DiraChart MDS item reference
N0350Section Nv1.20.1Manual page N-3
Insulin
Item Rationale
Quick codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
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Item-specific instructionsCoding Guidance
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RAI Manual v1.20.1Steps for Assessment
1. Review the resident’s medication administration records for the 7-day look-back period (or
since admission/entry or reentry if less than 7 days).
2. Determine if the resident received insulin injections during the look-back period.
3. Determine if the physician (or nurse practitioner, physician assistant, or clinical nurse
specialist if allowable under state licensure laws) changed the resident’s insulin orders during
the look-back period.
4. Count the number of days insulin injections were received and/or insulin orders changed.
Manual page N-3RAI Manual v1.20.1Coding Instructions
for N0350A
•
Enter in Item N0350A, the number of days during the 7-day look-back period (or since
admission/entry or reentry if less than 7 days) that insulin injections were received.
N0350: Insulin (cont.)
Coding Instructions for N0350B
•
Enter in Item N0350B, the number of days during the 7-day look-back period (or since
admission/entry or reentry if less than 7 days) that the physician (nurse practitioner,
physician assistant, or clinical nurse specialist if allowable under state licensure laws)
changed the resident’s insulin orders.
Manual page N-3RAI Manual v1.20.1Coding Tips
and Special Populations
•
For sliding scale orders:
— A sliding scale dosage schedule that is written to cover different dosages depending
on lab values does not count as an order change simply because a different dose is
administered based on the sliding scale guidelines.
— If the sliding scale order is new, discontinued, or is the first sliding scale order for the
resident, these days can be counted and coded.
•
For subcutaneous insulin pumps, code only the number of days that the resident actually
required a subcutaneous injection to restart the pump.
Manual page N-3 MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
10 relationships6 groups+
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
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