jmcalister
Networker
- Messages
- 25
- Best answers
- 0
Ok my question is who should put in the chief complaint. Usually the nurses at our put the chief complaint in their assessment. In a copy and paste world does it still count if the doctor copies and pastes that into the dictation. We have some new docs at our facility and some labs were ordered, I sent message stating we cannot code rule out signs and symtoms would be appropriate. He said reason for the lab was in the chief complaint. Great but did he take the chief complaint or the nurse?
Any information would be appreciated all I can come up with is the definition of a chief complaint.
Thanks
Any information would be appreciated all I can come up with is the definition of a chief complaint.
Thanks