Hey guys I'm new to MDS, question about physician oders section P8 do that include any order made by MD such as CBC/BMP, Ted-hose, prafos, transfer, x-ray, medications etc...Thanks for your reply.Salamat/thank you.
Ruas61, BSN, RN 1,368 Posts Specializes in MDS/ UR. Has 41 years experience. Feb 17, 2009 Any order by an MD is counted as an order unless it is a routine renewal of monthly orders. You also would want to pay attention to new admits and clarification of orders too.Do you have an MDS manual available for your use?
poohmdsnurse 49 Posts Feb 17, 2009 Like Ruas61a stated do you have a MDS manual??? ...if not that is one purchase you MUST make and MUST read from front page to back cover and over again.... it is our bible when you defend to a state assessor why you coded a certain way
edhcinc 123 Posts Feb 17, 2009 Hi--you don't need to buy a MDS RAI Manual--you can download it for free (and add updates when needed) from the CMS site.http://www.cms.hhs.gov/nursinghomequalityinits/20_NHQIMDS20.asp After you "unzip" the file, look for (and print) Chapter 3. This chapter defines/clarifies how to accurately code each MDS item. You too, can become an MDS expert:bowingpur!!Good luck!
jeffrey930 56 Posts Specializes in Rehab. Has 1 years experience. Feb 18, 2009 Thanks for the reply, i do have the manual from work. still working on reading the whole book. I really do want to become an MDS expert one day.
jeffrey930 56 Posts Specializes in Rehab. Has 1 years experience. Feb 18, 2009 I work in subacute unit @ chicago, all our patient are in and out of our unit. so basically all i do is 5 day and 14 day complete assestment. so according to manual during admission orders that day is not counted when you code how many new orders in mds? is it correct?.
Talino 1,010 Posts Specializes in ER CCU MICU SICU LTC/SNF. Feb 19, 2009 according to the definition, p3-205..."physician orders - includes written, telephone, fax, or consultation orders for new or altered treatment. does not include standard admission orders, return admission orders, renewal orders, or clarifying orders without changes. orders written on the day of admission as a result of an unexpected change/deterioration in condition or injury are considered as new or altered treatment orders and should be counted as a day with order changes."
dbsue1954 39 Posts Feb 19, 2009 just remember it is not the number of orders...number of days!!!this concept escaped me for a short while while learning this stuff!!!!!!!!
