OASIS-D Challenge

1
1. Mr. Gee bathes himself by using the sink while sitting on the toilet. He can wash his face, hands, trunk, perineal area and legs, rinse and dry off. His wife helps him wash his back. Code M1830 Bathing and GG0130E Shower/bathe self
A. M1830 is 1; GG0130E is 04
C. M1830 is 5; GG0130E is 06
B. M1830 is 4: GG0130E is 06
D. M1830 is 4: GG0130E is 03
2
2. Mr. Cee walks safely with his walker for 10 feet. He attempts 50 feet but gets short of breath and the nurse determines it is not safe to go farther. He says that he could walk 50 feet before he got sick with the pneumonia. After a rest period Mr. Cee walks 10 ft outside on the gravel driveway and needs contact guard assist. He needed contact guard assist to go down the 4 steps from the porch but the assessing nurse provided more than 50% of the effort in assisting the patient to climb up the 4 steps. Code M1860 Ambulation; GG0170I Walk 10 feet; GG0170J Walk 50feet; GG0170L Walk 10 feet on uneven surfaces; GG0170N 4 steps
A. M1860 = 3; GG0170I = 06; GG0170J = 88; GG0170L = 03; GG0170N = 03
B. M1860 = 2; GG0170I = 05; GG0170J = - ; GG0170L = 04; GG0170N = 04
C. M1860 = 3; GG0170I = 04; GG0170J = 09; GG0170L =03; GG0170N = 03
D. M1860 = 2; GG0170I = 06; GG0170J = 88; GG0170L =04; GG0170N = 02
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3. Mr. Cee (same patient as above walking with a walker) has 4 steps leading to his front porch and 14 steps within his home. He requires supervision for going down steps but needs partial assistance to step up on a curb and substantial assistance to climb the 4 steps. He is unable to climb 12 steps due to lack of strength and endurance, even with assistance, and luckily has a two-handed stair lift he had installed several years ago that he uses to safely and independently traverse the stairs to his bedroom upstairs. Code M1860 Ambulation; GG0170M 1 Step; GG0170N 4 steps;GG0170O 12 steps
A. M1860 = 2; GG0170M = 04; GG0170N = 02; GG0170O = 06
B. M1860 = 2; GG0170M = 03; GG0170N = 02; GG0170O =09
C. M1860 = 3; GG0170M = 04; GG0170N = 03; GG0170O =06
D. M1860 = 2; GG0170M = 03; GG0170N = 04; GG0170O =88
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4. Mrs. Bee is referred from the clinic for care of a stage 3 pressure ulcer. It was debrided of eschar and slough yesterday and the dressing can be removed in two more days. At SOC, the assessing clinician documents that there is a nonremovable dressing on the ulcer. The agency receives an order two days later to remove the dressing and provide wound care. The LPN/LVN provides the wound care and documents a stage 3 pressure ulcer. The same assessing clinician provides wound care on day 5 after the SOC and documents a stage 3 pressure ulcer. How should the OASIS M1311 and M1324 items be answered and what is the rationale?
A. M1311D1 = 1 (all other responses are 0); M1324 = NA. Scoring must be based on the initial skin assessment.
B. M1311B1= 1 (all other responses are 0); M1324 = Stage 3. Collaboration is allowed, andthe assessing clinician can choose to answer based on the assessment of theLPN/LVN.
C. M1311D1 = 1 (all other responsesare 0); M1324 = Stage 3. Collaboration is allowed; however, the assessingclinician cannot choose to answer based on a clinician who is not a qualifiedclinician. Stage 3 can be marked on M1324 based on the clinic’s documentation.
D. M1311B1= 1 (all other responses are 0); M1324 = Stage 3. The assessing clinician canupdate the OASIS items if the new information is gathered within the time framefor the assessment.
Should be Empty: