Sikiller15
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Hey fellow people saver...can i ask u guys a favor....can i see you guys doing a dialysis narratives...i need to see a sample if you guys dont mind...thank u really appreciate...
hey guys...
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Anjel
Forum Angel
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Dispatched p3 for a dialysis transfer.
ATF pt laying in bed. Pt is A&Ox4 and in no apparent distress. Pt is currently on 2lpm of o2 via NC upon arrival. Pt states they feel good this morning and denies any complaints. All VS WNL as shown in PCR. Due to bilateral BKA pt requires ambulance transport to dialysis. Pt was sheet lifted to stretcher and secured with straps x3. Pt transported and monitored without any change or event. Upon arrival to the dialysis clinic pt was weighed and sheet lifted to chair. Care and report given to staff. All without event. Unit XXX clear.
ATF pt laying in bed. Pt is A&Ox4 and in no apparent distress. Pt is currently on 2lpm of o2 via NC upon arrival. Pt states they feel good this morning and denies any complaints. All VS WNL as shown in PCR. Due to bilateral BKA pt requires ambulance transport to dialysis. Pt was sheet lifted to stretcher and secured with straps x3. Pt transported and monitored without any change or event. Upon arrival to the dialysis clinic pt was weighed and sheet lifted to chair. Care and report given to staff. All without event. Unit XXX clear.
Sikiller15
Forum Ride Along
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Than you...could you give me more sample sir if u dont mind...
Sikiller15
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How bout both eye blind and have renal osteodystrophy?? Thank u..
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??? Are you asking us to write your reports? Create yourself a format/template and follow it. Dialysis reports are typically pretty simple and straightforward. Your patient's current presentation, why you're transporting them, why they need you to transport them, anything that happens during transport, and what happens at time of transfer.
Sikiller15
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No sir i just needed a sample becos its my 1st time to transport dialysis and medicare is so strict here in our place...but thank you though..
Amberlamps916
Droog
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How about those code words that dialysis mobile companies love to use to justify ambulance transport for medical billing......Patient transferred over to gurney via draw sheet due to extreme weakness, poor functional status, difficulty with movement, abnormal gait, etc.
Go out there and make your company run by criminal immigrants some money, after all, someone needs to buy all those Rolls Royces and Range Rovers out there. Save a life :rofl:
Go out there and make your company run by criminal immigrants some money, after all, someone needs to buy all those Rolls Royces and Range Rovers out there. Save a life :rofl:
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Right, because that's who runs all private transfer ambulance companies.
That comment is just terribly off base.
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Does the fact that the patient is blind have anything to do with the current problem? Same goes for the renal osteodystrophy? I doubt it.
Is that medical history? Sounds like it to me... Sooooo where in the PCR would it go?
Is that medical history? Sounds like it to me... Sooooo where in the PCR would it go?
Amberlamps916
Droog
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Spend a week in Southern California private non-emergency "EMS" and you will share the same sentiments.
DesertMedic66
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Cough cough AMR-Riverside division used to run them and I've heard from friends that they still do them..
rmabrey
Forum Asst. Chief
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I would argue that bilateral BKA does not meet medical necessity for ambulance transport. But since this is just an example, and you're not a facility nurse, I wont
Amberlamps916
Droog
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Dude, AMR is 1,000,000 times better than the companies I am referring to Aegis, Ambulife, Medistar, Medlife, GCTI, Medcoast, Royalty, AMT, Ameripride, Elite, Procare, Metropolitan, Calmed, Carefirst, Supreme, Good Shephard, West Coast, ETC.....almost all of those are owned by foreigners who cheat the system. I'm sure many people on here would vouch for me in saying that they are all a blight on EMS.
DesertMedic66
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Yeah I know that. Just pointing out that not every company who runs dialysis calls are frauds
Amberlamps916
Droog
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Yeah I know that. Just pointing out that not every company who runs dialysis calls are frauds
That's one legit company in the IE, I'm talking about the 393289359382332 in LA and Orange County that do kidney saving calls that don't need an ambulance. There's no reason why Mrs. Rosentinkel needs to open the side door of the ambulance and get in herself with a cake that she made for the "EMS" crew while our tax money is gutted to further enable such transport. I hate everything about how it's done in those counties and am so glad that I am no longer a part of it. And before anyone says I was just a bystander who whines, tell me why Elite, AMT, and of course MEDLIFE have had such bad luck with their licensing hearings. The power of pictures and documentation goes very far
Jim37F
Forum Deputy Chief
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Somehow I managed to find an LA IFT that doesn't do renal rodeo all day
Amberlamps916
Droog
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PRN is a decent company I must say....
Jim37F
Forum Deputy Chief
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Yeah def, and to think I almost went with APA :shudder:
As to the OP, on our PCRs, the narrative is separate from the physical assessment/SAMPLE questions. For example we have little check boxes for different options under skin signs, PEARRL, Lung Sounds, GCS, A&O, Cap refill, and sections for each chief complaint/admit reason, secondary complaint/admit reason, Hx, Medications, Allergies, Reason for transfer and Procedure to be performed. So for us (at least I haven't had any get kicked back for doing it this way), a hypothetical narrative for a dialysis would be something like:
"56 y.o. male Pt, full code, A&Ox0 (-person -place -time), GCS 15 found sitting upright in dialysis recliner. Pt is returning to SNF following scheduled dialysis. Pt has dialysis access right arm, bilateral above the knee amputations and is on O2 6LPM NC. Pt reports no pain or discomfort. -CP, -SOB, -headache, -n/v/d. Pt appeared to be in no other obvious distress. Pt was sheeted into gurney and transported POC, semi fowlers. Pt was calm, cooperative and stable during transport. No change to condition or v/s. Pt was sheeted into bed at SNF and Pt care handed over to RN at SNF."
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NPO
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If you think walking patients is strictly these fly by night ambulance companies, you're mistaken. I've seen multiple FD based ambulances walk their patients in LA County. Blows my mind.That's one legit company in the IE, I'm talking about the 393289359382332 in LA and Orange County that do kidney saving calls that don't need an ambulance. There's no reason why Mrs. Rosentinkel needs to open the side door of the ambulance and get in herself with a cake that she made for the "EMS" crew while our tax money is gutted to further enable such transport. I hate everything about how it's done in those counties and am so glad that I am no longer a part of it. And before anyone says I was just a bystander who whines, tell me why Elite, AMT, and of course MEDLIFE have had such bad luck with their licensing hearings. The power of pictures and documentation goes very far
Even saw a unit pull into St Joes in Burbank code 3, only to have the fire fighter and patient meander out the side door.
gonefishing
Forum Deputy Chief
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That's different lol. I had a patient that pulled a muscle in his back. He wanted to walk rather than lay down any longer it hurt that bad. Let them off and walked him into the er. Poor patient couldn't lay on the bed or sit it hurt that bad.lol.