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NVA documentation.

Posted
cazrella cazrella (New) New

A simple question, for example, if my patient has tingling in the ulna nerve pathway and feels numb in the radial pathway, on the documentation chart would I tick both boxes for tingling and numb under sensation?

Normally we just tick one box, for example, warm hands, as a patient can't have both warm and cool hands....

Am i allowed to tick more than one option for sensation as there are more than one nerve pathway we are assessing?

Thank you :)

Depending on the computer program the facility is using, you may be able to. Otherwise, in the free text section is where you would note the "other thing" ie: Patient c/o tingling with above noted numbness, no s/sx of edema, cap refill >2 seconds, fingers warm to touch +CSM noted.