Test Your Knowledge

Test Your Knowledge Questions:

1) A resident who experiences frequent seizures has a seatbelt they are unable to open it.  Would the seatbelt be considered a restraint or could it be used and documented with her diagnosis of seizures?  

2) What is the timeframe for having a care plan meeting with the family when a Quarterly Assessment is scheduled? 

3)  Can a patient who received oral intubation and extubation related to a surgical procedure be coded 'Yes' under O0100F Invasive Ventilation? 

4) When a resident is scheduled to have a trach removed when would be the best time to set the Quarterly for CMI to carry Extensive Rug? Does care of the trach incision count and keep the ES RUG? Or per RAI does only the cleansing of the trach/canula count? 

5) When calculating the 5% and 10% weight gain or weight loss, do you round to the nearest whole number before calculating? 

6) How do you complete Section C of the MDS for a resident with aphasia as the result of a stroke, who can answer yes or no questions but usually answers yes to every question?

7) A planned discharge return not anticipated to another facility was completed for a Medicare Part A resident. However, the resident returned to the original facility after 24 hours. What assessment(s) would be required? 

8) A resident was scheduled to have a Quarterly Assessment on January 30th. However, the resident discharged return anticipated on January 14th and has been an inpatient ever since, but will be returning to the facility on February 2nd. How should the missed Quarterly Assessment be scheduled since the resident was not discharged for more than 30 days? 

9) If a patient was admitted and discharged the next day, a therapy evaluation was not completed what would the discharge goals be in section GG? 

10) Should the nurse MDS coordinator do Section K which is reserved for the dietitian? 

11) Would a death in facility trackers need to be completed for a resident who transferred from an SNF to a local hospital emergency department with intent to be transferred to another hospital after the resident is stabilized but passed away in the emergency department prior to being admitted as an inpatient.

12)  An Activity Aide interviews residents for daily and activity preferences and inputs the information in Section F; however, there is no certified activity staff to sign Section F, can an MDS nurse sign Section F? 

13) If a new benefit period was granted pursuant to the section 1812(f) waiver, and the PHE ends in the middle of that new benefit period, would the beneficiary be entitled to the full 100 days of renewed SNF benefits, or would that entitlement end on the day the PHE ends? 

14) Therapy is discharging a Medicare Part A resident, but the resident will continue to be skilled for daily nursing services. Does an MDS assessment need to be completed to reflect this change?

15) Which role should the MDS coordinator request to be able to submit assessments when signing up for the new iQIES?