OpenPlacement Community > Questions > Tagged: OBS

ED Physicians

asked March 5, 2014 | 0 followers | follow | 3 answers

What has anyone done about ED physicians who just can’t get it straight what is OBS and inpt???? Chest pain we have said is generally OBS but they still put in for inpt… We do have CM 5 days a week 8 hours a day and hoping to expand on those hours. But I still don’t know what do about the adm status.


Changing IP to OBs

asked December 19, 2013 | 0 followers | follow | 2 answers

If you have a patient who was admitted IP and was justifiably IP but then ceased to meet IP criteria, lets say after day 3. Do you change the status to observation/outpatient? I have always thought, no you wouldn’t change the status, but if you don’t change the status do your CM’s do a concurrent review and not cite any criteria? Please let me
know your thoughts!! Thanks in advance!


Observation Status

asked November 11, 2013 | 0 followers | follow | 2 answers

We make every effort to discuss with patients their observation status but without 24/7 coverage in the ED, it does not always happen at the time of admission. How do other hospitals without 24/7 coverage manage this issue? Also, regarding cardiac cath procedures… Can you please clarify how you manage status if the troponins bump up on an obs patient who is within a few hours in the CV lab and returns to unit with orders to discharge after normal recovery hours? This patient elected not to have further consult services at our hospital and physician was agreeable she was stable to seek further consult outpatient (as discussed prior to returning to the unit). Please share your thoughts.


Observation Unit

asked October 21, 2013 | 0 followers | follow | 0 answers

Those who have an obs unit, please help me out. Please describe your observation unit. Does it only care for observation pts? Extended recovery pts? How did you go about training for this population? Has anyone combine Peds and Obs in a unit? If so, how do you staff and train? Any other words of wisdom? Thanks!


Chest Pain

asked September 3, 2013 | 0 followers | follow | 1 answers

Here’s a case:

83 year old female with a history of HTN, DM, CVA, and CAD (stents in 2000 and 2001) presents with left-sided chest pain radiating to the left arm and associated with dyspnea and diaphoresis. Enzymes are negative and ECG is unchanged. By the time the patient is admitted, chest pain is resolved and she does not receive any nitroglycerin, heparin or IV beta blockers. Cardiology is consulted and says her chest pain is ‘atypical’. She goes on to have an echocardiogram but no stress test or cardiac catheterization. Her LOS is 3 days.

So here’s the question…based upon this….OBS or inpatient? Feel free to ask for more information if need be.



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