FAQ's

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We were discussing the Nutritional Assessment under the “Clinical” section. In the past it was verbally stated to us that...

Would rib plating for fracture stabilization be considered intrathoracic surgery for the Audit Filter #13?

Do you consider Cardiac Cath doctors Other, Surgical –or- Other, Non-Surgical?

I have a patient who went to a “VA hospital” and was sent to our facility for frost bite. Are VA facilities considered...

In looking at the new examples in the dictionary for Unplanned Admission to the ICU, we’re having some disagreements on what...

Patient was injured at an unspecified place, for simplicity purposes let’s just say it was home. He then walked to the EMS...

If a patient is on a floor and needs MAP goals monitored and the only place they can do that is ICU is that an unplanned...

A change this year was that EMS needs to state trauma center triage criteria and what it is. Some of our trip sheets do not...

A 3 year old got his finger caught in the hinge of an ottoman. The parents drove him to our ED where they found an open fx...

We believe we may have found a mapping issue with Collector into NTDS; When entering J.11 Cerebral Palsy (CP) as a...

Would it be possible to get some clarification on: 12. Facial Trauma (Ocular) Does this category include Ocular ONLY or...

I am aware of that the AAOx3 is not equivalent to GCS 15, but for Verbal scale, would it be ok to use “oriented” from the AAO...

This 76 year old was found down next to her bed by family. She was brought to our facility as a Trauma Response. After work...

Is there a code we should be using for touriniquets?

I have a question for you in regards to Discharge Destination for our Level IV’s. If they are transferring out a patient...

I am aware of that AAOx3 is not equivalent to GCS 15, but for Verbal scale, would it be ok to use “oriented” from my...

I am receiving a check for Date and Time Administratively Discharged from the ED when I record N/A for a direct admission....

On the dx. Screen when we enter a dx with an “@” sign – do you see that on your end? For example @ CHRONIC SDH.

How should a 1.2cm acute on chronic SDH be coded when the measurement includes both the acute and chronic portions of the bleed?

How should diagnoses found on an autopsy report be recorded in Collector?

The medical record states a John Doe's DOB is 1/1/1901. What should I record in Collector?

Have the quarterly reports for Q4 2018 been sent out yet?

Since I have the autopsy, and brain stem is injured, can I code: GSW Brain Stem?

Should the dual code for CT of the head and neck be used if two separate CT's are ordered?

Do the new non-validatable checks apply to non-PTOS patients as well?

Are we to be entering the size of the midline shift in a head injury on the diagnosis screen of Collector?

Should thoracic spinal fusion be captured as intrathoracic surgery?

Can you assist with a prehospital scenario?

What do I do when I run out of space for pre-existing conditions?

Question – on our old policy it states the registry is to have a plan for inter rater reliability. The orange book recommends...

My patient is a prison inmate. He reports having a seizure and hitting his face on a desk as he fell to the floor. He was...

We had a patient flown in here from St. Croix (the island). He was seen in the ED down there and then flown here. Would his...

Under primary cause of injury x58.xxxa is listed to use if mechanism of injury is unknown. Does this apply to abuse only...

I am working on a case for a patient that received 0 RBC the first 4 hours but received Platelets and Cryo. The RBC box in...

Could you please clarify the 2019 Hispanic Race. On page 20 is states if Hispanic is given as a response, enter unknown,...

Can you please provide me a facility number for XXXXX hospice?

I sent an e-mail to the escalation DI e-mail account, but it does not appear my issue has been expedited. Can you help?

I wanted to ask if pt has following Dx, do I code both or just the ICH?

A burn to chest & rt arm TBSA 3 % is not a PTOS pt right?

I'm working on a patient who is a complete SCI. The Physical Medicine and Rehab MD filled out the ASIA score sheet and coded...

Could you please clarify under advance provider who you define as a trained health...

For the new Antibiotic Therapy elements, must the antibiotic be given intravenously?

I am still closing charts with 2018 admission dates, but I have the 2019 software installed. Since the Units of Blood...

If the patient meets the coagulation abnormalities and the transfusion of components, must “uncontrolled diffuse bleeding” be...

What E-Code would be used for a patient that sustained blunt trauma to the chest after being struck by an aerosol tank that...

If a patient was admitted to ICU, remained there for a few days and an order is written to transfer to a floor but patient...

Do the words “pathological fracture” need to be documented? Here is my scenario: I have a paraplegic who has a closed...

What is the definition of a trauma patient for audit filter #1? Does this audit filter exclude burns?

We see that hyperthermia was crossed off as an exclusion; so does this mean that we are to pick these up now if there are...

Patients transported in/out via private vehicle and do not meet another portion of the inclusion criteria are not to be...

A patient has 11 bloods given (combo of PRBCs, plasma, cryo, etc). Would each of these individually be coded into the...

Should we be entering the ED doc’s arrival as the time of patient arrival since “date and time arrived can never be prior...

I just need help clarifying what is considered percutaneous when doing head coding and what is open?

I have a question regarding the new data element: IV therapy. If the patient does NOT have an open fx, should we select...

What would be the proper code to use for CTA of the neck?

How should "Intubated with Artificial Airway" be recorded if the patient is intubated after the initial set of vital signs...

A pediatric patient was transported to another PA trauma center's neurology service. The patient was evaluated by trauma...

I have a patient whose spleen was accidentally lacerated during a surgical procedure. Does this patient...

I have a patient that fell while admitted at an outside hospital (non trauma center). The patient was transferred...

Why can't I put identifying information in the Discharge Destination comment field?

Since our collector has been updated to pertain the new fields, I have a question regarding completing a chart from 2018...

Can we have some clarification on the following two Pre-existing Conditions and the proper terms that need to be...

I noticed with the 2019 update we can no longer validate the ”order to change vital signs” to > than 1 hour if the...

Can I have the affiliate number for an EMS provider in West Virginia?

Can you clarify the AKI definition?

Should we be coding the vent procedure also on a patient transferred into our facility from another hospitals ER...

I am going through the new PTSF manual and re-reading some old info...

When a patient is discharged to a PA trauma center for a burn are we to use...

PTSF Trauma Registry FAQ's