RE: [EXTERNAL] RE: Is anyone out there using Dietary Consults to get Severe PCM documentation?

I’m with Don. I also use multiple choice and include the clinical guidelines for adult malnutrition. Normally the question asked is the clinical significance if any of the dieticians findings. Sometimes I get no significance, sometimes I’ll get malnutrition. But since our RD’s are the experts here the clinical significance of their findings is what I query on, not a diagnosis which doesn’t exist yet in the health record.



Robert



Robert S. Hodges MSN, BSN, RN, CCDS

Clinical Documentation Improvement Specialist

Secretary, Nursing Professional Standards Board

Aleda E. Lutz VA Medical Center

1500 Weiss Street, ATTN PAS-136

Saginaw MI 48602



989-497-2500 x13101

Robert.Hodges2@va.gov


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