Wounds
Wounds with drains, implanted infusion device, functional or non-functional port site, and/or skin graft donor site.
What are surgical wounds (M1340)?
The patient ambulates safely without an assistive device or the assistance of a person. How should M1860 be answered?
What is 0?
There are more than 150,000 of these in Las Vegas.
What is hotel rooms?
The patient is able to safely get in and out of the shower independently and bathe safely with the use of a shower chair and grab bars. How should M1830 be answered?
What is #1?
The amount of days in a Home Health episode.
What is 60 days?
A pressure injury that involves muscle, tendon, and/or bone.
What is a stage 4 pressure injury?
The patient is observed taking two steps with a walker and assistance of two caregivers (one as stand by assist and one following behind with a wheelchair) before needing to sit down. How should M1860 should be answered?
What is chairfast - #4 or #5?
Depending on the patient's ability to wheel themselves.
Visitors to Las Vegas consume more than 60,000 pounds of this per day.
What is seafood?
That's more than the rest of the US combined!
The patient requires assistance to get in and out of the shower and safely be seated on the shower chair but does not require assistance once seated. How should M1830 be answered?
What is #2?
The patient does not require constant supervision to be safe.
The tool used to screen for depression on the OASIS.
What is the PHQ 2-9?
A traumatic wound that is sutured closed, an abscess that has had an I&D (without a drain placed), and/or an ostomy site.
What is not a surgical wound?
The patient ambulates with a cane and verbal cues to pick up their feet and cane placement for safety. How should M1860 be answered?
What is #3?
Patient requires verbal cues and supervision for safety.
There are 300 of these every day in Las Vegas.
What is weddings?
DAILY DOUBLE!
The patient's shower head is broken and they are unable to use the shower. Prior to this episode of care the patient reports using the shower safely. How should M1830 be answered?
What is either #4 or #5?
Depending on whether the patient requires assistance to bathe at the sink.
For M1830 - If the patient does not have a working shower/tub then they are automatically a #4 or higher.
Skilled services provided under the home health benefit include skilled nursing and these three therapies.
What are PT, OT, and ST?
A wound bed completely covered with new epithelium, no exudate, no avascular tissue, and no signs/symptoms of infection.
What is "newly epithelized"?
A patient who remains in bed at all times by choice would automatically be considered bedbound.
True or False
What is False?
This question is score on the patient's ability.
Benjamin “Bugsy” Siegel’s car was permanently buried under this casino after his murder in 1947.
What is the Flamingo?
The patient is able to demonstrate safe transfer into and out of the shower with assistance and needs help with difficult to reach areas while in the shower and requires supervision for safety, but prefers to sit at the sink to perform a sponge bath due to feeling weak and unsteady. How should M1830 be answered?
What is #3?
M1830 answer is based off the patient's ABILITY not preference.
A patient receiving home health services was admitted to the hospital. What OASIS will need to be completed?
What is a transfer OASIS?
A wound with 25% or more eschar/slough, signs/symptoms of infection, clean but not granulating wound bed, closed hyperkeratotic wound edges, or persistent failure to improve despite appropriate comprehensive wound management.
What is "not healing"?
During the SOC assessment it is determined that even with hands-on assistance and the use of a walker the patient is not safe walking. A wheelchair is ordered, but will not be delivered for a week. How should M1860 be answered?
What is #5?
A patient is considered chairfast if they cannot be made safe ambulating even with the combination of a device and the assistance of a person at all times.
At 1,149 feet, this is the tallest observation tower in the United States and the second tallest free-standing structure west of the Mississippi River.
What is the Stratosphere?
The patient is able to bathe self in the shower independently but has been given a medical restriction that does not allow them to use the shower/tub. How should M1830 be answered?
What is #4 or #5?
Depending on whether the patient requires assistance to bathe at the sink.
These three roles cannot perform the OASIS assessment: MSW, HHA and ____.
What is LVN/LPN?