coding isolation

The key is "strict isolation" and meets all 4 conditions. The 4th one is usually the clincher -

4. The resident must remain in his/her room. This requires that all services be brought to the resident (e.g. rehabilitation, activities, dining, etc.)

This resident is recieving all services in her room including rehab.

Then it's time to show which of the 4 conditions they think the resident failed to meet. RAI pp O4 - O5

Based on your evidence, I am inclined to believe the resident met the criteria.

Question: residents with c diff and on contact prec do leave their room where i work and does rehab outside their room . They join other residents during meals. Does this depend on policy? I'm missing something here..

If the resident leaves the room for any reason... then it can not be coded as isolation. Standard precautions do not count as isolation. Everything must be provided to the resident in strict isolation. I run into a problem on my unit because 2 rooms share a bathroom. Therapy must be provided to the resident in their room. Meals must be provided to them in their room and I do not believe they can even come out for a shower. They would get bed baths. PPE outside of room for staff.

C diff never leaves their room where I am at. They are room trays and get paper plates that get bagged and chucked. Special linen requirements with bagging linens up. Therapy in room with contact isolation. Allowing residents with C diff to do rehab in the gym is disgusting. If the resident has poor hand hygiene they will spread it every where.

Spoke with another person higher in the company yesterday about this. She says, and I quote "we never code contact isolation because it is just standard ppe". I am just not getting this! Why don't they want the extra money

It's standard precat in our facility too, and some of our folks have ESBL, VRE or MRSA with it and its still standard. Basically if it's strict isolation, they go back to the hospital for reverse iso. is what we are told. Otherwise we do everything else standard.

So why have this item on the MDS at all? If contact, droplet, etc don't meet the criteria then the only people who could code it possibly are the ones in swing beds.

So why have this item on the MDS at all? If contact, droplet, etc don't meet the criteria then the only people who could code it possibly are the ones in swing beds.

If you meet all the criteria of strict isolation according to the RAI manual, then you could code. I don't know why your company does not jump on that.