Wiki 2021 Guidelines for HX: Patient in hospital consult is unable to give answers to Review of Systems

wynonna

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Please, please help!
Patient is intubated for acute respiratory failure for 2/20/21 visit.
Patient is unable to answer any questions from ENT MD.
How many points under ROS will this be?
If 0, then this would be problem-focused history only?
thank you so much
 
The Provider gets the 10 + ROS if this is the case , all he had to do is document that the patient is intubated . It's understandable that the patient is not able to answer nor even know that the provider is by his/her side. A good and informative documentation is the key to make this a Comprehensive .
 
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