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Trace DC79-16

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1.1 Why “WNL” alone fails a skilled-nursing reviewer

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The thirty-second decision

  • Is this system the reason for today’s attention? → Mode B
  • Are findings abnormal or changed since the last documented value? → Mode B
  • Otherwise → Mode A
  • If a system is half-and-half (normal lungs + new cough) → both
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