Module 4 Program Segment 2 of 3 - Home Care Information Network

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Home Care Information Network www.homecareinformation.netUltimate OASIS-C Training Item by Item [Rev 2/11]2/13/2011What’s considered forM1307?• All Stage II ulcers that are NOT healed• No stage I, III, IV or unstageable• An ulcer that is suspected of being a Stage II, butis unstageable, should not be identified as the“oldest Stage II pressure ulcer.” For this item,“unstageable” refers to pressure ulcers that areknown to be present or that the care providersuspects may be present based on clinicalassessment findings (e.g., patient report ofdiscomfort, past history of skin breakdown in thesame area), but that are unobservable due todressings or devices (e.g., casts) that cannot beremoved to assess the skin underneath.M1308 Current Number of Unhealed (nonepithelialized)Pressure Ulcers at Each StageM1308 Current Number of Unhealed(non-epithelialized) Pressure Ulcers atEach Stage• Clinician should make every effort todetermine the wound’s most severe stage• Contact previous providers• Contact physician• An ulcer's stage can worsen, and this itemshould be answered appropriately if thisoccurs.© Lisa Selman-Holman 14
Home Care Information Network www.homecareinformation.netUltimate OASIS-C Training Item by Item [Rev 2/11]2/13/2011M1308 Current Number of Unhealed(non-epithelialized) Pressure Ulcersat Each Stage• Although the wording in M1308 includesthe term ‘non epithelialized,’ for this item,a closed Stage III or Stage IV pressureulcer should be reported as a pressureulcer at its worst stage, even if it has reepithelialized.• An epithelialized stage II is not reported.Why?Exercise: Patient has no Stage II onadmission but has a Stage II at FU.AL 0LZEROESExercise: Patient has no Stage II onadmission but has a Stage II at FU.1 0ZEROES000000© Lisa Selman-Holman 15
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Module 4 Program Segment 2 of 3 - Home Care Information Network

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