In the facility where I work, I have a nurse consultant that comes monthly and completes an audit on the MDS I have completed. She always comes up with one more physician order that she says I should have coded. I know what the problem is. I was taught that you do not code physician orders that are written the day of admission unless it is because of a drastic change in condition of that resident. She is wanting me to code orders from the day of admission such as when the MD changes one medication to another or wound treatment orders. These are not clarification orders ( I know they can not be counted), but they do not indicate a change in the resident's condition. I have looked in the manual for clarification and I still believe I should not be counting these orders. She states she has always counted such orders. Should I be counting them? Please advise.