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<DIV><FONT size=2 face=Arial><SPAN class=160190716-05042018>Hello
All,</SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN class=160190716-05042018>I was wondering if
your physicians were using the attestation statement instead of documenting the
specific focused exam components. If so, how is that going? How did you
implement this?</SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN
class=160190716-05042018></SPAN></FONT> </DIV>
<DIV><FONT size=2 face=Arial><SPAN class=160190716-05042018>We had a miss this
month: even though the physician documented in his note the specific amount
of fluid that was given, followed with "after these interventions the
patient was reassessed", we missed because the attestation did not have a
specific time included. The time the note was opened/started was used. This was
an ED note, started at the beginning of the pt's visit, so that was
prior to fluids being given. </SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN
class=160190716-05042018></SPAN></FONT> </DIV>
<DIV><FONT size=2 face=Arial><SPAN class=160190716-05042018>It is
frustrating to see that the correct care is being given, yet we are missing on
documentation technicalities. </SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN class=160190716-05042018>Does anyone have
suggestions?</SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN
class=160190716-05042018>Thanks,</SPAN></FONT></DIV>
<DIV><FONT size=2 face=Arial><SPAN
class=160190716-05042018>Molly </SPAN></FONT></DIV>
<DIV> </DIV>
<DIV align=left><FONT size=2 face=Arial></FONT> </DIV>
<DIV align=left><FONT size=2 face=Arial></FONT> </DIV>
<DIV align=left><FONT size=2 face=Arial>Molly Duane RN, BSN, CCRN</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>Sepsis Program Coordinator</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>Detroit Receiving Hospital</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>Harper-Hutzel Hospital </FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>Mobile: 248-709-6218</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>DRH: 313-966-8087</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>HUH: 313-745-4340</FONT></DIV>
<DIV align=left><FONT size=2 face=Arial>Email: <A
href="mailto:mduane@dmc.org">mduane@dmc.org</A></FONT></DIV>
<DIV> </DIV></BODY></HTML>
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