Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Item Rationale
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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Item Rationale
Use this item when the facility is completing content tied to Section N and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Frequency of administration of medication via injection can be an indication of stability of a resident’s health status and/or complexity of care needs.
Monitor for adverse effects of injected medications. Although antigens and vaccines are not considered to be medications per se, it is important to track when they are given to monitor for localized or systemic reactions.
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. Review documentation from other health care locations where the resident may have
received injections while a resident of the nursing home (e.g., flu vaccine in a physician’s office, in the emergency room – as long as the resident was not admitted).
3. Determine if any medications were received by the resident via injection. If received,
determine the number of days during the look-back period they were received.
Record the number of days during the 7-day look-back period (or since admission/entry or reentry if less than 7 days) that the resident received any type of medication, antigen, vaccine, etc., by injection. Insulin injections are counted in this item as well as in Item N0350. Count the number of days that the resident received any type of injection while a resident of the nursing home. Record the number of days that any type of injection (e.g., subcutaneous, intramuscular, or intradermal) was received in Item N0300.
For subcutaneous pumps, code only the number of days that the resident actually required a subcutaneous injection to restart the pump. If an antigen or vaccination is provided on one day, and another vaccine is provided on the next day, the number of days the resident received injections would be coded as 2 days. If two injections were administered on the same day, the number of days the resident received injections would be coded as 1 day.
1. During the 7-day look-back period, Resident T received an influenza shot on Monday, a PPD
test (for tuberculosis) on Tuesday, and a Vitamin B12 injection on Wednesday.
Coding: N0300 would be coded 3.
Rationale: The resident received injections on 3 separate days during the 7-day look-
back period.
2. During the 7-day look-back period, Resident C received both an influenza shot and their
vitamin B12 injection on Thursday.
Coding: N0300 would be coded 1.
Rationale: The resident received injections on one day during the 7-day look-back
period.