We do not, but luckily the places we spend the most time (ICU/CCU) usually have an empty chair. We often stand at the desk at the nursing station along with the physicians, dieticians, therapist etc. on the other units, but luckily again may only have one or two charts to look at on that unit.
Vanessa Falkoff, RN Clinical Documentation Coordinator University Medical Center of Southern Nevada office (702) 383-7322 cell (702) 204-0054 vanessa.falkoff@umcsn.com
No. In my ideal world, our CDI team would be unit based with staff housed on the unit much like our care coordinators or unit managers. I actually feel more that way now that we are completely electronic. We have virtually no reason to go to the floor at all anymore but I think seeing a “face” is important. I actually think our Hospitalists and such would appreciate it too and it would make for quicker query response. However, space is a hot commodity so there is not a chance that this will ever happen. I guess I shouldn’t be saying location matters since I’m completely remote….
Katy Good, RN, BSN, CCDS, CCS Clinical Documentation Program Coordinator AHIMA Approved ICD-10CM/PCS Trainer Flagstaff Medical Center Kathryn.Good@nahealth.com Cell: 928.814.9404
Our CDS’s have a designated area at each nursing station, as do our Social Workers and Case Managers. On some units it is at the Nursing Station, but on other units it is in an office beside the Nursing Station – where the Social Worker and Case Manager also sit. We haven’t always been this lucky!! We started out pushing a cart (with all of our supplies on it – laptop, printer, books, etc.) to every unit and sitting in the hallway beside the nursing station – or wherever the nearest electrical plug was located. Each CDS now has their designated area with a locked cabinet to store their supplies.
I have seen the other responses. I envy the CDI with the "assigned" space on the floors and a locker! WOW! We NEVER sit down or use a chair. We stand where-and IF, we can find an inch of counter space. OFTEN times, we end up with the chart on the counter and holding the laptop in our other arm and hunting-and-pecking on the lap top. We have joked how we need one of those old candy and/or cigarette boxes with a strap behind your neck-to place our laptops on! There just simply is no space in our institution. Most of our pods are circular, and the counter tops are taken up by Tele monitors, chart racks, file folders, and most recently, Plexiglas to block out the noise to patient rooms from the nurses' station. So, what counter top we had been able to use, is now completely blocked off! We are still hybrid so we don’t spend nearly as much time on the floors as we used to, but it is always an issue!
We do not have a designated seat in our assigned areas. We have laptops and have the ability to print front any of the Nursing units from which we work.
I usually squirrel-away in the dictation room. Although certainly set aside for physician use, it is used by Phamacey, UM, HHC, LTC - CDI - and anyone else who needs a place to sit.
I am very cognizant of any physicians who walk into the room and will gather my papers and leave if need be - however, most of them really are not bothered as long as there is a chair available. I find most of them have their own preferences. Some like the quietness of the dictation room and some sit at the nurses station and work.
It's helpful - depending on the physician - for verbal querying information when you are sitting in the same room as the physician and the chart.
As most of our charts are electronic, I can review everything from the computer except for Progress Notes. I usually "glean" a chart and make notes of documentation issues then review the progress notes for verification/validation of the written.
we have a small room for myself and the 2 casemanagers at the end of the nursing floor. Tracy M Peyton RN, CCDS Bradford Regional Medical Center Upper Allegany Health Systems 116 Interstate Parkway Bradford, PA 16701 814-558-0406
So it seems to be a common thread,that no one gets a seat.If a case manager is out,they offer the seat to us. Other wise,like others draped over the Nsg station,window sill or maybe we can use an extra bedside table. But no chair. Thank you, JValitutto,RN BSN BC
We review the actual cases in our offices... then touch base with nursing, case managers, Docs as needed... Our hospitalist's workroom is right beside our office (so is the MD Lounge... and all of Clinic Offices are steps away) We also use text paging quite a bit, which the Doc's prefer. We make up for face time at department meetings and during committee meetings. Our nursing stations are cramped as it is, we were constantly interrupted, and considered to be in the way! We were also asked once to go to the nurses break room to review charts! (As if that was even an acceptable venue!) The CDS's are close together and the office is near our coding staff! It makes it easier to run cases by each other and share clinical/coding knowledge as well! Since everything is so convenient and we have built trusting relationships with the docs, our consultant firm backed off about being unit bases and even agreed that we have a great system for reviews! (But again... It's Location, Location, Location-right by the Doc's food supply and work area!) V
Vicki S. Davis, RN CDS Clinical Documentation Improvement Manager Health Information Management Department Alamance Regional Medical Center Office (336) 586-3765 Ascom Mobile (336) 586-4191 Fax (336) 538-7428 vdavis2@armc.com
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug."- Samuel "Mark Twain" Clemens
We are housed in the coding department and are a fully EMR. We see no physicians unless I have to go hunt one down to answer a post d/c query. I call them a lot though. Jamie Dugan RN Baptist Health System Jacksonville, Florida
Comments
Linda Haynes, RHIT | Clinical Documentation Manager | Legacy Health | Portland, Oregon | P: 503-415-5609 | Pager: 503-938-0210 | lhaynes@lhs.org AHIMA-Approved ICD-10 Trainer
Debbyf Dallen,RN CCDS
Vanessa Falkoff, RN
Clinical Documentation Coordinator
University Medical Center of Southern Nevada
office (702) 383-7322
cell (702) 204-0054
vanessa.falkoff@umcsn.com
I guess I shouldn’t be saying location matters since I’m completely remote….
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Diane Draize RN, CPUR,CCDS
Clinical Documentation Specialist
Ministry Door County Medical Center
diane.draize@ministryhealth.org
920-743-5566 ex 3143
We earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we do
We NEVER sit down or use a chair. We stand where-and IF, we can find an inch of counter space. OFTEN times, we end up with the chart on the counter and holding the laptop in our other arm and hunting-and-pecking on the lap top. We have joked how we need one of those old candy and/or cigarette boxes with a strap behind your neck-to place our laptops on! There just simply is no space in our institution. Most of our pods are circular, and the counter tops are taken up by Tele monitors, chart racks, file folders, and most recently, Plexiglas to block out the noise to patient rooms from the nurses' station. So, what counter top we had been able to use, is now completely blocked off! We are still hybrid so we don’t spend nearly as much time on the floors as we used to, but it is always an issue!
Juli Bovard RN CCDS
Rapid City Regional Hospital
I usually squirrel-away in the dictation room. Although certainly set aside for physician use, it is used by Phamacey, UM, HHC, LTC - CDI - and anyone else who needs a place to sit.
I am very cognizant of any physicians who walk into the room and will gather my papers and leave if need be - however, most of them really are not bothered as long as there is a chair available. I find most of them have their own preferences. Some like the quietness of the dictation room and some sit at the nurses station and work.
It's helpful - depending on the physician - for verbal querying information when you are sitting in the same room as the physician and the chart.
As most of our charts are electronic, I can review everything from the computer except for Progress Notes. I usually "glean" a chart and make notes of documentation issues then review the progress notes for verification/validation of the written.
Norma T. Brunson, RHIA, CDIP, CCDS
Tracy M Peyton RN, CCDS
Bradford Regional Medical Center
Upper Allegany Health Systems
116 Interstate Parkway
Bradford, PA 16701
814-558-0406
Thank you,
JValitutto,RN BSN BC
V
Vicki S. Davis, RN CDS
Clinical Documentation Improvement Manager
Health Information Management Department
Alamance Regional Medical Center
Office (336) 586-3765
Ascom Mobile (336) 586-4191
Fax (336) 538-7428
vdavis2@armc.com
"The difference between the right word and the almost right word is the difference between lightning and the lightning bug."- Samuel "Mark Twain" Clemens
physicians unless I have to go hunt one down to answer a post d/c query.
I call them a lot though.
Jamie Dugan RN
Baptist Health System
Jacksonville, Florida