N0300: Injections

N0300: Injections

Item Rationale

Health-related Quality of Life

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.

Planning for Care

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.

Steps for Assessment

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).

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).

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.

Coding Instructions

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.

Coding Tips and Special Populations

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.

Examples

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.

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.