For clarification: For the RN exam, does the RN need to document all individual elements that are required in the focused exam? The MD needs to sign the RN exam within the time window beginning at the crystalloid fluid administration date and time and ending six hours after the presentation of septic shock date and time?
Thanks Jennifer Osburn, RN, BSN Performance Improvement St. Mary's Medical Center 304-526-1506 [email protected] Important Notice: This e-mail message and any attachments are from the above sender at St. Mary's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Friday, February 03, 2017 2:28 AM To: Tish Poserina Cc: [email protected] Subject: Re: [Sepsis Groups] [**External**] Focused exam 2017 You no longer need to document the individual elements in the record. A provider may simple write that a focused exam was performed or reviewed. Yes, they can review a nurse's exam now. On Feb 2, 2017, at 7:42 AM, Tish Poserina <[email protected]<mailto:[email protected]>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Can I get a clarification re focused assessment? Most recently, if a physician documents "a sepsis exam" or "perfusion exam" completed, would that prompt the abstractor to say "yes" to the components required for a focused exam? And if so, would that still mean the components must be documented individually in the record? I may be mis-interpreting the latest CMS update. Thank you Tish Poserina RN, MSN-Ed, CCRN-CMC, CNRN Sepsis Coordinator St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne, PA [email protected]<mailto:[email protected]> Contact: 215-710-4347 Spectralink: 215-710-7644 <image001.png><image002.png> Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.sepsisgroups.org%2Flistinfo.cgi%2Fsepsisgroups-sepsisgroups.org&data=02%7C01%7Ctownsesr%40sutterhealth.org%7C5f3311c29a464ba89ed008d44b82182d%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636216469504206180&sdata=uocZIzt5OaYldoamWTbQvgkRBQMAM2yJc2kgxUOV7uk%3D&reserved=0 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org Important Notice: This e-mail message and any attachments are from the above sender at St. Mary’s Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
