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Critical Care Documentation Standards


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#1 jls627

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Posted 08 March 2017 - 09:55 PM

Our FW/RW/ ground CCT program has no guidelines r/t the type and amount of documentation needed for the care of an interfacility transfer.    Our flight supervisor, who has limited CCT experience, states that we are overcharting, especially the RNs.   Does anyone has some guidelines or standards that they would be willing to share, or point me in the directions of where such standards have been published?  Thank you.

 

Joel Sands

Mercy Flight, Inc.

 


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#2 lostmedic

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Posted 09 March 2017 - 07:01 PM

Over charting? I have never heard of such a complaint.
Tell her it is easier to answer a lawyer on the witness stand if you wrote down what happened on the call.
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Morgan

#3 jls627

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Posted 16 March 2017 - 04:48 AM

Thank you for the comment.   Unfortunately, this flight supervisor, who has limited flight experience and no hospital clinical experience, is convinced that we overchart.   Our argument is that the charting, especially for inter-facility flights, should be at the physician level in regards to detail and accuracy.  A predecessor, who was a flight nurse and had a more appropriate background, did set of the guidelines that most of us follow, but he did not leave anything in writing.    The term "Key Performance Indicators"  (KPI) came up.    In a previous air programme, I did the QA/QI, and used a set of Standards of Care", which our team devised.    What I am looking for is something similar from another air-medical service.


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#4 ForeverLearning

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Posted 17 March 2017 - 09:38 AM

Our FW/RW/ ground CCT program has no guidelines r/t the type and amount of documentation needed for the care of an interfacility transfer.    Our flight supervisor, who has limited CCT experience, states that we are overcharting, especially the RNs.   Does anyone has some guidelines or standards that they would be willing to share, or point me in the directions of where such standards have been published?  Thank you.

 

Joel Sands

Mercy Flight, Inc.

 

Try searching in Air Medical Journal

 

 

http://www.airmedica...(95)90541-3/pdf

 

http://www.airmedica...(00)90121-9/pdf

 

http://www.airmedica...(00)90026-9/pdf


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