OASIS Alert

Do you know which response to choose when administer Pedialyte?

Now that you've boned up on your M1030 responses, put your ability to the test with this quiz.

Question 1: Your patient has a portacath and is going out to receive outpatient chemotherapy to treat his liver cancer. Which response to M1030 should you list? 

Question 2: You have PRN nutrition orders to give your patient a can of Ensure via his PEG tube if he eats less than 50 percent of his meals. The patient meets the requirements to receive this therapy and you administer it at the time of assessment. Which response to M1030 should you list?  

Question 3: You have an order to flush your patient's PICC line. She just came home from the hospital and had her PICC line flushed yesterday. You have orders to flush it again in 7 days. Which response to M1030 should you list? 

Question 4: You have orders to flush your patient's PEG tube with water. Can you list response "3" for this patient?

Question 5: Your patient had a stroke and has gone through some speech therapy. He can eat and drink liquid orally, but can't swallow their pills yet.  You are using a PEG tube to administer his medications. Can you list response "3" for this patient?

Question 1: 4 -- None of the above. The chemotherapy is not administered in the home, so you can't take credit for it in this item.

Question 2: 3 -- Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal). If your patient meets the parameters for administering the Ensure during the assessment time frame --" the time of assessment and 24 hrs prior to -- you can take credit here by answering "3.". If not, you would list "4."

Question 3: 1 -- Intravenous or infusion therapy (excludes TPN). You can take credit for your patient's therapy even though you will not be flushing that PICC line on the day of your assessment. You can mark "1" in this case because you have a definite order to flush the PICC line in 7 days.

Question 4: No. Water is not considered nutrition, so you cannot list response 3 -- Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal) for this patient. If you are using an NG tube or a G tube to administer Pedialyte or any other electrolyte maintenance solution, these are not considered nutrition, so it would be inappropriate to list response "3" in these situations as well.

Question 5: No. Medications are not considered nutrition, so it would not be appropriate to list response 3 for this patient. Quiz scenarios and answers provided by Ann Giles, RN, BSN, HCS-D, COS-C, director of ICD-9 coding & OASIS review services with Biloxi, Miss.-based PPS Plus Software.