MDS Alert

Coding Quizzer ~ How Would You Code This Resident's Meds In Section O4?

Use Mrs. P's medication administration record below to code in MDS Section O4 the number of days she received the following medications.

Haldol 0.5 mg po BID p.r.n.: Received once a day on Monday, Wednesday, and Thursday [Note: Haldol = antipsychotic drug]

Ativan 1 mg po QAM: Received every day [Note: Ativan = antianxiety  drug]

Restoril 15 mg po QHS p.r.n.: Received at H.S. on Tuesday and Wednesday only [Note: Restoril = hypnotic]

IV Lasix. Mrs. P became severely short of breath in the middle of the night during the last seven days. She was transferred (but not admitted) to the emergency room (ER) at the local hospital. Upon her return to the nursing facility, the ER transmittal record stated that she had received a dose of IV Lasix [Note: Lasix = diuretic].

Coding options for O4 (number of days received the following medication):

Medication                                   Number of days received

a. Antipsychotic:

b. Antianxiety:

c. Antidepressant:

d. Hypnotic:

e. Diuretic:

Answer:

Medication  

a. Antipsychotic:                                3 (days)

b. Antianxiety:                                   7 (days)

c. Antidepressant:                             0 (days)

d. Hypnotic:                                      2 (days)

e. Diuretic:                                        1 (days)

Source: RAI manual, Chapter 3.

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