My understanding of the requirements for the focused exam is that all components are performed at the same time.
Thanks, MARY ANN BARNES-DALY RN BSN CCRN DC | Clinical Performance Improvement Consultant Sutter Health - Office of Patient Experience | 2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office 916.286.6717 | [email protected] "You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete." ~R. Buckminster Fuller From: Sepsisgroups [mailto:[email protected]] On Behalf Of Prabhakar, Brenda Sent: Wednesday, October 28, 2015 10:48 AM To: [email protected] Subject: [Sepsis Groups] Vital Sign Documentation for Provider focused exam Hello, I have a question about the focused exam documentation requirements in regards to vital signs. I understand a complete set of vital signs needs to be included in one note. Our physician notes electronically pull in vital signs from nursing documentation that have times associated with each component. They are pulled in as a small chart with the time taken. Example: Temp 99.8 taken at 09:00, HR 110 and RR 24 taken at 10:00, BP 103/78 taken at 10:15. Would this pass the measure if the complete set of vitals are not all taken at the same time but are included together in one note? Thanks in advance for your feedback. Brenda Prabhakar RN BSN Sepsis Steering Committee Co-Chair Doylestown Hospital Doylestown, PA
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