Foundations

Printing and PDF export are disabled for this protected preview. Continue reading inside the DiraChart reader.

Trace DC79-30

DiraChart Clinical Reference
Protected section 30 of 35
← Document menu
Nursing Home · DiraChart

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

DiraChart Clinical Reference

Section NavigationPart 30 of 35PreviousNext

The required elements

  • Date and time of contact (e.g., “SBAR to NP 14:32”).
  • Person and method (NP J. Smith via secure message; PCP M. Lee via phone; representative by phone).
  • Content — SBAR or a specific request, with the relevant data.
  • Response received, or a scheduled follow-up time — and the representative notification.
Section NavigationPart 30 of 35PreviousNext