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Posts tagged ‘OASIS-C Training’

OASIS-C Errata

I confess. I had to go to to look up exactly what the word Errata meant. The definition is: a list of errors and their corrections inserted, usually on a separate page or slip of paper, in a book or other publication; corrigenda.

Why is this important? Because the CMS has published the OASIS-C Errata. It can be found under the Blogroll section immediately to your left on this page. Highlights include:

  • The questions referring to since the last time OASIS data were collected specifically includes data collected during the last OASIS assessment. For instance, when asked if all meds were taught on since the previous assessment, include in your response the medications taught at the last assessment visit.
  • Flu vaccine questions are corrected numerous times. When 1040 asks if the flu vaccine was given by your agency during this year’s flu season what they are really asking is if the flu vaccine was given by your agency during this year’s flu season. Nothing more. Nothing less. If your patient received a flu vaccine elsewhere or from your agency during a separate admission, the answer is, ‘No’.
  • The definition of standardized tests has been clarified to mean those which have been scientifically tested on a population with characteristics similar to that of the patient being assessed and shown to be effective and includes a standard response tool. But wait, that’s not all! The standardized tool must be appropriately administered according to the instructions.
  • M1308 is still one of my favorite questions. It asks for the current number of non-epithelialized ulcers at each stage and gives us a grid on which to chart our answers. The instructions for closed staged III and IV now read: Although the wording in M1308 includes the term ‘non-epithelialized,’ for this item, a closed stage III or IV pressure ulcer should be reported as a pressure ulcer at its worst stage, even if it has re-epithelialized.
  • M1910 assesses the patient and their environment for falls. For publicly reported outcomes, patients under aged 65 will be excluded. The falls assessment will include a standardized tool in order to meet the requirements of this question.

There are some other very interesting changes that will be discussed later in the week. However, you can certainly read them for yourself in the document posted on our sidebar.

Your questions and comments are always welcome in the comment section below or you can email us or call us at 225-216-1241.

Coping with OASIS-C

As the year draws to close, the date for OASIS-C implementation is almost upon us. Are you ready?

Wait? Did you say, ‘yes’? I didn’t think so.

We have done this before and we will likely do it again. OASIS-C is huge. It will result in sweeping changes to our daily practice of nursing. And yet, you are hard pressed to find nurses confident in their ability to answer all questions correctly. That includes me, by the way. But if you are thinking that you will never be prepared and are considering resigning your position to work at Taco Bell then you may want to take a deep breath and rethink this.

I know from experience that we can teach and learn and reteach all we want but the real fun begins when the dataset is used for actual patients. Patients are mostly inconsiderate of our dataset and will frequently find a way to avoid fitting neatly into the little pegs in a dataset. One option is to discharge all of your patients. Better yet, post on the decision health listserv. Ask questions. Call your state association. Call or email a brilliant consultant. Or muddle through. The choice is yours.

This next point is critical. Pay close attention. It is very important.

You will fail as a home health nurse if you don’t change your processes. Your agency will fail as a company if it doesn’t change its processes. Our industry will fail miserably if we don’t change our processes.

Did that get your attention? Good. I have no appetite for failure. The only nurses I have ever met with a tolerance for failure never made it through the first year of clinicals.

Does that mean we have to be perfect on New Year’s Day? I hope not. I do not plan to be perfect until I at least know how! And I won’t know how until the data set is being used on real people.

Will you remember every detail taught to you in training? Will you be able to keep all the new processes straight? If you answered ‘yes’ you belong in an institution somewhere where your brain can be studied.

Having done this before with OASIS and OASIS-B and OASIS B-1, I have only one wish concerning the implementation of the new dataset. I wish that all of my colleagues will make the necessary changes in such a way that our patients truly benefit. As an industry we have to take these changes seriously. As nurses and caregivers, we have to minimize the time and energy we spend solely to accommodate a dataset. More importantly, there are millions of sick people in their home waiting for their nurses and aides and therapists to come make their lives better. Can we possibly do both?

I think so.

For updated OASIS-C training dates or onsite training information, please email us or call 225-216-1241.

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