Review

Policy: The following Continued Stay Criteria indicate medical necessity and continued hospital stay.

Perform Utilization Review on 3 patients. Below are notes from 3 patients who are currently inpatients at the hospital. Based on these notes and the Continued Stay Criteria above, complete the Utilization Review Form (at the bottom of the page) indicating if the documentation supports continued stay or if you believe the patient should be discharged.

Patient 1:

· Sleeping in bed, breathing easily.

· SVN with albuterol 0.5 cc given.

· Breathing easy, good air exchange. Lungs fields with only minor crackles. No c/o at this time.

· Feels better after treatment. Improving air flow in all lung fields. Foley catheter removed.

· IV pain meds 4x daily.

· Up to BR, voids well.

· Patient resting well. Blood sugar 130, vital signs stable. Ext. no edema. VS stable.

Patient 2:

· Afebrile, VSS

· Drainage minimal

· Continue present treatment.

· Afebrile

· VSS

· Vitals stable

· Drainage minimal

· Drains removed.

Patient 3:

· Tylenol #3 given for incisional pain.

· Has been ambulating well in hallway without assistance.

· Dressing dry. Staples removed, Steri-Strips applied.

· Patient feeling dizzy on ambulation.

· Patient complains of chest pain.

Utilization Review Form

Complete the Utilization Review Form (below) indicating if the documentation supports continued stay or if you believe the patient should be discharged.