The Abstractor

February 16, 2016 -- Volume 3, Issue 2

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Bi-Weekly Focus: BASELINE Modified RANKIN Score

Please remember to ask questions to be able to score a BASELINE Rankin score. We were getting better, then it fell off.


You could ask these questions:

  1. Do you need help making a simple meal, doing household chores, or balancing a checkbook?
  2. Do you need any help or assistance shopping for traveling close to home?
  3. Do you drive?
  4. Do you need any help or assistance walking?
  5. Do you need any help or assistance with eating, going to the restroom, or bathing?


These answers will provide so much information as to how the patient WAS functioning with their daily activities of living BEFORE they came in to the hospital.

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DOCUMENTATION IS EVERYTHING!

GOOD NEWS!

You are ALL doing MUCH better with listing all three dimensions of the Aneurysms and AVMs, as well as including the neck size. It is making a huge difference.


Thank you so much for making this a priority in your data collection.

TEMPORARY OCCLUSION DPCUMENTATION

Other things to REMEMBER:

When you are documenting a case involving temporary occlusion of an aneurysm, please remember to include enough information for the reader to fully understand if the AN temporary occlusion was complete or not. Also, provide the temporary occlusion time in your documentation.

AVM Documentation NEEDED!

When documenting AVM morphology include ELOQUENCE & the location of ELOQUENCE.

  • Sensorimotor

  • Broca's Area

  • Wernicke's Area

  • Visual Cortex

  • Brainstem

  • Deep Structures

  • Cerebellar Nuclei

  • Cerebellar Peduncles

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----- BIG THANK YOU TO ----- Matt Fiesta!!

Your documentation is very helpful when reading image reports. Thank you for including detailed information!! Keep it up!