General OASIS
Name one of the OASIS items that may only be answered based on patient response.
What is B1300 health literacy, C0100 brief interview for mental status, D0150 PHQ 2-9, or D0700 social isolation?
Rationale: Per OASIS guidance these are patient self-reported items.
At SOC, the patient is on bedrest due to a new medical complication. They use a bedpan for bladder and bowel management. What is the correct answer for GG0170F - toilet transfer?
What is 88 - not attempted due to medical conditions or safety concerns?
Rationale: The patient does not transfer onto or off of a toilet due to being on bedrest because of a new medical condition but was able to perform this activity prior to the current medical condition.
The patient has a PEG tube and has not been able to eat for six years. What is the correct answer for GG0130A - eating?
What is 09 - not applicable, not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury?
Rationale: The patient does not perform the task of eating before the home health admission and is not expected to perform it in the future.
The name of the summer camp where Friday the 13th takes place.
What is Camp Crystal Lake?
The patient had a cholecystectomy performed via laparoscopic surgery 10 days ago. The incision was closed with a chemical bonding agent and is assessed to be completely closed, clean and dry, with no signs of infection. Additionally, the patient has an implanted Baclofen infusion pump and the puncture site where the reservoir was filled in the hospital is reddened and tender. What is the correct answer for M1342 - status of most problematic surgical wound?
What is #3 - not healing?
Rationale: The infusion pump insertion site is also considered a surgical wound for the purposes of OASIS.
The patient states they are never dyspneic or short of breath. During the assessment the patient is observed to be noticeably short of breath when they ambulate 15 feet to their bathroom. What is the correct answer for M1400 - shortness of breath?
What is #2 - with moderate exertion (for example, while dressing, using commode or bedpan, walking distances less than 20 feet)?
Rationale: Observation and assessment by the clinician is the preferred response for OASIS questions.
The patient had a stroke and needs to step up and down one step to enter and exit their home. At SOC, the patient’s caregiver is observed providing needed verbal cueing as the patient uses their quad cane to aid their balance in stepping up and back down one step. No physical assistance was required. What is the correct answer for GG0170M - 1 step?
What is 04 - supervision or touching assistance?
Rationale: The patient needs only verbal cueing to complete the activity.
The patient states they can feed themselves independently. However, they require someone to cut up their food and bring it to the table for them. What is the correct answer for M1870 - feeding/eating?
What is #1 - able to feed self independently but requires meal set-up, intermittent assistance/supervision, or a liquid/pureed/ground meat diet?
Rationale: The patient requires meal set-up as evidenced by the need for a helper to cut up their food.
In Scream, this well-known actress was killed off in the first act.
Who is Drew Barrymore?
The patient has a diabetic ulcer on his left leg which is receiving treatment by the home health agency. A complete assessment of his body reveals no other wounds. What is the correct answer for M1330 - does the patient have a stasis ulcer?
What is no?
Rationale: The established etiology of the patient's wound is a diabetic ulcer.
The patient has a Foley catheter but currently has leaking around the catheter when they sneeze. What is the correct answer for M1610 - urinary incontinence or catheter?
What is #2 - patient requires a urinary catheter?
Rationale: Per OASIS guidance the patient cannot be both incontinent AND have a catheter. A leaking urinary drainage appliance is not incontinence.
The patient is recovering from a recent stroke and is only able to walk 30 feet, even with assistance. They were ambulatory prior to the stroke. What is the correct answer for GG0170J - walk 50 feet with two turns?
What is 88 - not attempted due to medical conditions or safety concerns?
Rationale: The patient is ambulatory but was not able to walk the entire distance because of their new medical condition.
The patient does not have any food consistency restrictions but often needs to swallow two or three times so that the food clears their throat due to difficulty with pharyngeal peristalsis. They require verbal cues to use the compensatory strategy of extra swallows to clear the food. What is the correct answer for GG0130A - eating?
What is 04 - supervision or touching assistance?
Rationale: The patient swallows all types of food consistencies and requires verbal cueing (supervision) from the helper.
The name of the hotel Jack Torrance is hired to care for in The Shining.
What is The Overlook Hotel?
At SOC the patient had an infected stage 4 pressure ulcer. The patient was hospitalized and now a ROC OASIS is being done. The nurse observes the ulcer to be granulating and calls it stage 3 in her notes. What is the correct answer for M1324 - stage of most problematic unhealed pressure ulcer/injury that is stageable?
What is stage 4?
Rationale: Per OASIS guidance do not reverse stage pressure ulcers as a way to document healing as it does not accurately characterize what is physiologically occurring as the ulcer heals.
The patient has both a urinary catheter and a colostomy and has no need to transfer to the toilet for elimination. They are able to ambulate in the home with a walker and supervision. What is the correct answer for M1840 - toilet transferring?
What is #1 - when reminded, assisted, or supervised by another person, able to get to and from the toilet and transfer?
Rationale: Per OASIS guidance this question identifies the patient's ability to safely get to and from and transfer on and off the toilet or bedside commode, regardless of need.
The patient had a stroke and uses a wheelchair for mobility. When they get out of bed at SOC, their caregiver moves the wheelchair into the correct position and locks the brakes so that the patient can transfer into the wheelchair safely. The patient transfers into the wheelchair by themself without the need for supervision or assistance during the transfer. The caregiver reports that the patient does transfer safely from bed to wheelchair and back without the need for supervision, once the wheelchair is placed and locked. What is the correct answer for GG0170E - chair/bed-to-chair transfer?
What is 05 - setup or clean-up assistance?
Rationale: A helper must provide setup assistance only. Once set up is provided, the patient can complete the task without supervision or physical assistance.
The patient was recently hospitalized for aspiration pneumonia. They can feed themselves but need to be closely observed/supervised during the entire meal because they tend to pocket food, forget to swallow, and then sometimes doze while eating. What is the correct answer for M1870 - feeding/eating?
What is #2 - unable to feed self and must be assisted of supervised throughout the meal/snack?
Rationale: The patient requires constant supervision throughout the meal.
This actor made his film debut in A Nightmare on Elm Street.
Who is Johnny Depp?
The patient had a ruptured appendix, the abdominal incision was left to heal from the inside, by secondary intention. The wound bed is described as pink and has granulation tissue to the level of the surrounding skin. There is no avascular tissue and no s/s of infection. What is the correct answer for M1342 - status of most problematic surgical wound?
What is 1 – fully granulating?
Rationale: The surgical incision was left open to heal by secondary intention (not sutured, stapled, or glued closed), therefore granulation does occur during healing.
The patient lives alone in their own apartment. Since their discharge from the hospital, their two daughters alternate staying with them during the day and night so that one of them is always there, except for the times when one goes out to run an errand or pick up a child at day care. What is the correct answer for M1100 - patient living situation?
What is 01 - patient lives alone with available assistance around the clock?
Rationale: Per OASIS guidance the patient is still considered to be living alone, since daughters are only staying there temporarily but are providing round-the-clock care.
The patient has severe rheumatoid arthritis and multiple fractures and sprains due to a fall. They have been issued a knee brace to be worn during the day. The patient threads their legs into their garments and pulls up and down their clothing to and from just below the hips. Only a little assistance from a helper is needed to pull up their garments over the hips. The patient requires the helper to fasten the knee brace because of grasp and fine motor weakness. What is the correct answer for GG0130G - lower body dressing?
What is 03 - partial/moderate assistance?
Rationale: A helper provides only a little assistance when the patient is putting on their lower extremity garments and fastening the knee brace. The helper provides less than half of the effort.
The patient is not receiving any of the nutritional approaches listed in K0520 at the SOC visit. During the SOC visit the clinician obtains an order for mechanically altered diet due to alteration in swallowing. What is the correct answer for K0520 - nutritional approaches?
What is C - mechanically altered diet?
Rationale: If a patient will receive one of the listed nutritional approaches in K0520 as a result of the SOC assessment, mark the applicable nutritional approach.
In Halloween, Michael Myers’s mask is actually a mask of this actor.
Who is William Shatner?
A surgical site should be captured in the OASIS at least until it has been epithelialized for how many days?
What is 30 days?
Rationale: Per OASIS guidance a surgical wound is reported until re-epithelialization has been present for 30 days. After 30 days, it is generally described as a scar and would no longer be reported on the OASIS.