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Background NHS 111 is a phone and online urgentcare triage and assessment system that aims to reduce UK ED demand. In 2020, 111 First was introduced to triage patients before entry to the ED and to offer direct booking for patients needing ED or urgentcare into same-day arrival time slots.
A typical shift when he was starting out would include patients falling into what was coded as 1350 major medical/trauma, 1060 minor medical/trauma, or 1050 medical walk-in. He is also familiar with the delayed care and crowding, including boarding issues, that occur.
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgentcare with complaint of "chest burning." The documentation does not describe any additional details of the history. They also documented "Reproducible chest tenderness." The following ECG was obtained.
Exam is normal except for tenderness as documented in the diagram. She never had a documented abdominal exam. I just failed to document it. An ARNP is able to care for DKA. The EP documented seeing the patient and agreed with the ARNP’s plan. If you take a history or examine a body part, document it.
Behind the scenes, this entry is assigned a clinical code (such as a SNOMED CT code) so it can be recognised as a blood pressure value by any health record software worldwide if the record should ever be exported there. Some clinicians might have an interest in coding and software development (also known as clinicians who code ).
Document a risk and benefit discussion with the patient regarding empiric anticoagulation, perhaps even including the HAS-BLED score in the documentation [10]. It is paramount to make sure this approach is agreed upon in your ED or urgentcare and that there is a clear pathway before implementing a similar strategy.
Six days prior, the patient was evaluated at an urgentcare and prescribed doxycycline and prednisone. CONCLUSION While growing, the current literature documenting the utilization of POCUS in evaluation of orbital and periorbital infections is minimal.
Before arriving at our ED, the patient sought care at an urgentcare clinic, where she was prescribed ondansetron without improvement. 4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. Abdominal exam was benign.
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