As you are transporting the patient, you continue to reassess vital signs and perform another more complete neuro exam to see if there are any deficits, and to see if there is any change in symptoms over time. You note that the patient's pupils are 3 mm, equal and reactive to light. Her speech remains slightly slurred and she is slow to respond on some questions, so you check a blood glucose, which is 84 mg/dL. Hand grips and left-sided weakness remain the same throughout transport. Reassessment Level of Consciousness Recording Time: 7 minutes A (Alert to person, place, and day) Skin Pale and cool 88 beats/min, regular 146/90 mmHg 18 breaths/min Pulse Blood Pressure Respirations SaO 96% Sinus rhythm with occasional PVCS ECG You arrive at the hospital, and because you forewarned the hospital that you had a possible stroke patient, you are told to bypass the triage line and bring the patient straight back to where the "stroke team" is waiting. You quickly communicate your findings to the neurologists, and note that your patient is quickly whisked off to the CAT scanner before you even finish your documentation. Reassessment Recording Time: 7 minutes Level of Consciousness A (Alert to person, place, and day) Pale and cool 88 beats/min, regular 146/90 mmHg 18 breaths/min 96% Sinus rhythm with occasional PVCS Skin Pulse Blood Pressure Respirations SaO: ECG You complete your documentation and call back to the 9-1-1 dispatcher to acknowledge that your unit is back in service and ready if another call occurs. When you drop off another patient at the same hospital later in the day, you check on your patient's progress. The doctor tells you that the patient received TPA (a drug that dissolves blood clots) within 2 hours of the onset of symptoms with complete resolution of her symptoms, and that it is expected that she will be discharged in a few days with no loss of function. 4. 5. How did EMS communications impact this patient's outcome?
As you are transporting the patient, you continue to reassess vital signs and perform another more complete neuro exam to see if there are any deficits, and to see if there is any change in symptoms over time. You note that the patient's pupils are 3 mm, equal and reactive to light. Her speech remains slightly slurred and she is slow to respond on some questions, so you check a blood glucose, which is 84 mg/dL. Hand grips and left-sided weakness remain the same throughout transport. Reassessment Level of Consciousness Recording Time: 7 minutes A (Alert to person, place, and day) Skin Pale and cool 88 beats/min, regular 146/90 mmHg 18 breaths/min Pulse Blood Pressure Respirations SaO 96% Sinus rhythm with occasional PVCS ECG You arrive at the hospital, and because you forewarned the hospital that you had a possible stroke patient, you are told to bypass the triage line and bring the patient straight back to where the "stroke team" is waiting. You quickly communicate your findings to the neurologists, and note that your patient is quickly whisked off to the CAT scanner before you even finish your documentation. Reassessment Recording Time: 7 minutes Level of Consciousness A (Alert to person, place, and day) Pale and cool 88 beats/min, regular 146/90 mmHg 18 breaths/min 96% Sinus rhythm with occasional PVCS Skin Pulse Blood Pressure Respirations SaO: ECG You complete your documentation and call back to the 9-1-1 dispatcher to acknowledge that your unit is back in service and ready if another call occurs. When you drop off another patient at the same hospital later in the day, you check on your patient's progress. The doctor tells you that the patient received TPA (a drug that dissolves blood clots) within 2 hours of the onset of symptoms with complete resolution of her symptoms, and that it is expected that she will be discharged in a few days with no loss of function. 4. 5. How did EMS communications impact this patient's outcome?
Chapter8: Introduction To Cpt Coding
Section: Chapter Questions
Problem 10MC
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Transcribed Image Text:10:37
O X O 10 l ll 40%
As you are transporting the patient, you continue to reassess vital signs and perform another
more complete neuro exam to see if there are any deficits, and to see if there is any change in
symptoms over time. You note that the patient's pupils are 3 mm, equal and reactive to light. Her
speech remains slightly slurred and she is slow to respond on some questions, so you check a
blood glucose, which is 84 mg/dL. Hand grips and left-sided weakness remain the same
throughout transport.
Reassessment
Level of Consciousness
Recording Time: 7 minutes
A (Alert to person, place, and day)
Pale and cool
88 beats/min, regular
146/90 mmHg
Skin
Pulse
Blood Pressure
Respirations
SaO:
18 breaths/min
96%
ECG
Sinus rhythm with occasional PVCS
You arive at the hospital, and because you forewarned the hospital that you had a possible
stroke patient, you are told to bypass the triage line and bring the patient straight back to where
the "stroke team" is waiting. You quickly communicate your findings to the neurologists, and
note that your patient is quickly whisked off to the CAT scanner before you even finish your
documentation.
Reassessment
Recording Time: 7 minutes
Level of Consciousness
A (Alert to person, place, and day)
Pale and cool
88 beats/min, regular
146/90 mmHg
18 breaths/min
Skin
Pulse
Blood Pressure
Respirations
SaO:
ECG
96%
Sinus rhythm with occasional PVCS
You complete your documentation and call back to the 9-1-1 dispatcher to acknowledge that
your unit is back in service and ready if another call occurs.
When you drop off another patient at the same hospital later in the day, you check on your
patient's progress. The doctor tells you that the patient received TPA (a drug that dissolves
blood clots) within 2 hours of the onset of symptoms with complete resolution of her symptoms,
and that it is expected that she will be discharged in a few days with no loss of function.
4.
5. How did EMS communications impact this patient's outcome?
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