P0200F. Other alarm

Step-by-Step Coding Guide for P0200F. Other alarm

1. Review of Medical Records

• Objective: Thoroughly examine the resident's medical records for mentions of any alarm systems used that do not fit into the predefined categories (bed, chair, or wander/elopement alarms). Focus on physician orders, nursing notes, and documentation from nursing assistants.
• Key Documents to Review: Look for documentation within the 7-day look-back period that mentions the use of unique or less common alarm systems for monitoring the resident's safety.

2. Understanding Definitions

• Other Alarm: Any physical or electronic device that monitors the resident's movement or environment and alerts staff through audible or silent signals, which does not fall into the categories of bed, chair, or wander/elopement alarms. Examples might include exit door alarms (not related to wander/elopement), bathroom alarms, or sensor mats in non-standard locations.

3. Coding Instructions

• Code 0 (Not Used): If no "other" alarm was used at any time during the 7-day look-back period.
• Code 1 (Used Less Than Daily): If an "other" alarm was used but not on a daily basis within the look-back period.
• Code 2 (Used Daily): If an "other" alarm was used every day during the look-back period.

4. Coding Tips

• Ensure the alarm being coded truly does not fit into the other specified categories.
• Consult with the interdisciplinary team to understand the purpose and use frequency of the alarm.

5. Documentation

• Document the type of "other" alarm used, the specific reasons for its use, and any particular incidents or outcomes related to its activation.
• Include information on how the alarm fits into the resident's care plan and any measures taken to address the underlying reasons for its use.

6. Common Errors to Avoid

• Incorrectly coding an alarm that should be classified under bed, chair, or wander/elopement alarms as an "other" alarm.
• Failing to document the rationale for using the alarm and its impact on the resident's care plan.
• Overlooking the need for periodic reassessment of the necessity and effectiveness of the alarm.

7. Practical Application

Example: A resident frequently visits the bathroom at night, leading to fall risks. An alarm mat is placed in the bathroom doorway to alert staff when the resident attempts nighttime bathroom visits.

• Documentation Needed: Note the installation of the alarm mat, nights it was activated, and any preventive actions taken by staff as a result.
• Coding: If the alarm mat was used every night during the look-back period, code P0200F as "2 (Used Daily)."

The Step-by-Step Coding Guide for item P0200F in MDS 3.0 Section P is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.