You should be able to use the written documentation time as long as it is part 
of the medical record.
Susan Meyerer RN, BSN, CEN, CHCQM
Flagler Hospital,St. Augustine Fl 
904-819-4765
Nursing Administration
[email protected]
EXCELLENCE IN NURSING 
EVERY NURSE. EVERY PATIENT. EVERY TIME

----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Thursday, January 21, 2016 3:06 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 188, Issue 7

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Today's Topics:

   1. Re: [sepsis group] focused exam- septic shock (Belfi, Karen)


----------------------------------------------------------------------

Message: 1
Date: Wed, 20 Jan 2016 14:16:38 -0500
From: "Belfi, Karen" <[email protected]>
To: "Osburn, Jennifer R. RN" <[email protected]>,
        "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] [sepsis group] focused exam- septic shock
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="utf-8"

This, I believe, would be an outlier for vital signs. If the handwritten note 
had the vital signs written out, you would be compliant. But you can?t take 
VSS, and the dictated is timed after the 6 hour window.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
484-476-8092
Pager: 5240
[cid:[email protected]]

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Osburn, Jennifer R. RN
Sent: Monday, January 18, 2016 12:33 PM
To: [email protected]
Subject: [Sepsis Groups] [sepsis group] focused exam- septic shock

I need to know how to document a focused exam when you have a hand written H&P 
note but the full report, which includes the required information, is not 
dictated until after the 6 hour timeframe.  Would I be able to use the 
handwritten note date and time for my focused exam?
Example- septic shock presentation is 1300.  Handwritten note is 1500- states 
VS stable and includes all other elements required in the focus exam.  Dictated 
H&P is at 2000 which includes the actual VS results- BP, temp, pulse, etc.

Thanks

Jennifer Osburn, RN, BSN
Quality and Accreditation
St. Mary's Medical Center
304-526-1506
[email protected]<mailto:mailt:[email protected]>


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