Question ROS for Inpatient intubated and unable to give answers in inpatient environment.

wynonna

Expert
Messages
304
Location
Hinsdale, MA
Best answers
0
Under ROS our MD documents :"limitations: clinical conditions" because intubated patient can't respond to questions for ROS.
So unfortunately pt is intubated and has epistaxis.
History section documents that pt was observed bleeding from nose and mouth during transfer from ER to ICU.
Can we count any points under ROS from the above statements?
How do we count points under ROS when patient is intubated, or is that automatically a Problem-focused history?
 

Worxs43

Networker
Messages
59
Best answers
0
The provider could note that the information could not be obtained due to pt's condition: intubated.
Yes as long as the elements your looking to pick up have not been counted towards the HPI they can be used towards ROS.
As far as the ROS I believe you can go with comprehensive but you may want to confirm.
 
Top