Home

  • Home
    • » e-Newsletters

Q:I have been counting eye drops and suppositories in item O1, medications, if an active ingredient is included in the drops or suppository. Should I also be counting eye drops and suppositories that are used as lubricants?

Julia's PPS Chat, July 7, 2004

Welcome again to another edition of PPS chat!

Once again, we'll be chatting about counting. Who would have thought that it could be so confusing? There are so many rules to remember!

This time we're chatting about counting medications. Read on to learn more-

Q:I have been counting eye drops and suppositories in item O1, medications, if an active ingredient is included in the drops or suppository. Should I also be counting eye drops and suppositories that are used as lubricants?

A: Let's review the definition of a medication as stated in the revised Resident Assessment Instrument (RAI) User's Manual. On p. 3-176, the manual states that the intent of this item is to record the number of different medications the resident has received in the seven-day assessment period. Additionally, you should consider both over-the-counter and prescription drugs.

The manual defines medications to include "topical preparations, ointments, creams used in wound care, eye drops, vitamins, and suppositories." It also states to "include any medication that the resident administers to self, if known."

In this definition, the RAI User's Manual makes no distinction between lubricants and active ingredients in medications. Therefore, if you are giving a resident eye drops and suppositories as lubricants, you should code them in item O1.

If a resident has an order for these medications, and you did not administer them during the seven-day assessment period, do not count these in item O1. Only include medications that were actually received by the resident.

Also be sure to use your correct seven-day assessment period when coding this item. The assessment period ends with your assessment reference date entered in item A3a. Count the number of different medications received by the resident during these seven days, and enter that number at item O1.

Remember to always use the rules for counting in the revised RAI User's Manual. Don't assume you know how to count for a specific MDS item without first consulting the manual.

Our next chat will be about exercising, specifically range of motion exercises. Until we chat again-