Tip for Hospice Nurses: writing IDT notes on patients whose symptoms you have well managed so they are not experiencing a lot of change or decline over the 14 days:
1. Each IDT highlight one system assessment that supports eligibility
2. Never document pt stable, no issues, or no problems, etc.
3. Document the treatments being provided for the hospice dx.
4. Document that on-going monitoring and clinical support is required to ensure symptoms remain well managed.
**If the pt has refused Social Worker and/or Chaplain visits, the RN must address psychosocial and spiritual needs in their note.

For more examples, check out my Hospice Documentation Books located on the products page of my website: amitystaffing.com

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