Published Jun 13, 2015
cazrella
6 Posts
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 :)
jadelpn, LPN, EMT-B
9 Articles; 4,800 Posts
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.