Orthopedic - HED documentation recommendations

1
Orthopedic - HED documentation recommendations

• 5/6 Round Wing Management
• Phebe Bloomingburg RN,BSN
• Nicole Callender RN, BSN
• CAPS Representative Val Kibler RN, NP

2
STRENGTH
Make entire list the standard for all categories
/areas where Strength is listed
Add to extremity strength under Neuro
3
STRENGTH
Leave Strong, remove Normal (vague and redundant)
4
STRENGTH
Add Standard Strength options to If Regional
Anesthesia ALSO
5
MOVEMENT
Use these options in all three areas of
documentation.
6
Capillary Refill
Use these options in all areas/categories of
Capillary Refill
7
Skin Temperature
Use these options for both categories/areas of
documentation
8
Color vs. Nail Bed Color
Is this SKIN Color?
When describing SKIN Color use these options in
all categories/areas of documentation.
Leave Nail Bed Color as is currently listed