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Ken: We do have separate admission assessments for short stay outpatients versus in-patients, but we had already been set up this way on paper. To make this work on-line, we actually have three different assessments to choose from: the in-patient admission assessment, the out-patient admission assessment, and the out-to-in patient admission assessment which contains those items that are on the in-patient admission assessment that aren't on the outpatient admission assessment. It certainly saves the nurses time if they use this correctly. As to the legalities, we've been doing this for three years on-line and as long as I can remember on paper and have never been cited by our surveyors for it. This may depend upon your state's board of health requirements or nurse practice act. JCAHO and HFAP seldom give you precise assessment questions but do have guidelines if you check their manuals. Most of our blood transfusions are given in our Oncology clinic and they fill out the outpatient admission assessment as well. I hope this helps. June Emrick, RN Patient Documentation Systems Nurse Johnson Memorial Hospital, Franklin, Indiana [EMAIL PROTECTED] Phone: 317-738-7811 Pager: 317-301-9978 -----Original Message----- From: Lea Goodwin [mailto:[EMAIL PROTECTED] Sent: Monday, July 24, 2006 11:28 AM To: [email protected] Subject: [MEDITECH-L] Re:Admission assessments for short stay recurring All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Ken, Please post any responses to this. Our nursing staff has brought up the same issue and are hoping to only capture information legally required or necessary for their care, rather than the full assessments. Unfortuantely, we haven't been able to get much information regarding what is required by law and what might be necessary for care (case by case, so technicaly we might need the information we're collecting as is). Only information we have gained from nursing staff is that they started doing full assessments a few years ago IN CASE the patient was admitted as an inpatient so they would not have to do the assessment paperwork twice. Our largest group of patients like these are blood transfusions and they are usually here for a very short time, but the full assessment is completed on every visit, even though they are considered outpatients. Please let us know if you find out anything helpful. Thank you! Message: 10 Date: Fri, 21 Jul 2006 08:08:00 -0500 From: "Brian Golden" <[EMAIL PROTECTED]> Subject: RE: [MEDITECH-L] Admission assessments for short stay recurring patients To: "Stigen Kenneth" <[EMAIL PROTECTED]>, <[email protected]> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="us-ascii" We have the same adm hlth hx for outpatients as inpatients. Brian -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stigen Kenneth Sent: Thursday, July 20, 2006 12:48 PM To: [email protected] Subject: [MEDITECH-L] Admission assessments for short stay recurring patients All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== On our Med/Surg unit we are getting short stay patients(minutes to <23hrs)for blood transfusions, dressing changes etc, when Ambulatory is full or during off hours. Our nurses currently do a full admission history and assessment on these patients, which takes a bit of time. Is this necessary? What are others doing? Any special forms you use to update/shorten the process? Thanks, Ken Lea Goodwin Programmer Analyst, Information Systems Lane Regional Medical Center (225) 658-4410 Office (225) 658-4356 Fax _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
