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Documentation - Blood Use |
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A note from Jeffrey Marxen MD, Chair, Medical
Records
Committee:
Physicians, and especially
surgeons, please use the words "blood loss or
hemorrhage" when justifying the need for blood in your
progress notes. This will save medical records
personnel time in filling out and inserting those pesky,
but necessary, physician query forms regarding
anemia and it will also save you time as there will be
one less item to address and complete when you visit
medical records.
An inadequate progress note entry to justify giving
blood, which would mandate insertion of a form for
completion, would be: Post operative anemia - non
complicated.
An appropriate entry which
means no
form to fill out and a shorter more enjoyable time in
medical records would be: Postop (shows the anemia
was not present on admission) Anemia due to Acute
Blood Loss (further classifies the type of anemia).
With the remainder of the information in the chart, the
medical records coding personnel will be able to
determine whether it's a complication or in most
instances not a complication.
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Pharmacy Alert!!! |
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Cimetidine (Tagamet) Injection has been
discontinued by the manufacturer.
Alternative:
Famotidine (Pepcid)
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Calendar Reminders |
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SGH Medical Staff Family Bowling
Night Friday
January 22, 2010 6 pm Parkway Bowl $10
per person No-host dinner at the Souplantation to
follow for those families who are famished after a long
evening of bowling!
Thursday,
February 11, 2010, 11 - 2 pm MD
EXPOFriday,
February
12, 2010
Dancing
with
the
Doctors -
details to followTuesday, March 16, 2010, 5:30
pm General Medical Staff
MeetingTuesday, June 15, 2010,
5:30
pm General Medical Staff
MeetingTuesday, September 21,
2010, 5:30
pm General Medical Staff
Meeting
Tuesday, December 7, 2010 SGH
Holiday
Party
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