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[Answered]: Joint Commission – Do Not Use Abbreviations Visit…

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Joint Commission – Do Not Use Abbreviations Visit the Joint Commission website to obtain the Joint Commission’s Do Not Use Abbreviation (DNUA) list at Joint Commission Do Not Use website (opens in a new window) Examine the sample transcription reports and compare them with the DNUA list. Determine any error(s) found that conflict with the DNUA list and recommend the necessary corrections. Report 1 Procedure: Trigger Point Injection Anesthesia: Local and MAC Complications: None Procedure: The 48-year old white female was brought to the procedure suite. After reviewing the risks, benefits, and alternatives to the procedure, she decided to proceed with the trigger point injection. Her upper back was sterilely prepped. I isolated the muscle in spasm and used a 25-guage 5 inch needle to perform an aspiration of the area, which was negative. Then 4.0 cc of Marcaine .5 percent was injected into three trigger points. She tolerated the procedure very well. Report 2 Procedure: Right prepatellar bursal injection Anesthesia: MAC Complications: None This 57-year-old black male has acute prepatellar bursitis. The right knee is swollen and warm to the touch. He has had similar symptoms in the past, responded well to Aristospan injection, and is here today for an injection. I reviewed the risks, benefits, and alternatives to the procedure with the patient, who expressed his understanding and agreed to proceed with the injection. MAC sedation was initiated and I prepped the knee with a sterile alcohol wipe. I then injected 20.0 mg of Aristospan into the right prepatellar bursa. No complications form the injection were noted. Discharge after criteria met. Instructed patient it was okay to continue his Novolog 100 U before each meal for his type I diabetes. Resources that will help you with this case study: Rinehart-Thompson, L. A. 2017. Legal Health Record: Maintenance, Content, Documentation and Disposition. Chapter 9 in Fundamentals of Law for Health Informatics and Information Management, 3rd ed. M. S. Brodnik, L.A. Rinehart-Thompson, and R. B. Reynolds. Chicago: AHIMA. Shaw, P. L. and D. Carter. 2019. Building a Safe Medication Management System. Chapter 12 in Quality and Performance Improvement in Healthcare: Theory, Practice and Management, 7th ed. Chicago: AHIMA

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