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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
Chest pain / suspected ACS (diaphoresis, dyspnea, radiation, nausea) — activate EMS/transfer per policy; administer prescribed nitroglycerin per order while awaiting transport. Do not delay transfer for repeated doses.
Acute pulmonary edema — severe dyspnea, frothy sputum, hypoxia, distress — emergency evaluation/transfer.
Symptomatic or dangerous arrhythmia — a rapid/very slow rate with hypotension, syncope, or chest pain — escalate/transfer.
Signs of stroke / thromboembolism or major bleeding on anticoagulation — activate the appropriate pathway and route to the Anticoagulation overlay.
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 