[dbsue1954]

Can Anyone Tell Me How/ Where To Code A Pac Morphine Pump On Mds Assessment Form???? It Is Not Iv.....thought About Coding As Injections For All 7 Days But That Does Not Seem Right Either. Help Please Thanks

[Nascar nurse]

why isn't it an IV med? I wouldn't code as injection.

[dbsue1954]

well, i am hesitant to code it iv med because it is sub q..... like the sub q insulin pumps except it has morphine. site is changed every 3-5 days. i am really confused on this one.i did not code it under number of injections under "o" because i do not feel it falls there either...have a call into gina in indy to see if she can shed any light on this question. i have never worked with a pac pump before, so this whole concept is new to me. we had an inservice with our hospice dept today so we all know how to troubleshoot it, etc. and restart if needed.

[Nascar nurse]

Originally Posted by dbsue1954

well, i am hesitant to code it iv med because it is sub q..... like the sub q insulin pumps except it has morphine. site is changed every 3-5 days. i am really confused on this one.i did not code it under number of injections under "o" because i do not feel it falls there either...have a call into gina in indy to see if she can shed any light on this question. i have never worked with a pac pump before, so this whole concept is new to me. we had an inservice with our hospice dept today so we all know how to troubleshoot it, etc. and restart if needed.

My bad. I wrongly assumed that the PAC would be IV. If it is subq, then I would not code it as IV med. I'm stretching my memory here, but I believe you would only code as an injection the one day the subq button is injected (inserted) and then anytime you may need to change the site (reinserted)(any of which that would fall into your reference period).

[dbsue1954]

ahhhhhh...that may be......sounds very logical. i will let you all know when i hear from state coordinator. but this answer makes the most sense....thanks!!!!!!!!!!!!!!!

[Nascar nurse]

Originally Posted by dbsue1954

ahhhhhh...that may be......sounds very logical. i will let you all know when i hear from state coordinator. but this answer makes the most sense....thanks!!!!!!!!!!!!!!!

Thanks. I would appreciate hearing what you find out. It is something we don't use alot of.

[dbsue1954]

The Answer Is..........rai Anual Page 3-179 Under Clarifications Count As Medication Under 01: Identify If New Med Under 02 And Code Only The Number Of Days That The Resident Actually Required A Subq Injection To Restart Pump.........you Were Right ,nascar Nurse Thanks!!!!!!!!!!!

[Nascar nurse]

YEAH!!!