IPA?
There is new physician documentation that changes the primary diagnosis and PT/OT clinical category.
What is yes?
Name the two questions on Section K that impact the speech component
What are Swallowing Disorders and Mechanically Altered Diet?
What are the 2 outlier nursing function scores that can result in a nursing CMG no higher than clinically complex?
What is 15-16?
Nursing Function Score 11
Isolation for active COVID Infection/single room droplet isolation with all care and services provided in room
What is ES1?
What is no?
How to get points for cognitive deficit
What is BIMS of 12 points or less?
Total NTA points for a resident that has the diagnosis of DM II, epilepsy, morbid obesity and has a UTI w/MRSA.
What is 4 points?
A condition for which you could utilize incentive spirometry to go from Clinically complex to Special care high
What is Pneumonia?
COPD AND SHORTNESS OF BREATH WHILE LYING FLAT
PHQ2-9 SCORE 12
NURSING FUNCTION SCORE 16
What is CA2?
Newly admitted trach resident, recently intubated resident or resident with oral thrush might have this complaint in section K
What is K0100D- complaints of pain with swallowing?
A resident has one venous ulcer and one stage 2 pressure injury. You need this to get into Special care low.
What is 2 or more treatments?
Nursing function score 14
BIMS 6
Two Qualifying Restorative Programs with both at least 6 days a week
What is BA2?
Resident chews on meat for a time and then spits it out. This is a potential s/s of what item is section K
What is K0100B-holding food in mouth/cheeks or residual food in mouth after meals?
Your resident has a diagnosis of morbid obesity w/BMI of 50 and has a CXR that show chronic atelectasis and chronic fibrocalcific lung changes. The resident states they are SOB while lying flat and they use a CPAP at night for OSA. You have the following NTA opportunities.
What is morbid obesity and chronic lung disease for 2 points?
Dx Parkinson's disease is active
Nursing Function Score 12
PHQ2-9 = 0
What is PBC1?
A resident has the diagnosis of osteomyelitis with a sensitivity report that shows an organism resistant to two different ABT classes. They have a feeding tube w/enteral feedings continuous, are on IV ABTs and toenails are thick, yellow and peeling and one toe is red, inflamed and painful to the touch. Your NTA opportunities are and total number of points.
What is osteomyelitis (1), MDRO (1), feeding tube (1), IV ABTs (5), other foot problem/foot infection(1), risk for malnutrition (1).
Returned from hospital yesterday
Nursing Function Score = 5
PHQ2-9 = 10
Received IV fluids for documented hydration purposes while in the hospital (2 days ago)
What is HDE2?