Facility & Professional ED Assessment
  • KODE Facility ED Assessment

    IMPORTANT: You must use the same email address that you used to set-up your KODE profile and may only take the assessment once.  

     

    Please note, this is an authentic assessment which will require you to code six charts representing real-life scenarios.  You will have 2 hours to complete the assessment, once the 2 hours are up, your assessment will be automatically submitted. 

     

    You may reference your personal coding resources that include an index as a guideline, as you work through this assessment. KODE's electronic codebook, EnKoder, is also available to use as a reference for the assessment; you may keep this open in a separate window.

     

    We also recommend downloading the Emergency Department Level of Care Charge Sheet for use during this assessment. 

  • Please note this is a proprietary assessment; any reproduction or distribution is strictly prohibited.

  • Assessment Instructions

    *Please Read Carefully

     

    This assessment consists of six scenarios for you to review and then make a determination about both the facility and the professional E/M levels, all applicable diagnosis codes, and all applicable CPT procedure codes, along with any applicable modifier(s). Please refer to the ED level of Care Charge Sheet on the next page of this assessment for the facility E/M determination.

     

    Please note that there will be some instances where an E/M or a CPT code require a modifier. When you feel this is the case, please append them to the appropriate code in the associated answer box (ie 99283-25 OR 13132-52).

  • Emergency Department Level of Care Charge Sheet

  • download this chart for use during the assessment

  •  Level 1

     Level 2

    Level 3 

     Level 4

    Level 5 

    Critical Care

    Meds refills only  PO meds given only Prescription meds admin PO  Infusions or parenteral medications (IV, IM)   Prep or assist w/ central line, gastric lavage, LP Administration of IV vascoactive meds 
     Wound recheck  Minor burn care RX written non-parenteral  Prep or assist w/ such as eye irrigation with Morgan lens, bladder irrigation, pelvic exam  NG tube insert, Intubation  Administration of ACLS drugs in cardiac arrest - or may need CPR/ Defribillation/ Cardioversion
    Dressing changes only (uncomplicated)  Visual acuity or Fluorescein exam w or w/o FB  In and Out caths  Cardiac monitoring  Moderate sedation  Chest tube insertion 
    Suture removal (uncomplicated)   Apply ace wrap/sling, gave crutches Heparin/saline lock  Sexual assult exam w/o speciman collected   Admin of blood transfusion  Major burn care
    Initial assessment (no medication or treatments)  Prep/assist w/ minor procedures such as: Minor lac repair, I&D of simple abscess, etc.  Prep/assist w/ procedures such as joint aspiration/ injection,  simple fracture care, etc. Prep for special imaging studies (CT/US)  Monitor: Tele/BP w/ ultiple assess  Vent management 
     Work or school note only  Tests by ED staff (urine dip, stool hemoccult, Accucheck, etc), Obtain clean catch urine  Preparation for plain x-rays (hand, shoulder, pelvis, etc) Preparation of multiple tests (labs, x-rays, CT, US, EKG)  O2 via face mask or NRB  Emergent airway intervention 
     No care by the provider ---  Preparation for lab test (80048-87999), EKG   EKG order only Preparation > or = 3 diagnostic test/studies Control of major hemorrhage 
     --- ---   1 Nebulizer tx  Multiple nebulizer treatments (minimum of 2)  Multiple nebulizer treatments (3) or more Delivery of baby 
     --- ---  C-spine precautions   --- ---  Treatment of active chest pain in ACS 
     --- ---    Psychotic patient - not suicidal  Suicide watch  Major trauma/ may require multiple consultants 
     --- ---    OBS/MA admit after ER work-up  Coordination of hospital adminssion or transfer for a higher level of care  --- 
     --- --- 

     Receipt of EMS Patient 

     ---  Law enforcement involvement - GSW, Stabbing/Assult --- 
    Discussion of D/C Instructions - SF  Discussion of D/C Instructions - Simple  Discussion of D/C Instructions - Mod.  Discussion of D/C Instructions - Complex  Critical Care less than 30 minutes  Documentation needs to support > 30 minutes of care  
  • Scenario #1

  • Patient Name:  Joe Nice

    DOB:  3/12/2015

    DOS: 10/3/2022

     

    ED Clinical Impression/Diagnosis: Final Diagnosis: Croup

    ED Disposition: Discharge

    History of Present Illness (HPI):

    Chief Complaint: Cough

    Croup cough, barky cough in triage.  Fever of 101 at home, mother given Tylenol

    7M old, barking cough that began 1 day ago.  Fevers and chills that improve with Tylenol.

    URI

    Presenting symptoms: Congestions, cough, and fever

    Presenting symptoms: no ear pain and no sore throat

    Severity: Moderate

    Onset quality: Gradual

    Duration: 1 day

    Timing: Intermittent

    Progression: Waxing and waning

    Chronicity: New

    Relieved by: Nothing

    Worsened by:  Nothing tried.

    Ineffective treatments: None tried.

    Associated symptoms:  no arthralgias, no headaches, no myalgias, no neck pain, no sinus pain, no sneezing, no swollen glands, no wheezing, no difficulty breathing, no chest discomfort, no chills, and no hoarse voice.

    Risk Factors:  sick contacts

    Risk Factors:  No diabetes mellitus, no immunosuppression, no recent illness, and no recent travel

  • ED Course: 

    Patient Medical History: History reviewed.  No pertinent past medical history.

    Past Surgical History: History reviewed.  No pertinent surgical history. 

    Social History:

    Marital status: single

    Smoking status: never

    Smokeless tobacco: never

    Tobacco comments:  Dad quit.

    Family History:

    Mother: Diabetes Type II

    Father:  No known problems

     

    Review of Systems (ROS):

    Review of Systems:

    Constitutional: Positive for fever. Negative for chills.

    HENT:  Positive for congestion. Negative for ear pain, hoarse voice, sneezing and sore throat.

    Vision: Negative for eye pain and visual disturbance.

    Respiratory: Positive for cough. Negative for shortness of breath and wheezing.

    Cardiovascular:  Negative for chest pain and palpitations.

    Gastrointestinal: Negative for abdominal pain and vomiting.

    Genitourinary:  Negative for dysuria and hematuria.

    Musculoskeletal: Negative for back pain, joint pain, myalgias and neck pain.

    Skin: Negative for color change and rash.

    Neurological: Negative for headaches, seizures, and syncope.

    All other symptoms reviewed and are negative.

     

  • Physical Exam (PE):

    BP (!) 103/71    Pulse (!) 104    Temp 98.9*F (37.2*C)    Resp 22    Wt 23.5 kg (51 lb 12.9 oz)   SpO2 97%

     

    Physical Exam:

    Constitutional:

    General: He is not in acute distress.

    Appearance: He is well-developed and well-nourished.  He is not diaphoretic.

    Comments: +barking cough c/w acute croup

    HENT:

          Head: Atraumatic. No signs of injury.

          Right Ear: Tympanic Membrane normal.

          Left Ear: Tympanic Membranes normal.

          Nose: Nose normal. No nasal discharge.

          Mouth/Throat:

          Mouth: Mucous membranes are moist.

          Dentition: normal

          Pharynx: Oropharynx is clear. Normal.

          Tonsils: No tonsillar exudate.

    Eyes:

          Extraocular Movements:  EOM normal.

          Pupils: Pupils are equal, round, and reactive to light.

    Cardiovascular:

          Rate and rhythm: Normal rate and regular rhythm.

    Pulmonary:

          Effort: Pulmonary effort is normal.  No respiratory distress or retractions.

          Breath sounds: Normal breath sounds.

    Abdominal:

         General: Bowel sounds are normal. There is no distention.

         Palpations: Abdomen is soft.

         Tenderness: There is no abdominal tenderness.

    Musculoskeletal:

         General: Normal range of motion.

    Neurological:

         Mental Status: He is alert.

    Skin:

         General: Skin is warm and dry.

         Capillary Refill: Capillary refill takes less than 3 seconds.

     

    Radiology:

    XR Chest 2 Views (PA and LAT)

    Final Results by Julie Raster, MD (10/03 0852)

    IMPRESSION:

          Clear Lungs

    All radiology studies independently viewed by me and interpreted by the radiologist.

     

    Prescriptions:

    Discharge Medication List as of 10/3/2022 1:48 AM

    Start taking these medications.

     

  • Details

    albuterol (PROVENTIL) 2.5 mg/3 mL (0.083%) nebulizer solution Take 3mL (2.5mg total) by nebulization every 4 (four) hours as needed for wheezing, Starting Mon 10/3/2022, Until Tue 10/3/2023 at 23:59, Normal
    prednisoLONE (PRELONE) 15mg/5mL syrup Take 7.8 mL (23.4 mg total) by mouth daily, Starting Mon 10/3/2022, Normal

     

    Electronically signed by Belinda Better, DO at 10/04/22 14:23

  • Patient Care Timeline (10/3/2022 00:49 to 10/3/2022 02:32)

     

    10/3/2022 Event Details User
    00:49 Patient arrived in ED    
    00:50:02   Arrival Complaint  Cough  
    00:59 Acuity/Quick Triage Status

    Acuity/Destination 

    Patient Acuity: 3

     
    00:59 Pain

    Pain Reassessment Timer 

    Start Pain Assessment Timer: 2 hours

    Pain

    (0-10) Pain Rating: Rest: 8

    Presence of Pain: complains of pain/discomfort

    Pain Location: throat

    Pain Description: constant

     
    00:59:08 Vital Signs

    Vital Signs

    Temp: 98.9 °F (37.2 °C)

    Heart Rate: 102 Abnormal 

    Heart Rate Source: Monitor

    Resp: 20

    BP: 103/71 Abnormal 

    NIBP Mean: 82 mmHg

    SpO2: 97 %

    Oxygen Therapy

    SpO2: 97 %

    Height and Weight

    Weight: 23.5 kg (51 lb 12.9 oz)

     
    00:59:22 Chief Complaints Updated
    Cough (Croup cough, barky cough in triage.  Fever of 101 at home, mother given tylenol)   
    01:00 Triage Assessment

    Triage Assessment

    Airway WDL: WDL

    Respiratory WDL

    Respiratory WDL: cough

    Cough Frequency: frequent

    Cough Type: productive; croupy

    Skin Circulation/Temperature WDL

    Skin Circulation/Temperature WDL: WDL

    Cardiac WDL

    Cardiac WDL: WDL

    Peripheral/Neurovascular WDL

    Peripheral Neurovascular WDL: WDL

    Cognitive/Neuro/Behavioral WDL

    Cognitive/Neuro/Behavioral WDL: WDL

     
    01:00 Triage Interventions

    Triage Interventions

    Coping Interventions: safe, supportive environment facilitated; reassurance provided

    Arm Band

    Arm Bands: ID band on

     
    01:00:36 History Reviewed Sections Reviewed: Medical, Surgical, Tobacco, Alcohol, Drug Use, Sexual Activity, Social Documentation, Family  
    01:00:44 Full Triage Complete    
    01:01 Immunizations

    Immunization Up to Date

    Is the patient's immunizations up to date?: Yes

    Tetanus Up to Date

    Is the patient's tetanus up to date?: Yes

    COVID Vaccine Screen

    Have you ever been vaccinated against COVID?: No

     
     01:01  Fall Risk (Peds)  Falls Assessment Tool -- The Humpty Dumpty Scale - Emergency Department

    Age: 7 to less than 13 years old

    Gender: Male

    Diagnosis: Other Diagnosis

    Cognitive Impairments: Oriented to Own Ability

    Environmental Factors: Outpatient Area

    Response to Surgery/Sedation/Anesthesia: More than 48 hours/none

    Medication Usage: Other Medications/None

    Fall Risk Total Score: 9

     
     01:01 Child Abuse Screening Child Abuse Screening (age

    Did child report the parent/caregiver caused the injury?: No

    Unexplained or suspicious fractures, bruises, or burns: No

    Injury explanation inconsistent with mechanism/developmental age: No

    Significant discrepancies in report of injury by parents or parent/child: No

    Delay in seeking appropriate care: No

    Injury resulting from neglectful or unsafe situation (including lack of proper supervision and/or imminent risk): No

    Appearance of malnutrition or poor physical/dental hygiene: No

    Child's report or findings consistent with sexual abuse: No

    ** Any yes above, complete CY47 and call Childline: N/A

    Need for DNA-VC?: No

     
    01:01:33 Patient roomed in ED To room  
    01:02 Orders Placed

    Medications  - dexamethasone (PF) (DECADRON) injection for ORAL use 14 mg; albuterol (PROVENTIL) nebulizer solution 2.5 mg

    Imaging  - XR chest 2 views (PA and LAT)

     
    01:02 XR Ordered  XR CHEST 2 VIEWS (PA AND LAT)  
    01:02:33 Imaging Exam Ordered
       
    01:15:27 Imaging Exam Started
    XR CHEST 2 VIEWS (PA AND LAT) Belinda Better, DO
    01:15:30 Imaging Exam Ended
    XR CHEST 2 VIEWS (PA AND LAT) Belinda Better, DO
    01:15:30 Patient Work/School Excuse

    Patient Excuse from Work/School/Sport

    Work/School/Sport: may return to school on

    Return Date: 10/05/22

    Excuse Signed by

    Signed by: Attending Physician

    Belinda Better, DO
    01:31:24 Discharge Orders Placed

    Medications  - albuterol (PROVENTIL) 2.5 mg /3 mL (0.083 %) nebulizer solution; prednisoLONE (PRELONE) 15 mg/5 mL syrup

    General Supply  - NEBULIZER MACHINE & TUBING

    Micky Mouse II, RT
    01:48:26 AVS Printed ED After Visit Summary (AVS) Belinda Better, DO
    01:48:51 Orders Acknowledged
    New  - dexamethasone (PF) (DECADRON) injection for ORAL use 14 mg Belinda Better, DO
    01:48:51 Orders Acknowledged New  - albuterol (PROVENTIL) nebulizer solution 2.5 mg Belinda Better, DO
    01:48:51 Orders Acknowledged New  - XR chest 2 views (PA and LAT) Belinda Better, DO
    01:52:38 Medication Given dexamethasone (PF) (DECADRON) injection for ORAL use 14 mg - Dose: 14 mg ; Route: oral ; Scheduled Time: 0130 Nancy Nurse, RN
    01:52:39 Medication Given albuterol (PROVENTIL) nebulizer solution 2.5 mg - Dose: 2.5 mg ; Route: nebulization ; Scheduled Time: 0130 Nancy Nurse, RN
    01:52:40 Data

    Vitals

    Heart Rate: 104 Abnormal 

    Resp: 22

    Nancy Nurse, RN
    01:55 Discharge Disposition Selected ED Disposition set to Discharge Nancy Nurse, RN
    02:25:33 Care Handoff

    Care Handoff

    Report Given to: Patient went home

    Belinda Better, DO
    02:25:33 Departure Condition

    Departure Condition

    Departure Condition: Good

    Mobility at Departure: Ambulatory

    Departure Acuity: 5

    Simple discharge instructions reviewed : Yes

    Patient Teaching: Follow-up care reviewed; Patient verbalized understanding

    Departure Mode: With parents

    Belinda Better, DO
    02:31 Goal/Outcome Evaluation

    Goal/Outcome Evaluation (Adult)

    Goal: Acute Signs/Symptoms are Managed: met

    Goal: Acceptable Pain Level Achieved: met

    Discharge Instructions: discharge instructions, able to teach back; patient education handouts given; prescription(s) provided (done by MD)

    Participants in Discharge Teaching: parent

    Nancy Nurse, RN
    02:31 Patient discharged   Nancy Nurse, RN
    02:31 Readmission Risk Score

    Readmission Risk Score

    Score: 23

    Nancy Nurse, RN
    02:31 Charting Complete   Nancy Nurse, RN
    02:32     Nancy Nurse, RN
    02:32     Batch, Clindoc
    02:32:15     Nancy Nurse, RN

     

  • Scenario #2

  • Patient Name:  Tiffany Smart

    DOB:  12/20/1985

    DOS: 10/9/2022

     

    ED Clinical Impression/Diagnosis:

    Final Diagnosis: Laceration, LT Ring Finger

    ED Disposition: Discharge

    History of Present Illness (HPI):

    Chief Complaint: Cut finger while cleaning in kitchen.

    23-year-old female was cleaning in her kitchen, when a glass broke and cut her left ring finger.  She immediately grabbed a towel and wrapped it up.  This happened about an hour ago.  Patient came straight to the emergency room.

    Presenting symptoms: cut on finger.

    Severity: bleeding won’t stop

    Duration: about an hour ago

    Associated symptoms:  none

    Risk Factors:  potential for foreign body in cut. Infection.

     

    ED Course:

    Patient Medical History:

    History reviewed.  No pertinent past medical history.

     

    Past Surgical History:

    History reviewed.  No pertinent surgical history.

     

    Social History:

    Marital status: Married

    Smoking status: smoker

    Smokeless tobacco: never

     

    Family History:

    Mother: no known problems

    Father:  no known problems. Smoker.

     

    Review of Systems (ROS):

     

    Review of Systems:

    Constitutional: Reviewed and all are negative.

    HENT:  All are negative.

    Vision: Negative for eye pain and visual disturbance.

    Respiratory: Negative for shortness of breath and wheezing.

    Cardiovascular:  Negative for chest pain and palpitations.

    Gastrointestinal: Negative for abdominal pain and vomiting.

    Genitourinary:  Negative for dysuria and hematuria.

    Musculoskeletal: Negative for back pain, joint pain, myalgias and neck pain.

    Skin: Positive for laceration on finger.

    Neurological: Negative for headaches, seizures, and syncope.

    All other symptoms reviewed and are negative.

     

    Physical Exam (PE):

    BP 135/80     Pulse  108     Temp 98.1     Resp  14       Wt 175       SpO2 97%

     

    Physical Exam:

    Constitutional:

    General:  No acute distress.

    Appearance: Well-developed and well-nourished.

    Comments:

    HENT:

         Head: Atraumatic. No signs of injury.

         Right Ear: Tympanic Membrane normal.

         Left Ear: Tympanic membrane normal.

         Nose: Nose normal. No nasal discharge.

         Pharynx: Oropharynx is clear. Normal.

         Tonsils: No tonsillar exudate.

    Eyes:

         Extraocular Movements:  EOM normal.

         Pupils: Pupils are equal, round, and reactive to light.

    Cardiovascular:

                Rate and rhythm: Normal rate and regular rhythm.

    Pulmonary:

         Effort: Pulmonary effort is normal.  Unlabored

         Breath sounds: Clear/equal bilaterally.

    Abdominal:

         General: Bowel sounds are normal. There is no distention.

    Musculoskeletal:

         General: Normal range of motion.

    Neurological:

         Mental Status: She is alert. Awake. Active.

    Skin:

         General: Laceration on LT Ring Finger

     

    Procedure:

    Procedure Name:  Laceration Repair

    Location: Left Ring Finger

    Procedure: Laceration repair, 5 cm repair

    The area was prepped in the usual sterile fashion.  Local anesthesia was achieved using 5cc of Lidocaine 1%.  The wound was copiously irrigated.  5cm repair, 3-0 Nylon interrupted sutures were placed.  Estimated blood loss was less than 0.5 mL.  A dressing was applied to the area.  The patient tolerated the procedure well without complications. 

  • Medications Given:

    15:06 Medication Given morPHINE 4 mg/mL syringe 4mg - Dose: 4 mg; Route: Intravenous; Line: 10/09/22 Right Arm 18g X 1.16"; Scheduled Time: 1500
  • Discharge Instructions:

    Follow-up visit set for suture removal and evaluation of the laceration in 2 weeks. 

     

    Electronically signed by Terri Kraig, DO 10/9/2022 16:55

  • Patient Care Timeline (10/9/2022 14:07 to 10/9/2022 15:29)

    10/9/2022 Event Details
    14:07 Patient arrived in ED  
    14:08:55  Patient roomed in ED  To room ED-03 
    14:08:58  ED Nurse Assigned  NURSE 2 assigned as Registered Nurse 
    14:09  Vitals/pain 

    Vital Signs 

    Temp: 36.7 °C (98.1 °F) 

    Pulse: 108 (Device Time: 14:09:00) 

    Resp: 14 

    SpO2: 97 % (Device Time: 14:09:00) 

    14:09:04  Assign Attending  DOCTOR 2 assigned as Attending 
    14:11  Vitals/pain 

    Sepsis Screening 

    Suspected infection?: No 

    Altered mental status?: No 

    Vital Signs 

    Pain Level: 8 

    Pain Scale Used: Numeric 

    Oxygen Therapy Admission 

    Oxygen status: N/A 

    GCS 

    Eye Opening: Spontaneously 

    Verbal response: Oriented x 3 

    Motor response: Obeys commands 

    GCS Score: 15 

    14:11  RN HPI 

    General Complaint Notes 

    Onset: Today 

    Chronicity: New 

    Activity at Onset of Symptoms: Walking 

    Pain Related to Recent Injury: Yes (Comment) (LT Ring Finger) 

    14:11:16  Chief Complaints Updated  Cut finger on glass in kitchen  
     
    Trauma 
    14:21  ED Pain-POSS-RASS Assessments 

    Pain 

    Self report ability: Able to self report 

    Pain scale/self report: Numeric/self report 

    Pain intensity/self-report: 8 

    Pain acceptable (intensity). : Not acceptable 

    Pain quality: Sharp 

    Pain/activity: At rest 

    Pain location: LT Ring Finger 

    14:22  Vitals/pain 

    Vital Signs 

    Pulse: 108 (Device Time: 14:22:00) 

    BP: 135/80 (Device Time: 14:22:00) 

    MAP (mmHg): 98 mmHg 

    SpO2: 92 % (Device Time: 14:22:00) 

    14:24  ABC's 

    Airway 

    Airway: Patent 

    Breathing 

    Respiratory Effort: Unlabored 

    Accessory Muscle Use: Absent 

    Breath Sounds: generalized: Clear/equal bilaterally 

    Circulation 

    Skin Color: Appropriate for patient 

    Skin Temp/Moisture: Warm; Dry 

    Pulses: Present 

    Capillary Refill: 2-3 seconds 

    Mental Status 

    Consciousness Level: Awake; Alert; Active 

    Orientation Level: Oriented x 3 

    14:33  Vitals/pain 

    Vital Signs 

    Pulse: 109 (Device Time: 14:33:00) 

    HR/Monitor: 108 bpm (Device Time: 14:33:00) 

    Resp: 12 (Device Time: 14:33:00) 

    SpO2: 88 % (Device Time: 14:33:00)

     14:39:32   Registration Completed   
     14:56   Cardiac/Pulmonary   

    Cardiac 

    Cardiac: Monitored 

    Monitor type/cardiac: Telemetry 

    Heart Rhythm Type: Sinus tachycardia 

    Heart rhythm block type: 1st degree AV block 

    Misc 

    PR interval: 0.22 

    QRS interval: 0.04 

    14:56  ED Pain-POSS-RASS Assessments 

    Pain 

    Self report ability: Able to self report 

    Pain scale/self report: Numeric/self report 

    Pain intensity/self-report: 9 

    Pain acceptable (intensity). : Not acceptable 

    Pain quality: Aching 

    Pain/activity: At rest 

    Pain location: LT Ring Finger

    14:56  Vitals/pain 

    Vital Signs 

    Pulse: 97 (Device Time: 14:56:00) 

    HR/Monitor: 106 bpm (Device Time: 14:56:00) 

    Resp: 10 (Device Time: 14:56:00) 

    BP: 153/100 Abnormal  (Device Time: 14:56:00) 

    MAP (mmHg): 118 mmHg 

    SpO2: 94 % (Device Time: 14:56:00) 

    14:59:25 

    Orders Placed morpHINE 4 mg/mL syringe 4 mg 

    14:59:58 

    Orders Acknowledged  New  - morpHINE 4 mg/mL syringe 4 mg 

    15:06 

    Medication Given  morpHINE 4 mg/mL syringe 4 mg - Dose: 4 mg ; Route: Intravenous ; Line: PIV 10/09/22 Right Arm 18g x 1.16” ; Scheduled Time: 1500 

    15:06 

    ED Pain-POSS-RASS Assessments 

    Pain 

    Pain intensity/self-report: 9 
    15:07 
    Vitals/pain 
    Vital Signs 

    Pulse: 107 (Device Time: 15:07:00) 

    HR/Monitor: 107 bpm (Device Time: 15:07:00) 

    Resp: 10 (Device Time: 15:07:00) 

    Resp/Monitor: 11 respirations/min (Device Time: 15:07:00) 

    BP: 168/104 Abnormal  (Device Time: 15:07:00) 

    MAP (mmHg): 125 mmHg 

    SpO2: 92 % (Device Time: 15:07:00) 

    ETCO2/Monitor: 34 mmHG (Device Time: 15:07:00)

    15:11 

    Ongoing Care 

    Ongoing Care 

    Observations: WARM BLANKET APPLIED 

     15:16  ED Quick Updates   Quick Updates 

    Updates: Provider at Bedside 

     15:22   Vitals/pain 

    Vital Signs 

    Pulse: 105 (Device Time: 15:22:00) 

    HR/Monitor: 105 bpm (Device Time: 15:22:00) 

    Resp: 12 (Device Time: 15:22:00) 

    BP: 163/103 Abnormal  (Device Time: 15:22:00) 

    MAP (mmHg): 123 mmHg 

    SpO2: 94 % (Device Time: 15:22:00) 

    ETCO2/Monitor: 37 mmHG (Device Time: 15:22:00) 

    15:23  Procedure 

    Procedure:  Laceration Repair performed.

     15:28   Provider - Time Spent w/ Pt   Other flowsheet entries 

    Total Time Spent w/ Pt (min): 14 

    Total Time Spent Documenting (min): 9 

     15:29:02   ED Provider Notes   Note filed at this time 

     

  • Scenario #3

  • Patient Name:  David Doe

    DOB:  4/15/2001

    DOS: 10/9/2022

     

    ED Clinical Impression/Diagnosis:

    Final Diagnosis:  RT Ankle Sprain

     

    ED Disposition:  Discharge

     

    History of Present Illness (HPI):

    Chief Complaint:  Sprained RT Ankle

    45-year-old male presented to the ED after playing a soccer game with a group of buddies.  He was running and went to kick the ball and stepped into a hole and rolled his RT ankle.  He immediately fell to the group and could not put any weight on his RT foot/ankle.

    Presenting symptoms: RT ankle sprain

    Severity: painful/sore to touch.  Non weight bearing

    Duration: a couple hours ago

    Associated symptoms:

    Risk Factors:

     

    ED Course:

    Patient Medical History: Diabetes Mellitus, type II

    History reviewed.  No pertinent past medical history.

     

    Past Surgical History:

    History reviewed.  No pertinent surgical history.

     

    Social History:

    Marital status: Single

    Smoking status: never

    Smokeless tobacco: never

     

    Family History:

    Mother: no known problems

    Father:  no known problems.

     

    Review of Systems (ROS):

    Review of Systems:

    Constitutional: Reviewed and all are negative.

    HENT:  All are negative.

    Vision: Negative for eye pain and visual disturbance.

    Respiratory: Negative for shortness of breath and wheezing.

    Cardiovascular:  Negative for chest pain and palpitations.

    Gastrointestinal: Negative for abdominal pain and vomiting.

    Genitourinary:  Negative for dysuria and hematuria.

    Musculoskeletal: Positive for painful ROM RT Ankle

    Skin: Negative.

    Neurological: Negative for headaches, seizures, and syncope.

    All other symptoms reviewed and are negative.

     

    Physical Exam (PE):

    BP 122/83     Pulse  102     Temp 98.2     Resp  14       Wt 210       SpO2 98%

    Physical Exam:

    Constitutional:

    General:  Painful RT Ankle.  Otherwise, no acute distress.

    Appearance: Well-developed and well-nourished.

    Comments:

    HENT:

          Head: Atraumatic. No signs of injury.

          Right Ear: Tympanic Membrane normal.

          Left Ear: Tympanic membrane normal.

          Nose: Nose normal. No nasal discharge.

          Pharynx: Oropharynx is clear. Normal.

          Tonsils: No tonsillar exudate.

    Eyes:

          Extraocular Movements:  EOM normal.

          Pupils: Pupils are equal, round, and reactive to light.

    Cardiovascular:

          Rate and rhythm: Normal rate and regular rhythm.

    Pulmonary:

          Effort: Pulmonary effort is normal.  Unlabored

          Breath sounds: Clear/equal bilaterally.

    Abdominal:

          General: Bowel sounds are normal. There is no distention.

    Musculoskeletal:

          General: RT Ankle swollen and bruised.  Altered ROM.

    Neurological:

          Mental Status: He is alert. Awake. Active.

    Skin:

          General: Normal.

     

    Procedure:

    Nurse applied Ace wrap to RT Ankle for stability.

    Check blood glucose level.

     

    Discharge Instructions:

    Follow-up with PCP in 2 weeks if not better.

     

    Electronically signed by Lisa Marie, DO 10/9/2022  14:01

     

  • Patient Care Timeline (10/9/2022 12:07 to 10/9/2022 13:25)

    10/9/2022 Event Details
    12:07  Patient arrived in ED   
    12:08:55  Patient roomed in ED  To room ED-05 
    12:08:58  ED Nurse Assigned  NURSE 5 assigned as Registered Nurse 
    12:09  Vitals/pain 

    Vital Signs 

    Temp: 36.7 °C (98.2 °F) 

    Pulse: 102 (Device Time: 12:09:00) 

    Resp: 14 

    SpO2: 98 % (Device Time: 12:09:00) 

    12:09:04  Assign Attending  DOCTOR 1 assigned as Attending
    12:11  Vitals/pain 

    Sepsis Screening 

    Suspected infection?: No 

    Altered mental status?: No 

    Vital Signs 

    Pain Level: 6 

    Pain Scale Used: Numeric 

    Oxygen Therapy Admission 

    Oxygen status: N/A 

    GCS 

    Eye Opening: Spontaneously 

    Verbal response: Oriented x 3 

    Motor response: Obeys commands 

    GCS Score: 14 

    12:11  RN HPI 

    General Complaint Notes 

    Onset: Today 

    Chronicity: New 

    Activity at Onset of Symptoms: Running 

    Pain Related to Recent Injury: Yes (Comment) (RT Ankle)

    12:11:16  Chief Complaints Updated  Sprained RT Ankle  
    Trauma  
    12:21  ED Pain-POSS-RASS Assessments 

    Pain 

    Self report ability: Able to self report 

    Pain scale/self report: Numeric/self report 

    Pain intensity/self-report: 7 

    Pain acceptable (intensity). : Not acceptable 

    Pain quality: Sharp/Dull 

    Pain/activity: At rest 

    Pain location: RT Ankle

    12:22  Vitals/pain 

    Vital Signs 

    Pulse: 102 (Device Time: 12:22:00) 

    BP: 122/83 (Device Time: 12:22:00) 

    MAP (mmHg): 98 mmHg 

    SpO2: 98 % (Device Time: 12:22:00) 

     12:24   ABC's   

    Airway 

    Airway: Patent 

    Breathing 

    Respiratory Effort: Unlabored 

    Accessory Muscle Use: Absent 

    Breath Sounds: generalized: Clear/equal bilaterally. 

    Circulation 

    Skin Color: Appropriate for patient 

    Skin Temp/Moisture: Warm; Dry 

    Pulses: Present 

    Capillary Refill: 2-3 seconds 

    Mental Status 

    Consciousness Level: Awake; Alert; Active 

    Orientation Level: Oriented x 3

    12:33  Vitals/pain 

    Vital Signs 

    Pulse: 102 (Device Time: 12:33:00) 

    HR/Monitor: 102 bpm (Device Time: 12:33:00) 

    Resp: 12 (Device Time: 12:33:00) 

    SpO2: 98% (Device Time: 12:33:00) 

    12:39:32  Registration Completed   
    12:41:01 Ongoing Care

    Accucheck. Blood Glucose Level:  106

    12:56  ED Pain-POSS-RASS Assessments 

    Pain 

    Self report ability: Able to self report 

    Pain scale/self report: Numeric/self report 

    Pain intensity/self-report: 8 

    Pain acceptable (intensity). : Not acceptable 

    Pain quality: Aching/stabbing pain

    Pain/activity: At rest 

    Pain location: RT Ankle

    13:06  ED Pain-POSS-RASS Assessments 

    Pain 

    Pain intensity/self-report: 8

    13:07  Vitals/pain   Vital Signs 

    Pulse: 102 (Device Time: 13:07:00) 

    BP: 122/83  (Device Time: 13:07:00) 

    SpO2: 98 % (Device Time: 13:07:00) 

    13:11  Ongoing Care 

    Ongoing Care 

    Nurse applied Ace Wrap to RT Ankle

     13:18 Ongoing Care Nurse brought patient Ice to apply to ankle
    13:25 Discharge Discharge Instructions were given to patient
  • Scenario #4

  • Patient Name:  Rylee Rue

    DOB:  3/2/1991

    DOS: 10/9/2022

     

    ED Clinical Impression/Diagnosis:

    Final Diagnosis: Pneumothorax, Forehead Laceration, LT Arm Fracture, Neck Sprain, Low back Strain

    ED Disposition: Discharge

    History of Present Illness (HPI):

    Chief Complaint: MVA

    37-year-old female who was in a motor vehicle accident about an hour ago.  Arrived by ambulance and considered a trauma. Patient is in a C-collar.  Patient has bruises and blood everywhere. A LT broken arm has been identified and splinted on scene.  A forehead laceration that has been wrapped by EMS.  Patient seems to have labored breathing.  Airbags were deployed in patient’s vehicle. Patient was wearing her seat belt.

    Presenting symptoms: multiple injuries- trauma MVA

    Severity: trauma

    Duration: less than an hour ago

    Associated symptoms:

    Risk Factors: collapsed lung.

    ED Course:

    Patient Medical History: unknown

    Unable to obtain.

     

    Past Surgical History:

    Unable to obtain.

     

    Social History:

    Marital status: Single

    Smoking status: never

    Smokeless tobacco: never

     

    Family History:

    Mother: no known problems

    Father:  no known problems

     

    Review of Systems (ROS):

    Review of Systems:

    Constitutional: Reviewed and all are negative.

    HENT:  All are negative.

    Vision: Negative for eye pain and visual disturbance.

    Respiratory: Positive for shortness of breath and wheezing.

    Cardiovascular:  Negative for chest pain and palpitations.

    Gastrointestinal: Positive for abdominal pain.

    Genitourinary:  Negative for dysuria and hematuria.

    Musculoskeletal: Positive for arm, back, neck, leg pain.

    Skin: Negative.

    Neurological: alert and awake.

    All other symptoms reviewed and are negative.

    Physical Exam (PE):

    BP 150/105     Pulse  115     Temp 98.2     Resp  14       Wt 180       SpO2 98%

     

    Physical Exam:

    Constitutional:

    General:  Painful LT Arm.  Sore all over.

    Appearance: Well-developed and well-nourished.

    Comments: Trauma MVA. Bruised and sore.

    HENT:

         Head: Atraumatic. No signs of injury. In C- collar until cleared.

         Right Ear: Tympanic Membrane normal.

         Left Ear: Tympanic membrane normal.

         Nose: Nose normal. No nasal discharge.

         Pharynx: Oropharynx is clear. Normal.

         Tonsils: No tonsillar exudate.

    Eyes:

        Extraocular Movements:  EOM normal.

        Pupils: Pupils are equal, round, and reactive to light.

    Cardiovascular:

         Rate and rhythm: Normal rate and regular rhythm.

    Pulmonary:

         Effort: Pulmonary effort is not normal.  Labored.

         Breath sounds: fuzzy/wet.

    Abdominal:

         General: Bowel sounds are normal. There is no distention.

    Musculoskeletal:

         General: Neck is sore.  Back is sore.  LT Arm FX and splinted.

    Neurological:

         Mental Status: She is alert.

    Skin:

         General: Laceration on forehead.

     

    Radiology:

    XR Chest 2 Views (PA and LAT)

    Final Results by Julie Raster, MD (10/09 0852)

    IMPRESSION:

         Pneumothorax

    All radiology studies independently viewed by me and interpreted by the radiologist.

     

    Procedure(s):

    LT Arm, Shaft of Humerus Fracture was splinted on scene by EMS. 

    C-Collar was placed on scene by EMS.

     

    Procedure Name:  Laceration Repair

    Location: Forehead

    Procedure: Laceration repair, 2.5 cm repair

    The area was prepped in the usual sterile fashion.  Local anesthesia was achieved using 5cc of Lidocaine 1%.  The wound was copiously irrigated.  2.5 cm repair, 3-0 Nylon interrupted sutures were placed.  Estimated blood loss was less than 0.5 mL.  A dressing was applied to the area.  The patient tolerated the procedure well without complications. 

     

    Procedure Name:  Chest Thoracostomy with Indwelling Tube

    Indication:  Pneumothorax

    A time-out was called.  The patient was positioned appropriately for chest tube placement.  The patient’s right chest was prepped and draped in sterile fashion.  1% lidocaine was used to anesthetize the surrounding skin area.  A 2cm skin incision was made in the mid-axillary line at the inframammary crease.  Utilizing blunt dissection, a subcutaneous tunnel was created cephalad just adjacent to the superior rib.  The pleural space was entered bluntly, and gush of air/blood was observed.  A finger was inserted into the pleural space to check for anatomy and guide tube insertion. A 36F thoracostomy tube was inserted using a Kelly clamp and positioned appropriately.  The chest tube was sutured securely to the skin and a sterile dressing applied. 

     

    Discharge Instructions:

    Follow-up with Orthopedic Specialist in 2-3 days regarding LT Arm FX.

    Follow-up in 2 weeks to remove stitches.

     

    I have personally provided Total critical care time of 35 minutes.  Time included discussion with consultants, review of radiology results, and monitoring for potential decompensation.  Interventions were performed as documented above.

     

    Electronically signed by Donnie Clark, DO 10/9/2022  10:24

     

  • Scenario #5

  • Please code the Infusions, Injections, and Hydrations below:

    Medications Given

    Name of Med Amount Route Time Documented
    Vancomycin 10 mg/min IV 10:00-11:31am
    Piperacillin 12.5 mg/kg IV 13:05-13:45pm
    Cefepime 1.5 g IV push 14:55pm
    0.9% Sodium Chloride 150 ml IV 15:00-16:30pm
  • Scenario #6

  • Based on the DX documentation below, is the coder allowed to code for the procedure (69210)?

     

    DX: loss of hearing, pain in RT ear

    Procedure: Cerumen removal from right ear with a curette (69210)

  • Should be Empty: