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Section Navigation Part 7 of 15 1. General Section 2. 1. Purpose and clinical relevance 3. 2. What to assess, technique, and required data 4. 3. Normal findings — documented with skill justification 5. 4. Abnormal findings — the necessity chain 6. 5. Skilled interventions and teaching 7. 6. Red flags — escalate / transfer 8. 7. Skilled-need justification (SNF) 9. 8. MDS & care-plan linkage 10. 9. Weak vs. strong documentation 11. 10. Audit and denial risks (Medicare Part A) 12. Smart phrases 13. Daily-note bank — routine skilled days 14. Daily-note bank — change-of-condition / at-risk days 15. 12. Sources and clinical references Previous Next 6. Red flags — escalate / transfer 🚩 Red flags
Anaphylaxis — hives with airway (throat tightness, stridor, swelling), breathing, or circulatory involvement — epinephrine per protocol without delay and activate EMS/transfer.
Angioedema with airway compromise — lip/tongue/throat swelling — airway emergency: escalate/transfer.
Severe cutaneous drug reaction (Stevens-Johnson/TEN) — spreading rash with mucosal involvement/blistering — stop the drug and escalate/transfer (emergency).
Infection/sepsis in immunosuppression — even a low-grade fever or subtle change — escalate promptly on the sepsis pathway.
Section Navigation Part 7 of 15 1. General Section 2. 1. Purpose and clinical relevance 3. 2. What to assess, technique, and required data 4. 3. Normal findings — documented with skill justification 5. 4. Abnormal findings — the necessity chain 6. 5. Skilled interventions and teaching 7. 6. Red flags — escalate / transfer 8. 7. Skilled-need justification (SNF) 9. 8. MDS & care-plan linkage 10. 9. Weak vs. strong documentation 11. 10. Audit and denial risks (Medicare Part A) 12. Smart phrases 13. Daily-note bank — routine skilled days 14. Daily-note bank — change-of-condition / at-risk days 15. 12. Sources and clinical references Previous Next 