Cstr Study Guide 2019 Graded A+

The Trauma Registrar's Role {Ans: • Daily review of all trauma charts- new and in-house patients. • Being knowledgeable of reimbursement issues, what documentation to look for. • Work hand in hand with physicians as a respected team member related to documentation issues • Leave prompters on the chart for needed documentation. • Face to face meetings to discuss documentation needs on a weekly basis. • Educational presentations for residents • Coding validations with medical records for reimbursement comparisons. • Reliable, validated data within the Trauma Registry. • Concurrent trauma Registry. • Dedicated person for the Trauma Registry.}AIS Code Descriptions-Semicolons {Ans: •Separate injury descriptions that are comparable in severity}Rate {Ans: A ratio that compares two quantities measured in different units}AIS components- ; semicolon {Ans: separate injury descriptors that are comparable in severity}Thoracic Injuries {Ans: • Tension Pneumothorax - usually results from a blunt injury • Rib Fractures • Flail Chest - be careful when looking at the medical record as segmental indicates flail. • Sucking Chest Wounds • Pneumothorax - chest tube is inserted. • Hemothorax- chest tube is inserted • Pulmonary contusions • Blunt cardiac injury • Aortic transection- aortography is used to detect