Query opportunities in oncology
We have a small oncology unit. Our CDI nurse is looking for any help in identifying query opportunities for oncology patients. Besides the usual queries (AKI, respiratory failure, CHF, pancytopenia, etc) are there any common things to look for regarding oncology. Are there any resources we could access?
Comments
Often see drug-induced pancytopenia charted as a consequence of High Dose Interleukin 2. All 3 elements decline very abruptly, but query often warranted to confirm pancytopenia.
Bile Duct malignant stricture and obstruction in conjunction w/ Primary Ca of Biliary System is also area of focus - look at ERCP.
Paul Evans, RHIA, CCDS
-Malnutrition
-If the patient has had a stem cell or bone marrow transplant, is their admitting diagnosis a complication of this transplant?
-Colitis/diarrhea secondary to chemo/immunotherapy drugs
-Sepsis/bacteremia related to chemo central lines (Ports, Hickmans, etc)
-Acuity of Pulmonary Edema from IVF
Hope this helps!
Sarah Simone, BSN RN CCDS
Cerebral edema from Metastasis -- review CT/MRI -- check for treatment (IV decadron, PO decadron).
pdx question: Patient admitted with difficulty breathing, after study patient found to have bilateral pleural effusions, underwent thoracentesis bilateral. The provider documented malignant pleural effusions, patient does have known lung cancer. Can the pdx be the lung cancer? Or would we need to go with Acute respiratory failure as pdx, this was also documented/treated upon admission.