Go to ancillary records. If you look, you will find that you have many flow charts, aggregate records, notes, nursing reports, care plans, computerized information etc. that you may use.
When a record is missing I have clients designate an individual responsible to continue looking for the record [not a nurse] and designate one nurse to collect all of the aggregate data that can be found.
Delores
What am I supposed to do when a medical record is missing and I can't therefore, get the info I need to complete the mds?
HELP!!
Delores L. Galias, RN, RHIT
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