulls the [...] - Compliance:
Lapsed Licenses, Certification Create A Hidden Liability Trap
The right risk management can help avoid this costly pitfall. Picture this: Unbeknown to the [...] - Tool:
Calling The Doctor: Guidance For Nurses
Medical director provides suggested format for getting info in a row. Nurses who prepare before [...] - Compliance:
Fail To Check This List At Your Own Facility's Risk
If you're not doing this as part of every background check and periodically, watch out. [...] - Coding Quizzer:
Know The Score For Coding Transfer At G1b
How would you code self-performance and support provided for transfer in these two scenarios? 1. [...]
