mssmem.com

I forget…what did that email say? oh yeah, its at mssmem.com

LWBT AMA AND ELOPED PATIENTS

If a patient left before being triaged or put into a bed: Dispo and condition = LWBT. This will probably be diagnosis too. They never made it to a treatment area.

A patient had an AMA discussion and chooses to leave against advice: Dispo and condition= AMA. The Diagnosis is whatever the diagnosis is.

A patient left from the treatment area before completion of treatment, but there was no discharge discussion: Dispo and condition = eloped. Here the diagnosis is as good as you can make it, depending on your contact with the patient.

Eloped should be EVERYONE that made it to the treatment area but left before the discharge decision/ discussion. If they were suitable for d/c but never got papers, you may make dispo discharge, but document they left without papers. If you saw the patient, even from across the room, you should document what you can.

Also- Just to clarify: It is a waste of time to say “remove from board” without putting a Diagnosis/ dispo and condition on the chart.

If someone was sent to L and D, they still need a Diagnosis/ dispo and condition before being removed. This should generally be the senior or north attending job. You may touch base with the charge nurse so she can communicate these to you.

Written by phil

February 8th, 2007 at 4:45 am

Posted in ED Guidelines