Test your knowledge

Test Your Knowledge Questions:

1) What is required to code Malnutrition?

2) Scenario: A resident was admitted on 3/2/2022 for a skilled Med A stay s/p left hip prosthesis and the 5-day Admission was completed. On 3/9/2022, the resident was found lying in bed with their left hip bent at a 90-degree angle. An assessment noted the staples for the surgical site were intact and there was no obvious swelling observed. The surgeon was notified and x-rays were ordered. The resident was transported to the nearest CAH and an x-ray of the left hip was obtained. When following up with the surgeon’s office on 3/14/2022, was informed the hip was dislocated and instructed to send the resident to the ER for a reduction. A DCRA MDS was completed, but not an End of PPS stay, as the resident was anticipated to return to the facility. Upon contacting the hospital, was informed the family requested another facility be contacted about admission.

What is the proper action? Wait until the facility knows for certain this resident is not returning, or go ahead with the End of PPS stay on 3/14/2022?

3) How are medication such as Plavix, Eliquis and ASA (acetylsalicylic acid) coded on the MDS?

4) What are the cons of keeping ceiling fans and caged wall fans in patient rooms? Do CDC, CMS or OSHA have any recommendations against use? Is there a recommended cleaning/ disinfection protocol?

5) Per the RAI Manual on page GG-51 it states that if an indoor car simulator or outdoor car is not available during the 3 day assessment period then the facility is able to code 10, Not attempted due to environmental limitations. Using the knowledge of pivot transfers, upper extremity use allowing the ability to lower self, and the knowledge and skill to score it accurately, does this go against the RAI manual guidelines? Additionally, how do you clarify what a "car simulator" is?

6) If a resident is on skilled services for therapy and nursing care and therapy discharges, is the resident able to remain on skilled care with an unstageable wound to sacrum with daily dressing changes?