Page 305 - Clinical Managers Orientation Binder

4/11/2019

BD Onsite Assessment Coordination Note

 Doppler blood pressure and specific BP range to notify MD
 PT/INR goal and schedule for obtaining laboratory results
 Responsible Physician contact information
 LVAD clinic follow-up schedule post-discharge
 LVAD clinic contact information
 LVAD coordinator contact information

 Primary Care Physician (PCP) contact information
 Equipment/Supplies in the home

27

Clinician Documentation in PointCare

 LVADs are considered surgical wounds in the OASIS
assessment. Document as a surgical wound in PointCare
Integumentary(ICC)
• Wound status options:
o Newly epithelialized (when the driveline is dry/intact)
o Not healing (when the driveline is not dry and intact)

 PointCare Blood Pressure and Pulse check ***‘Do not enter
Systolic and Diastolic in BP fields’***

 Document Blood Pressure measurement in the Narrative Note:

‘Patient has LVAD BP obtained by Doppler eg. 85/palp.’
and no palpable pulse.’

28

14