category 4 a - oasis data set forms - Missouri Department of Health ...

Q46. [Q&A RETIRED 09/09; Duplicative of OASIS-C Guidance Manual]
Q47. M1030. Does an IM or SQ injection given over a 10-minute period “count” as
an infusion?
A47. No, this injection does not “count” as infusion therapy.
[Q&A EDITED 08/07]
Q48. M1030. If the patient refuses tube feedings, does this “count” as enteral
nutrition?
A48. If the patient’s refusal has resulted in the patient not receiving enteral nutrition on
the day of the assessment, response 3 would not be appropriate at the time of the
assessment. The refusal of the tube feedings would be noted in the clinical record.
Flushing the feeding tube does not provide nutrition.
Q49. [Q&A RETIRED 09/09; Duplicative of OASIS-C Guidance Manual]
Q50. M1030. Do therapies provided in the home have to be documented in the
clinical record?
A50. It seems clear that any of the therapies identified in M1030 (IV/infusion therapy,
parenteral nutrition, enteral nutrition) would be acknowledged in the comprehensive
assessment and be noted in the plan of care. Even if the family or caregiver manages
the therapies completely independently, the clinician is likely to evaluate the patient’s
nutritional or hydration status, signs of infection, etc. It is difficult to conceive of a
situation where the answer to this question would be “no.”
[Q&A EDITED 09/09]
Q51. M1030. Does M1030 relate to other OASIS items?
A51. Note the subsequent item of M2100e. (Types and Sources of Assistance), which
addresses IV/infusion therapy and enteral/parenteral equipment or supplies.
[Q&A EDITED 09/09; ADDED 06/05; Previously CMS OCCB 08/04 Q&A #3]
Q52. M1030. If the discharge visit includes discontinuing IV or infusion therapy,
should the OASIS item (M1030 Therapies at Home) reflect the presence of these
services on the discharge assessment?
A52. If the patient was receiving IV or infusion therapy on the day the discharge
assessment was completed, those respective services can be marked as “present” at
the assessment.
Q53. [Q&A RETIRED 09/09; Duplicative of OASIS-C Guidance Manual]
[Q&A ADDED 08/07; M number updated 09/09; Previously CMS OCCB 07/06 Q&A #15]
Category 4 – OASIS Data Set – Forms and Items 09/09