Discharging Pt Flashcards
What do the colors mean in the follow-up doc status?
Green icon with a check =follow-up provider documented
Orange = expected d/c >24 hrs in the future
Red=expected d/c within 24 hrs
Discharged required documentation what do the colors mean?
Found in the columns in the patient list
Red overdue
Green complete
Yellow in progres
Follow up providers
System automatically assign as needing a summary of care document based on MD orders
If there are others they need to be added manually
Do in patients meds get automatically prescribed at d/c
No they Must be prescribed
What should be done 1st when d/c a pt write orders or resolve problems?
Orders should be written 1st because the orders need to be associated with the problem list. Only active problems show up for selection during medication reconciliation if resolve the problem will not be there.
What is the difference between d/c summary and pt instructions
D/C is a clinical summary of the pt encounter, read by other clinicians and is a permanent part of the chart
Pt instructions is s list of medications, education and referrals and appointments it is printed and given to the pt
Are resolved problems retrievable
Yes by clicking options select resolve check box
Can multiple problems be resolved together
Yes within care plan activity click resolve problems button