Please clarify if a patient is admitted with H/O copd and is O2 dependent, is it to be assumed that these patient always carry a history of Chronic Respiratory failure.
When I see this presentation, I also check to see if they have a CO2 and if supportive. I do usually ask for clarification, and often get a positive response from the physician.
Kim
Kim Digardi, RN Clinical Documentation Specialist St. Helena Hospital 10 Woodland Road St. Helena, CA 94574
Talking to our pulmonologist here, even he isn't willing to call it chronic respiratory failure, and he's fairly open minded about things like this. I'd query for clarification.
Robert
Robert S. Hodges, BSN, MSN, RN Clinical Documentation Improvement Specialist Aleda E. Lutz VAMC Mail Code 136 1500 Weiss Street Saginaw MI 48602
So far we have had suggest with querying. Our pulmonologist felt that if a patient is on O2 continuously because of severe COPD, the patient has Chronic Respiratory Failure.
Comments
Kim
Kim Digardi, RN
Clinical Documentation Specialist
St. Helena Hospital
10 Woodland Road
St. Helena, CA 94574
Phone: 707.967.5936
Email: digardsk@ah.org
Robert
Robert S. Hodges, BSN, MSN, RN
Clinical Documentation Improvement Specialist
Aleda E. Lutz VAMC
Mail Code 136
1500 Weiss Street
Saginaw MI 48602
P: 989-497-2500 x13101
F: 989-321-4912
E: Robert.Hodges2@va.gov
"To climb a steep hill requires a slow pace at first." -William Shakespeare
Michelle
Michelle Clyne, RN, BS
Clinical Documentation Improvement Specialist
Good Samaritan Hospital
Carla
CDS
Elliot Hospital