Ordering Zio
What are Zio Patches evaluating for?
What is "heart arrhythmias"?
T/F? Only suspects from WRV and PRG MUST
be followed up on on a daily basis.What is false? ALL suspects from ALL visit types should be either documented, rejected, or followed up on on a daily basis.
What is the main difference between stage B and stage C HF?
What is symptoms?
A child comes in with a runny nose, cough, and fever. The ears are red and bulging on otoscopic exam.
What is an ear infection / otitis media?
This over-the-counter drug is commonly used for pain and fever, but can harm the liver in high doses.
What is acetaminophen?
What type of note can Zio be ordered under?
What is orders note or visit note?
What resource can be used to find amendable language?
What is "Amendable Language for HCC Note Prep" document?
What are some symptoms of heart failure? Name at least 3.
What is SOB, DOE, fatigue, lower extremity edema, orthopnea, rapid weight gain, persistent cough or wheeze that is not related to COPD?
A patient complains of burning pain when urinating and increased frequency.
What is a urinary tract infection?
This class of drugs ends in “-pril” and is commonly used to treat hypertension.
What are ACE inhibitors?
What is the test destination for Zio patches?
What is "iRhythm"?
When can we add amendable language for CHF?
What is...after the BNP comes back abnormal?
What type of cardiac dysfunction is impaired contractility?
What is systolic dysfunction?
A patient with a history of seasonal allergies presents with sneezing, nasal congestion, and itchy eyes.
What is allergic rhinitis?
A common side effect of opioids that doesn’t improve with tolerance.
What is constipation?
What 4 AOE questions are asked when registering the Zio patch?
What is...
1. Does the patient have a pacemaker or ICD?
2. Duration
3. Device serial number
4. RN/Tech applying the device
Name at least 5 HCCs that qualify for amendable language
What is COPD, CHF, Atrial Fibrillation, Cirrhosis of Liver, CKD, A1AT Deficiency, PVD, MDD, Coagulation Defects?
What type of cardiac dysfunction is impaired filling/relaxation?
What is diastolic dysfunction?
Polyuria, polydipsia, and elevated blood glucose.
What is diabetes mellitus?
This medication is used in type 2 diabetes and can cause lactic acidosis in rare cases.
What is metformin?
Walk us through the entire Zio ordering process.
What is....
1. Add in "In-house continuous cardiac monitoring: patch" overlay.
2. Add in correlating ICD-10 in assessment section.
3. Map provider in the plan section.
4. Map dx in the plan section.
5. Save the note.
6. Click "Orders Requisition".
7. Change destination to "iRhythm".
8. Change clinic to your clinic.
9. Click the red arrow to answer the 4 AOE questions.
10. Save hold charges.
*Double Jeopardy!* What are the 4 components of amendable language?
What is..
1. The abnormality
2. What lab/order is being ordered
3. Specific condition being looked for
4. Discussed w/ patient
What is the Ejection Fraction? & what is the normal range for a person at rest. Must answer both correctly.
A patient presents with nausea, vomiting, watery diarrhea, and a recent history of eating at a picnic.
What is gastroenteritis / food poisoning?
This anticoagulant requires INR monitoring and has vitamin K as an antidote.
What is warfarin?