#Wound Care Documentation Best Practices

[zerovapes]

In the realm of healthcare, accurate and comprehensive documentation is crucial for delivering effective patient care. This is particularly true in wound care, where Clinical Documentation Improvement (CDI) plays a significant role.

[night-raven-tattler]

What's your ideal type?

Summary: What would be the best traits for their potential partner to have?

Characters: Octavinelle dorm (Azul, Jade, Floyd) × GN!Reader (separate, romantic)

Other parts of the series: Heartslabyul, Savanaclaw, Scarabia, Pomefiore, Ignihyde, Diasomnia

Warnings: none

By opening the document, you agree to Mx Tattly's terms of source confidentiality.

-ˋˏ’✄┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈

Azul's ideal type would be...

Someone witty. Azul is a smart guy who likes being entertained. While his way of achieving that is less... for lack of better words, aggressive than the tweels', he enjoys a good mental game. If you can carry a good conversation with him, he'll remember you.

Someone who doesn't pressure him into making decisions. He is someone whose independence is very important to him. On top of that, his signature spell literally revolves around choice as a concept, so he understand the importance of it. Someone as stubborn as Azul will keep his distance if anyone tries to influence his free will.

Someone who appreciates music. He's a pianist and a good singer, which are skills that require a lot of practice and hard work, something Azul is known for. He will appreciate any genuine praise, but if you ask him to teach you more about music or, Sevens forbid, you want to duet with him, all of his three hearts are yours.

Someone who doesn't mock him, not even when teasing him. If you really know Azul, you know how bitter he is towards the people who have brought suffering onto him. The words they said are ingrained into his brain, controlling his choices for years after they were spoken to him. I'm not saying to constantly uplift him, but bringing up old wounds will only push Azul away with low chances of getting any closer again.

『••✎••』

Jade's ideal type would be...

Someone whose next move he can't accurately predict. It's kind of easy to catch the attention of any of the tweels, but it's also easy to lose it. The key to keeping Jade's eyes on you is to make him believe he's had you all figured out, then do something unexpected. Being a little unpredictable, even when you think you're outside of Jade's vision, will pique his curiosity.

Someone who plays along his little tricks and schemes. Jade is not an honest person: he always has some ulterior motive, hidden behind carefully worded questions and statements that he uses to poke and prod for information. If you try to help him and his twisted game of detective, he will certainly find you amusing, if not helpful.

Someone who goes exploring with him. Just like his brother, Jade has a fascination for the land above water, and he loves learning things about the fauna and flora. Someone who understands his appreciation for nature and genuinely embraces his curiosity will have a bit more of his appreciation.

Someone who doesn't try to understand him. Jade is very careful not to reveal too much about himself. Being awfully private with himself, he won't open up to just anyone. So he will appreciate someone who doesn't try to pry into his business too much. At the end of the day, Jade can be many things: a bartender, a vice housewarden, an informant, but he'd like to be seen as "just Jade" sometimes.

『••✎••』

Floyd's ideal type would be...

Someone who isn't intimidated by him. It's a surefire way to catch his attention. Even if you just pretend to not be intimidated by him, he'll stick around and try to push all of your buttons, test your limits, squeeze all that he finds interesting out of you.

Someone willing to teach him more about land folks. Everyone knows that Floyd has quite the interest about land folks and their customs. He wants to know more, so don't be afraid to throw random land people things towards him every once in a while. If it's something he didn't know about, he'll tell you to prove it. Congrats, he won't leave your side for a couple of hours.

Someone who doesn't compare him to Jade. Since he's the more polite and responsible one, Floyd gets compared to his brother pretty often, and some people even assume he's the younger twin. It is exhausting to have his other half be given as example on how to behave time and time again. If you reassure him he doesn't have to be like his twin, that being Floyd is just fine, it'll pull at his heartstrings.

Someone who takes his mood swings in stride. From people thinking he is a threat to people who just find him annoying and hard to work with, no one really takes Floyd's mood swings seriously. That doesn't mean he'll open up if you asked him "are you okay" and "what happened". Still, it would be the first time someone outside of his family reacted like that to him. It will baffle him, in a good way.

[prismaticpichu]

How To Improve Your Sephiroth’s Day

a step by step guide written by Zack Fair

1. Compliment his hair! ~ There are little things in the world that the average Sephiroth cares about more than that flowing silver mane. He tends to spend approximately of 7 - 50 minutes brushing it meticulously every morning, and hearing that dedication pay off is a certified way to get your Seph’s day started on the right foot! Just be sure to not go too overboard with the compliments; Sephiroths naturally attract a lot of fans, thus turning a lot of that praise hollow. Try to tie it naturally into a conversation if you can - just a quick “nice hair today!” will do the trick. Remember, be genuine! Compliment Sephiroth, not the SOLDIER.

2. Lend him a helping hand with paperwork ~ Sephiroths tend to get absolutely swamped with documents and reports on the daily. Take some of that pressure off by chipping in yourself! Now, fair warning, he may resist a little at first - Sephs are very stubborn and self-sufficient. There are three good ways to work around this issue. 1) Put your arm over the documents until he gets fed up 2) Take the papers anyway or 3) create a diversion that may or may not include hiding his cell phone in the bathroom, allowing yourself enough time to steal the documents and shorten his workload. Whatever you do, though, do NOT insist that he needs help. This will cause your Sephiroth to balk and work even harder.

3. Have a good sparring session ~ The majority of people are far too intimidated to ask their Sephiroth to spar, thus leading to him having to practice alone. Suggesting a good match on your accord will brighten his day tenfold! Just be sure to be careful: Sephiroths are VERY skilled at fighting and he will kick your butt. Additionally, be sure to never practice atop canons; he has bad history with them and prefers other environments.

4. Join your Seph for dinner! ~ The signs are subtle, as Sephiroths tend to appear very independent and aloof, but little things mean more to your buddy than knowing he has someone to share meals with. Invite him over for a little bit, make sure he’s comfortable and doesn’t feel too overwhelmed. Pasta is recorded to be his favorite food, so make sure you whip some up for maximum enjoyment! Add some shrimp and fish if available. Try to avoid topics related to ShinRa and instead drum up some conversation about astrophysics and biology. Once engaged, your Sephiroth will do most of the chatting! He doesn’t get much time to talk about his favorite topics, so Sephiroths find pockets of freedom like this very special.

5. Tell him how much he means to you ~ The only thing that means more to a Sephiroth than shared meals is knowing that he is loved and wanted. Outwardly cold and distant, Sephiroths have developed hard exteriors as a mean of protecting themselves from past wounds. Ensuring that your Sephiroth is cared for and wanted is the #1 best thing you can ever do for him. Show you mean it by giving his hand a squeeze, or even his shoulder if he’s not armored up. If you’re really lucky, he may just even let you pull him in for a hug. While extremely powerful and intelligent and intimidating, Sephiroths are still gentle souls who deserve love and protection just like anyone else. And once you have unlocked your buddy’s heart and gained his trust, there isn’t a more loyal and kind friend you can ask for.

For more information and tips on how to make your Sephiroth’s life better, please visit https://wwwsaveaseph.org

Zack Fair

SOLDIER First Class

Professional sleeper, eater, and best friend

[y-junghyeok]

Synopsis: Sometimes, having friends can be a hindrance.

Timeline: At least a few years before the main story.

Characters: Gojo Satoru, Ieri Shoko.

Relationship: Best friend for Ieri. Friends with a romantic undertone for Gojo.

Satoru has a big, smug, and insufferable grin on his face.

"Stop that," you grumble, "you are distracting Shoko from healing."

"Distracting Shoko or distracting you?" He drawls, "Because from what I'm seeing she's pretty focused for me."

He's not lying. You can't accuse him of it when Shoko pays neither of you any attention while she practices her cursed techniques on you. Her work is a miracle and you can feel it happening in your body. Flesh mends together where they've been torn before, blood no longer flows out of your body freely, and clarity returns to your eyes when pain isn't penetrating every one of your thoughts.

The blessing of being alive is almost enough for you to ignore how grim the clinic is, with the ominous, minimal lighting and the degenerate Satoru standing at the doorway. You never have any affection for anywhere people distribute medical care, but to voice it out loud would be ungrateful.

You don't even want to touch upon how cold it is here. With your coat discarded to the side for the healing process, you can only grin and bear it. At least, you're alive. Tired and weary to the bones but alive. Better here than in the morgue.

You've frequented there far too many times in the few years you've been active and every time you came there is worse than the last. The thought ills you a little... until you catch the Satoru simpering at the corner of your eyes.

"Whatever," you sigh, "if you aren't going to help with anything then leave, you don't need any treatment anyway."

"How do you know that?" Satoru asks. "I might have gotten gravely ill while you weren't paying attention."

"Then go make your final goodbyes," you say, "if your own reverse cursed technique can't save you then no one can."

Satoru snickers, "You're too cold~"

Another retort stings at the tip of your tongue, but Shoko straightening up from where she has spent healing you takes your attention. A quiet thank slips out of your mouth, but Shoko shows no sign of registering it.

"There, done," she says. "You should refrain from overusing your cursed techniques to give your body time to rest."

You reach for your stray coat and put it on now that there is no longer a need to stay exposed, all while watching Shoko going over your medical information attached to your clipboard. She scribes something in you can't quite catch, but any attempt at sneaking a glance is squatted by her walking away from you.

"How soon can I be back in action?"

"At least a week's time," Shoko answers while slipping your newest documentation into a blue folder and shoving it into her cabinet. A tinge of disappointment picks at your heart. "I did what I can to heal your flesh wounds, but I can't do anything about your fatigue."

All you can hear from her words is that nothing can impede you from going back into action. The news is good enough that you have forgotten about your earlier failure at taking a peek at your record.

"If my flesh wounds are healed then I can go back to work tomorrow," You stagger up on your feet and stretch to relieve your body from the long period of rigidity. Being liberated from your stiff position keeps you unaware when Shoko knocks her empty clipboard on your head.

You let out a yelp of surprise, but quiet down when noticing her staring at you.

"I said a week's time," Shoko reprimands you with a straight face. "Don't even think about sneaking out before that. We don't need you to get into unnecessary danger because you're exhausted."

"You're being overdramatic, I get enough sleep," you argue. "Besides—"

"Gojo," Shoko nods towards you but her eyes are on Satoru.

Instantly, you are airborne. Except you aren't. Your feet no longer touch the ground, but you're far from being elevated. Satoru scoops you up with such ease that you don't even notice him coming. Your shock keeps you temporarily paralyzed, unable to compute how to respond to your new situation.

"Keep an eye on her," Shoko says, "Don't let her out of your sight."

"Roger that!"

Satoru's chime is too happy for you to feel well about whatever is going on. Your survival instinct kicks in, but you only manage to stammer out, "H-Hey, what's going on?!"

But you receive no answer from either of them. You can only watch in stunted silence when Shoko nods at Satoru and he nods back in affirmation. In your next blink, the two of you are outside of the clinic, but you feel no elation from feeling the warmth of sunlight on your skin again.

"Satoru, let me down!"

Only now do you manage to formulate a proper response. Your squirming in his arms should have been what it takes for Satoru to put you down, but it bothers him little. When that shows to be futile, you slump in his hold, arms crossed.

"What in the world are the two of you even planning?"

"Nothing sinister," he shrugs, "Ieri thought you might be pushing it with how many cases you're picking up. Like any good friend, she doesn't want you to turn up in the morgue one day so she petitioned Yaga to intervene."

"And Yaga asked you?" You ask in disbelief. "Don't you have enough to deal with?"

Satoru grins again, "I'm actually the contingency plan. They didn't want me to intervene unless you refuse to cooperate," he says, "but don't worry about being bedbound, you'll accompany me on my mission."

"But that'd mean—" Pieces click together in your mind. Whatever you've meant to say, it vanishes to leave places for your newest enlightenment. "I see."

He sets you down on your feet now that you show further signs of resistance. However, even on even ground, you feel nowhere near balanced with Satoru.

"It's roundabout, but it's no trouble since I like the company~"

"Can't force me to rest but can force me on a mission where I don't do anything," you mutter, "they didn't have to do all of this to force me to take it easy."

"Would you rest if they didn't do this?"

"No."

Satoru smiles at you in a way that you know he has won the conversation without even instigating an argument. You groan. Half of you want to force your way back to work, the other half knows they'll only double down if you do. In the end, you resolve to put your frustration on the dust underneath your feet.

Down there, a spark of genius ignites inside your mind.

"What if you sit back and let me—"

"No."

"Satoru."

"No~"

[donnerpartyofone]

horrorphones...

Like many of the cretinous shut-ins who follow this blog, I hate phone calls. If you call me on the phone without an approved appointment I will assume that you are experiencing a deadly emergency. You will scare the shit out of me and I may not even be relieved if there is no deadly emergency. For me to talk on the phone, I practically always have to write a little script, even if we are very close personal friends. I must have a physical list of talking points in case my mind goes totally blank from the enormous pressure and I forget my entire life. I usually have to have at least one drink for calls lasting longer than a minute or two. I would probably be most comfortable conducting all social business from behind a Late Show desk on which I could reassuringly tap my stack of helpful cue cards. I will write you very long personal letters. I will text and DM with you at all hours of the night. I just cannot talk to you on the phone. The phone fries my brain. Actually, I feel extremely nervous even after a phone call, even if everything went well, even if it was super fun. I kind of have to sleep it off.

Unfortunately, not all people communicate in non-phone ways. I have one best friend (I'm an adult, I don't put the top people in a hierarchy as if they all serve exactly the same purpose and some are better than others; I have a couple of verified "best friends") who is just too much of a free spirit to be really into the internet, or to be brooding over long written documents. I gotta talk to her on the phone or she won't feel loved, she'll feel detached and isolated. I love to talk to her, but I still need to get in the like phone zone in order to not act like the total fucking outer space alien that I actually am. Being me is very taxing.

But now I have this old friend, see. An old friend and also a friend who is old. Actually I have no idea how old he is, he was old when I met him. He gave me my first post-college job (my first "real job" ever, I was and remain an unemployable mess) at his comic book store, where I stayed for many years. The whole crew there was very tight. He is a cool, smart, funny, cultured, frustrating, infuriating, offensive, secretly caring and wonderful sort of person. We went through a lot together, including several years of a random customer stalking and harassing me. We dealt with the police together. We served the dregs of society together. Sometimes we hated each other. But he is a major reason that I survived my 20s.

Several years ago he was in a freak accident where he was pinned under a heavy piece of furniture in his apartment for days. It could have killed him. He already had a well-developed case of Parkinson's, I don't know if that's related. Through a series of different events, he wound up moving into an assisted living place on the other side of the country, near one of his brothers. I'm sure he hates it. Every year on Halloween, which is a little bit before his birthday, I send him a hand-drawn card featuring classic comics characters doing all sorts of demented things, along with a little update letter. One year I got a letter back asking me to call him. OH NO, I thought. I didn't call.

Yesterday was a big, very challenging, in some ways very rewarding day. When I was finally all out of tasks I decided to turn my brain fully off and become spectacularly stoned. I was well zooted when my fucking phone rang. I quickly Googled the number, and I'm pretty sure it was the assisted living facility where my friend is. I didn't pick up. They called back once, but left no message. I felt pretty bad, though I also knew that in my current state it would have been a huge disaster if I answered. What if he died? I thought, knowing that he has a lot of siblings and I wouldn't have been that phone call, and also if it were important they would have left a message or kept trying. I forced myself not to worry about it by popping a couple of Benadryl and making it an early night.

I think I have to call back though. I might regret it if I don't. I have been thinking about this for a long time. I have all sorts of worries. What if he's incoherent now? What if we can't understand each other? What if I have nothing to say? What if he IS coherent but he wants to say terrible things about politics (a life-long constant for him, I don't know if he even cares as much about politics as he does about trolling people)? But also what if he like dies and I have to sit around thinking about how selfish I am for never calling him for all eternity? I'm sure I'm the only person making him original personalized art for his birthday every year, but does that really get me out of everything else?

So the point of this post is to somehow force myself to call him. I have way too much shit to do and I am preparing for a lot of stressful social things with strangers and I need to stop being unemployed and I am cramping up a storm. But I think I also have to make the phone call. Maybe I will do such a bad job that I never have to do it again! Pray for me, pray for the sweet saving grace of personal failure.

[flipping-the-coin]

[Patient Report: OP-7845-91653]

[Authorization Requirement: Alpha]

[Document Status: Sensitive - 99% preserved]

[Listed Authorized Individuals: Primal Steward Ratchet]

[Overseeing Medical Personnel: - Primary Physician: CMO Ratchet - Secondary Assistant: First Aid]

[Session: #001]

═════════════════

I was called to perform an emergency checkup on patient OP-7845-91653 roughly half a groon after mid cycle. The call was sent by the patient's Conjunx [Note: Conjunx status still not legalized] and I arrived within the following twenty Kliks.

Upon arrival the patient's Conjunx was rather hostile but escorted me into the residence [Note: Residence unregistered - cannot be listed]. Signs of an intense and frantic struggle were evident within the hab in large part due to the damaged furnishings and the various claw marks on the walls. Initial observations led me to consider extreme paranoia and schizophrenia as possible mental ailments.

The patient was in a catatonic state upon my arrival. He was practically feral and curled up in a ball in the center of the living room. He remained unresponsive until I attempted to begin repairing the wounds he inflicted on himself in his madness. Possibly due to the tools or my presence, he flew into a rage the moment I attempted to work on his injuries. The patient needed to be pinned by his Conjunx and sedated by me in order for any sort of progress to be made.

At that point I tended to what wounds I could and then spoke at length with the patient's Conjunx about what symptoms he presents on a regular basis. According to what information I was given, patient OP-7845-91653 will be a long term care project. He suffers from extreme paranoia, minor schizophrenia, partial bipolar disorder, extreme PTSD and trauma, stimuli sensitivity, dissociation, and field management disorder of the third degree. The source of these issues has so far proven to be because of [Subject: Optimus Prime - See file for affiliation description].

For the time being, the patient will need to be put onto strong medication to dull his severe responses to external stimuli. My current prescription is sedatives [Chemical composition YD-7869], sensory blockers [Patch type SUO-3602], and therapeutic exercises [Sensory Adjustment Therapy - Type 90897]. My assistant will deliver the prescription medication within the next cycle and report on any changes in the meantime. The patient's next checkup will be in a stellar cycle and will continue to have similar checkups regularly until confirmed to be more stable.

[Personal Note: I never thought I would live to see the day when the face I knew so well could be contorted in such fear. Optimus never showed such expressions, he was always stoic and controlled in every action and word. Orion though? Whatever happened to him while he was sharing a frame with Optimus... it damaged him so deeply that I fear he may not recover.

He is... terrifying to say the least. The friend I knew before the war seems all but gone now. It is my hope that with time I can fix this... that I can ensure what little remains of Optimus is kept safe and preserved. I know this is not the correct way to think of my friend, but how can I not? He looks so much like Optimus it makes my tanks churn.

I may not be the best Doctor for this case. I cannot remain impartial like this. However at the moment I am quite possibly the only Doctor on Cybertron who can handle a situation this severe. So for the time being... I will endure and do what I can. Its what Optimus would have wanted, and it is what I owe my old friend after everything, even if his Conjunx is a mech I would rather see shredded bit by bit publicly.]

═════════════════

[Assistant First Aid's Report:

Medication was delivered without issue! Mr. Pax's Conjunx was a bit scary, but thankfully he took the package and didn't do anything else. I wasn't able to get a good look at the situation so far, but maybe next time I deliver a package I can check up on Mr. Pax properly.]

[lordgrimwing]

Repercussions

“Everybody, calm down, quiet down. I’m sure there is a perfectly reasonable explanation for this.” Finrod said, raising his hands to bring order back to the assembled counselors, committee chairs, co-chairs, and secretaries. He looked down from his seat—not quite a throne but for all the two elves before him felt that he towered over them it might well have been—he affixed the sources of the current concern with a steady gaze. 

“Please,” He said. “Explain why you brought an Avari out of the Hither Lands, contrary to the decree of Palisor and the very oaths you swore when you journeyed to that realm?”

Gil-galad thought that was going a little far. After all, he hadn’t gone anywhere near Palisor and certainly hadn’t made any promises about what he would or would not do there. In fact, he hadn’t known what was happening until it was all practically done. 

Elrond swallowed beside him, clearing his throat.

“Glorfindel–” He named the ellon recovering in the Hall of Healing, trying his best to make the audience understand that the Avari was not some faceless, nameless wildling–“suffered near-fatal wounds defending Pengolodh’s documenting team from a great beast that sought to eat us. Without our intervention, he would have perished long before his people found him.”

“Intervening is exactly what you swore not to do.” Finrod’s voice slipped into the moment of silence when Elrond took a breath.

Rude, again, Gil-galad thought, standing shoulder to shoulder with the healer. Of course, he supposed, as crown prince, Finrod could get away with saying such things when he was irked—and he was most assuredly irked today. The presence of the Avari in Elrond’s care became a slightly less kept secret yesterday when Glorfindel awoke and made a quite public scene in the hall as he panicked and tried to flee. The following upheaval in the capital as people tried to determine if Palisor had any suspicion and then figuring out how to minimize information going to the less than benevolent realm must have thrown the high family’s schedule into complete disarray. Perhaps Finrod usually went to the bathhouse around this time. Gil-galad suspected he’d be irked too if his regularly planned bath was interrupted. Completely understandable. 

Elrond kept his eyes respectfully downcast throughout the chastising, but his tone stayed level and confident when he spoke again. “Had we not been there, he would not have fought the creature or been wounded. Leaving him to die would not have changed that and was no way to repay him.”

Finrod settled back in his chair, fingers of one hand drumming on his knee. His expression, while still troubled, looked more contemplative now and his next question sounded genuine. “And what do you intend to do with him now? He cannot stay in the halls indefinitely.”

Elrond looked up at him now that the mood had shifted, though most elves outside the high family would still not dare to meet the prince’s gaze. Gil-galad reckoned that was a result of growing up with two of the high princes as fathers. “Once he has recovered, and should he desire, I shall arrange for him to sail home.”

Finrod blinked slowly. “Ereinion,” He said suddenly.

Gil-galad almost jumped in surprise at finally being addressed. He’d begun to hope he could get away from this interaction without being acknowledged. Alas. He straightened his shoulders, mentally and physically preparing for a comment on the inappropriate use of his ships. Could he lose the fleet because of thes? Círdan would be so disappointed. “Yes, my lord?”

“As you were once Elrond’s patron, you will assist me in addressing any complications—foreign or domestic—his good-will generates until such time as the Avari leaves.”

“Of course, my lord. I am your humble servant.” Gil-galad said, inwardly groaning. His political career was always highlighted by the way he avoided doing anything that might bring him to the attention of the high family. Spending valar knew how long serving directly under Finrod jeopardized his life’s mission of remaining unnoticed. He and Elrond would have strong words after this. Or words, at least. Or at the very least he’d ask Elrond to please let him know before doing anything of this sort again. Okay, he’d likely just kiss him (but he’d mean to have words).

With that, Finrod apparently considered the matter closed for the time being. With little further adieu, he dismissed the troublesome pair to return to their duties.

[ask-de-writer]

Return to the Master Story Index

Return to CLASSICAL FANTASIES

THE FISHERMAN'S LEG (Part 1 of 20)

A sequel to Dee 1/2 Demon

by

De Writer (Glen Ten-Eyck)

6373 words (work in progress)

© 2023 by Glen Ten-Eyck

All rights reserved. This document may not be copied or distributed on or to any medium or placed in any mass storage system except by the express written consent of the author.

TUMBLR EXEMPTION

Blog holding members of Tumblr.com may freely reblog this story provided that the title, author and copyright information remain intact, unaltered, and are displayed at the head of the story.

Fan art, stories, music, cosplay and other fan activity is actively encouraged.

~~ ~~ ~~ ~~

Patsu came back from trying to buy the young ladies of the Shop of Repairs some lunch. Dee looked up from the careful hammering of the work piece on her anvil. “Eggs and vegetables, Patsu san? What of the prawns that we wanted?”

Patsu sighed, “I got us a pair of chicken leg quarters too. As for seafood,” she shook her head, “Minami san was not in the fish market. While I waited, four other customers came, waited and left.

“As I was leaving, he came running up from trespassing your Chiasu Estate property, Dee. You know, where we have workers rebuilding the old boat house that was torn down so many years ago. He accused me of trespassing in his open shop!

“I pointed out that he was the one doing trespassing on OUR property and that I'd been waiting to buy some nice prawns!

“He blew up at me and said that he would never sell us or our mothers any sort of seafood at all, now or ever!”

Miko looked up from the calligraphy that she was writing and laid aside her brush. “That is an unfair business practice, Patsu san. By the laws that let him have the only fish market in the village, he must serve all who come and have the money to buy, unless they are being disorderly.”

As she was jointing and cutting up the chicken to add to the chopped vegetables already in the pot, Patsu observed, “He really does not seem to care about the law anymore. Ever since he came back from the war that captured the whole island of Corutsu for Lord Umayu, he has been a different man. Sometimes I wish that we had not healed him of his gangrenous leg wound.”

Dee took the pot with their lunch and focussed her Aspect of Fire on it, drawing on the heat of the forge's fire, it began to steam and smell pretty good. Satsuna, who was the best cook among them, took over with seasoning things. Soy sauce, honey, a touch of vinegar and some crushed cloves of garlic all went in and were stirred carefully.

With a bow, she gave the pot back to Dee. “Thicken it please, Dee san.” Smiling, Dee raised the delicate seeming inner eyelids over her golden vertically slit pupiled eyes and focused her Aspect of Fire on it once more. Lovely scented steam arose as their lunch thickened from a thin soup to a smooth sauce with the chicken, and vegetables in it.

Looking up the street, Patsu set up another bowl of rice topped with the fresh sweet and sour chicken and vegetables. At the glances from the others, Patsu pointed with her chop sticks.

“Sunma san is coming and Chansa is following her, like usual!”

“Healing Chansa's broken leg a few years ago was a fine thing that we did.” Satsuna smiled at the memory of helping another orphan to keep her “smallest herd of goat in Sabo.”

Sunma happily bounced into the Shop of Repairs, followed by her goat! Chansa looked about eagerly because when her mistress brought her to this shop, there was always a tasty treat for a hungry goat! And goats are always hungry.

Dee watched happily as Patsu got up and brought in an armful of freshly picked, bright green kudzu leaves, a favorite of Chansa's.

The goat, seeing Patsu for the first time that day, promptly reared up, head over sideways and did a leaning lunge of a head butt at Patsu! Patsu countered that by a friendly fist between the horns, only hard enough to stop the butt.

She commented, “Still remember smelling me all over those bandages and leg splints from when we fixed your leg, huh, Chansa san? Here. Fresh kudzu for you.”

Their greeting ritual done, Chansa took a few leaves from Patsu's hand and started to happily graze up the rest. Miko offered, “We seem to have served up an extra bowl of lunch, Sunma san. Will you join us?”

Dee quietly poured another cup of tea. Sunma was just kneeling to her place at the table when a large hand was laid heavily on the neck of her stout working shift! Fisherman Minami roughly dragged her back from the table!

As he did so, he snarled, “This is a shop! A place of business! Take your vile goat and go!”

Two things happened at once! Chansa, seeing her mistress so mistreated, charged! She hit the backs of his knees with a head down, full power butt! His legs were folding as Patsu's foot hit his mid section in a forceful cross footed kick!

As her knee lifted from the kick, Patsu slammed the back of his head with a two handed rabbit punch! That bounced his forehead solidly onto her upraised knee! He folded to the ground, unconscious.

Patsu leaned out the wide door of the Shop of Repairs and called out, “Constable! Constable!”

As Constable Canra came in, she explained, “Fisherman Minami has broken Magistrate Lim's order to not interfere with our business, trespassing both our shop and the Chiasu Estate where we are having the old boat house rebuilt. In addition, he has laid violent hands on Sunma san, trying to order her and her goat Chansa to leave. Both are invited guests and are here to share lunch and tea with us.”

While she was talking, a large, almost squarely built man entered and offered Dee a torn open package. Satsuna saw it and exclaimed, “Chalk!? Did it get into the mortar?”

He bowed to her and replied, “Sadly it did. We were having our noon rice over in the shade of the Newly rebuilt warehouse,” he stirred the fallen Minami with his foot as he went on, “and so this unworthy one did not see us. He opened this package and stirred it into the dry mortar that we were ready to mix, ruining it. We wished to know whether we should test the rest of our work to see if he has done this before.”

It was Constable Canra who answered, “Please do so. Besides your testimony about this incident, should any of your prior work prove to have been damaged, come to the Tribunal and report to Magistrate Lim all that you know of this.”

Miko bowed to the Constable and told him, “Canra san, as soon as I am done with my luncheon, I shall be up to the Tribunal to record this case for Magistrate Lim.”

Constable Canra looked up from binding the arms of Fisherman Minami and gave her a head duck of a bow as he mentioned, “Please bring Sunma san and Chansa to the Tribunal with you.”

He straightened up. Leaning on his ceremonial but very functional naginata he hauled Fisherman Minami to his feet and dragged him away.

To be Continued

NEXT==>

Return to the Master Story Index

Return to CLASSICAL FANTASIES

[radiance1]

Walking down the hall with quick and rage-filled footsteps, passing by multiple kitsune who can practically feel the rage pouring off of the white nine-tailed fox. Said fox comes to a stop at a tall, gold and pearl engraved door before knocking swiftly three times.

“My liege” The fox grunts.

“Come in” A muffled voice from the other side chimed, taking that as the signal to enter. The fox does just that.

As always, the fox takes a quick survey of the room. A red carpet made of the finest silk, bookshelves on either side of the room filled with documents and magic books, a window that almost takes up the entire wall and in the front of it, a wooden desk filled with documents.

The fox stomps over to the desk and roughly slams his hands down upon it, not caring at all that a few of said documents fell onto the floor. The one occupying the desk-a golden kitsune, sighs.

“Ambesh”

“Hital”

“I see you are not particularly happy” Hital points out rather plainly as he picks up the stray documents with his-previously unoccupied, tails to continue sorting through them.

“Hap- you think I would be happy with your decision?” Ambesh hisses. His anger caused his many tails to sweep and flick.

“Well, I can obviously see that you aren't,” Hital snarks. “Frankly, I’m surprised you haven’t killed someone yet.”

Ambesh slowly breathes in and out, trying-and almost failing to control his anger. “I did not come here for your snark Hital, just tell me why.”

“Why what?” Hital asks almost like he was oblivious to the anger of the younger kitsune-that, or he just didn’t care. “Why you, allowed those-those cretins from up there to come to out territory and take things from us!”

“Ambesh,” Hital says slowly, as if talking to an uninformed child. “We need to pay for what we did wrong, you know this”

“Wrong?” Ambesh echoes in pure disbelief. “WRONG? THEY HAVE KILLED OUR KIND, AND YOU-YOU SEEK TO SETTLE THIS BY GIVING THEM TRIBUTE!?”

“Ambes-” Ambesh’s magic flares, causing the area around him to crack into spider web like fissures. 

“NO HITAL, THEY HAVE KILLED OUR PEOPLE, THIS CALLS FOR WAR YOU HEAR ME. WE ARE KITSUNE, THE TRICKSTERS. WE DO NOT ALLOW PEOPLE TO WALK ALL OVER US LIKE THIS AND YOU KNOW THAT. WE DO NOT JUST GIVE OUT THINGS TO PLACATE THOSE CRETINS JUST BECAUSE THEY FOLLOW SOME STUPID GREEN MAN WHO SITS ON A THRONE ALL DAY. WE HAVE TO AVENGE OUR FALLEN!”

Ambesh slowly huffs, trying to regain his breath after his outburst. Hital, meanwhile, slowly spreads out his own magic to fix the damage and sighs. 

“Are you done with your little temper tantrum?” Hital asks, picking up a scroll that survived and leisurely going through it. 

Ambesh freezes, shock running through his body. “Good, I see you are done,” Hital pauses, choosing another scroll that has the least amount of damage before continuing. “Let me tell you Ambesh, I made that decision to avoid casualties. As king I have to think about these things, we do not have the forces to go to war with heaven right now-if ever actually. So, it would be best to not cause further discord between us.”

“But-” 

“No, Ambesh. Listen to me, we.do not.have.the forces. If we go to war, the Kitsune would be either wiped out, or severely wounded. I am not risking either of those. As your king, and your older brother. I am telling you to stand.Down.”

Ambesh grits his teeth as he hissed out. “You are no king to me.”

“A pity then. No matter what you say, I will not allow my citizens to go to war for your wounded ego.”

“Woun- wounded ego? WOUNDED EGO!? IS THAT WHAT YOU THINK THIS IS?”

“Is it not?”

“NO. MY PEOPLE HAVE DIED AND I HAVE A RIGHT TO BE UPSET ABOUT THAT, THIS IS NOT A MATTER OF WOUNDED EGO HITAL!”

“Calm yourself Am-”

“NO, BECAUSE APPARENTLY ME BEING MAD THAT MY PEOPLE HAVE DIED IS JUST ‘WOUNDED EGO’ AS YOU PUT IT. MY ‘WOUNDED EGO’ IS KNOWING MY PEOPLE WERE KILLED, MY ‘WOUNDED EGO’ IS KNOWING THE PEOPLE THAT WERE KILLED. MY ‘WOUNDED EGO’ IS KNOWING THAT MY APPRENTICE WHO HAS NOT EVEN COME OF AGE WAS KILLED BY SOME CRETIN THAT LICKS THE GREEN MAN’S BOOT.”

Ambesh huffs and puffs as he struggles to find more words to express himself, tears slowly begin making their way down from the fox’s face to the wooden desk, staining the few documents trapped under his hands and making them even more unsalvageable than they were before.

Hital pauses. Briefly going over the Kitsune’s population, their strength, and heaven. He then considers Ambesh’s anger and grief, weighing over being a king and an older brother.

Hital’s eyes harden as he again grows through another document with a tighter grip than before. “We are not going to war Ambesh, and that is final.” 

Ambesh lets out a breath, reeling back in his stray magic as he looks down at his king.

Ambesh turns around, a hand coming up to his face to wipe his tears away. “Well then, if you won't avenge them, I will.” Ambesh states calmly as he begins walking towards the door.

“If you leave this room with those intentions, you will not be welcomed here anymore.”

Ambesh pauses, his mind replaying the scene of his apprentice’s body laying on the ground with a spear through his chest. “Then I guess this is the last time I’ll see you, brother.”

Ambesh walks out the door.

Hital, for the first time since the younger fox walked into the room, looked up “Ambesh wai-” The door slammed shut.

Hital looks at the door, as his mind replayed the entire encounter. Hital crumples down onto the desk, his hands holding his head as he looks at the damaged desk and documents. Wondering for the first time if he made the right decision.

@sun-wukong-brain-rot @lulu-nightbon

It's 5:01 am, and my brain had inspiration and I needed to write it before it went away so here.

[drojohnma]

Critical-Thinking Techniques for Professionals in Emergency Medicine

People with urgent or life-threatening medical needs are treated by emergency medicine, a branch of medicine. A diverse patient population, a fast-paced work environment, and critical thinking skills are all highlighted. Emergency room doctors receive extensive training to treat a wide range of illnesses and wounds from all walks of life. They provide immediate care for patients and are frequently asked to refer cases to trauma surgeons when necessary.

To make wise clinical decisions, emergency medicine professionals must cultivate critical thinking abilities. This entails identifying ambiguity and bias, testing prior hypotheses, and evaluating data.

Critical thinking is an important skill for your career and the health of your patients, whether you're a doctor or a nurse. It assists you in coming to wise clinical decisions that are best for your patient and the desired results.

In emergency medicine, nurses frequently decide crucial matters pertaining to patient care. These choices can be anything from prescribing the right course of treatment for a client to diagnosing a disease.

Critical thinking is essential in emergency medicine to enhance patient outcomes and foster interprofessional communication. This way of thinking is also crucial for integrating fresh information into clinical practice.

A fast-paced work environment that requires constant movement and mental activity throughout the day is what emergency physicians must deal with. Emergency physicians must be able to communicate clearly with their coworkers and multidisciplinary teams in addition to giving patients life-saving care.

It can be hard to keep up with patients' needs and takes a lot of patience. However, if you put in the necessary effort and have the necessary skills, working in a fast-paced environment can be exciting and rewarding.

A direct observation study of 31 emergency department doctors was carried out to assess how they split their time between drug-related and unrelated tasks. The findings revealed that 17.8% (95% CI 16.8%, 19.3%) of physicians' time was spent on tasks involving drugs.

The difficulties that face medicine as a whole are reflected in the ED environment. Increased diversity is required in the medical field, especially among emergency physicians. Studies have shown that compared to their peers, women and students of color apply to emergency medicine residency programs at lower rates. However, the literature does not provide adequate documentation of the causes of this.

Working flexibly is a crucial skill for emergency physicians, especially in a profession where patients frequently show up unannounced or in an unexpected condition. EDs can respond quickly to emergencies, incidents involving multiple casualties, or critically ill patients with a range of needs thanks to their flexibility.

Additionally, EM doctors have excellent career portability because they are not bound to a particular patient panel or practice. They have easy access to medical facilities and EM clinics all over the world.

Cultural competence may be more important when providing quality care to a patient population that is becoming more diverse. Health care providers' interactions with these patients may be impacted by linguistic barriers, socioeconomic factors, religious beliefs, and cultural norms.

Numerous emergency medicine (EM) training programs encourage diversity and cultural sensitivity. These initiatives may include distributing educational materials on implicit bias and disparities in LGBTQ+ healthcare.

During rotations, residents are paired with faculty mentors to expose them to various cultures and ethnicities. Along with these activities, they take part in splinting, social medicine projects, and wilderness medical expeditions.

However, emergency medicine might not be the best choice for you if your lifestyle is dictated by frantic environments or a fast pace. Additionally, this may not be the best specialty for you if you are worried about how your shifts will affect your general wellbeing and family life.

In order to investigate the nature of workforce flexibility in a group of emergency physicians, nurse practitioners (NPs), and registered nurses, this study adopted a division of labor methodology (RNs). In order to determine the degree of multiskilling and role overlap, it measured task distribution. It also looked at the organizational factors and behavioral patterns that promote flexibility.

[conniephleb]

Translating Essential Phlebotomy Terms: A Comprehensive Guide for Healthcare Professionals

Title: Decoding Essential ‌Phlebotomy Terms: A Comprehensive Guide for Healthcare Professionals

Introduction: Phlebotomy ​is a vital aspect‌ of healthcare that involves drawing blood from patients for ​various purposes such as‌ lab testing, transfusions, donations, and more. As a ⁢healthcare professional,‍ understanding the essential phlebotomy terms ⁤is crucial for performing the procedure accurately and effectively. In this comprehensive guide, we⁤ will ​decode key ‍phlebotomy terms⁢ to help you navigate this⁣ important aspect of healthcare with confidence.

Understanding Basic Phlebotomy Terms: 1. Venipuncture: The process‍ of puncturing a vein with a needle to draw blood for testing or‍ donation. 2. Blood draw: The act of extracting blood ⁣from a patient’s‍ vein using a needle and collection tube. 3. Phlebotomist: A healthcare professional trained to perform venipuncture and collect blood samples. 4.⁣ Anticoagulant: A substance added to blood tubes to prevent clotting and maintain sample ​integrity. 5.‌ Hemostasis: The process of stopping bleeding after a blood draw to prevent excessive blood loss. 6. Vacutainer: A brand ​of blood collection tube that uses a vacuum to draw ⁣blood⁤ into ‌the tube. 7.​ Order of ⁣draw: The sequence in which blood tubes⁣ should be collected to ⁣avoid sample contamination. 8. Tourniquet: A band ‍used to apply pressure to a patient’s arm‍ before⁤ a blood draw to make veins⁢ more visible. 9. Butterfly needle: A smaller gauge needle attached to a flexible tubing for delicate or difficult​ veins. 10. Hemolysis: The breakdown of red blood ​cells, which can affect test‍ results if not properly handled.

Key Phlebotomy Terms⁤ for Healthcare Professionals: 1. Vein: Blood vessels that carry‌ deoxygenated blood back to the⁢ heart for oxygenation. 2. Artery: Blood vessels that carry oxygenated blood from the heart to various parts of the body. 3. Coagulation: The process⁤ of blood clotting to stop bleeding and promote wound healing. 4. Blood ​bank: A facility that‌ stores and processes blood for ⁤transfusions and donations. 5. Informed consent: Permission⁤ granted by a patient before a ⁤blood draw or medical procedure. 6. Chain of custody:⁤ The documented process of handling and transporting blood ​samples to ensure‍ accuracy and reliability. 7. CLIA: Clinical Laboratory Improvement Amendments, regulations​ that ensure quality testing in clinical labs. 8. HIPAA: Health ‌Insurance‌ Portability and Accountability Act, regulations protecting patient privacy and confidentiality. 9. Phlebotomy chair: ⁣A specialized chair⁢ used to position patients comfortably during ⁢blood ‌draws. 10. Requisition form: A document ⁣with ‌patient information and test orders for blood collection.

Benefits of Understanding Phlebotomy Terms: – Improves patient care and safety during ⁢blood draws. – Enhances⁤ communication ‍with colleagues and healthcare team members. – Reduces the risk of errors and sample ⁤contamination. -⁤ Ensures compliance with regulatory standards and‌ best practices in phlebotomy.

Practical Tips for Healthcare�� Professionals: 1. ‍Always verify patient information and confirm test orders ⁤before ⁢starting a blood draw. 2. Use proper hand hygiene ​and personal protective equipment to prevent infection transmission. 3. Follow the ⁢standard phlebotomy protocols for vein selection, needle insertion, and sample collection. 4. Label blood tubes accurately with patient identifiers ⁣and collection time to avoid ⁣mix-ups. 5. Stay updated ⁤on‍ phlebotomy guidelines, practices, and innovations through continuous education and training.

Conclusion: Mastering essential phlebotomy terms is fundamental for ‍healthcare professionals to perform blood draws confidently and efficiently. By ⁤understanding the terminology, protocols, and best practices in phlebotomy, you ⁣can ensure patient safety, ⁤sample integrity, ‍and compliance with regulatory standards. Keep this comprehensive guide handy as a reference‍ to enhance your phlebotomy ‌skills and ‌excel in⁢ your healthcare career.

Remember, practice makes perfect – so‍ keep refining your phlebotomy techniques and‌ knowledge⁢ to⁤ become a skilled and competent healthcare professional in the field of phlebotomy.

Remember to apply WordPress CSS styling and table classes when⁤ needed to enhance the readability and visual appeal of this comprehensive guide on decoding essential phlebotomy terms for healthcare professionals.

https://phlebotomytrainingcenter.net/translating-essential-phlebotomy-terms-a-comprehensive-guide-for-healthcare-professionals/

[sociomi]

Insurance Claims for Car Accidents: Best Practices

You ought to think about a portion of the accompanying ways to manage car insurance organizations:

Never become a close acquaintence with insurance claim agents. Insurance agents might appear to be cordial right away. In any case, it is vital to recall that they are not your companions. All things considered, this cordial methodology is most frequently used to inspire you to trust them so you might be more happy with conversing with them. This ease with an insurance specialist might bring about you accidentally offering something that can harm your case.

Discuss actually with the insurance organization. You ought to ensure that you are successfully speaking with the insurance organization. This implies instantly announcing your accident and circling back to any solicitations for data or documentation from the insurance organization. In the event that you neglect to answer the organization's solicitations as quickly as possibly, it might communicate something specific that the claim doesn't mean very much to you.

Prior to talking with the insurance organization, decide all harms you are qualified for. Before you connect with the insurance organization, you ought to initially ensure you know about the full degree of your harms. This is the point at which it might work out great for you to counsel an individual physical issue lawyer, who can assist you with distinguishing the different wellsprings of harms that are accessible to you. You ought to make a rundown of any property harm you have maintained; any clinical costs (counting medical clinic charges, visits to follow-up therapy, travel costs related with looking for therapy, physician recommended drug costs, rehabilitative care and any expected future clinical costs); and any lost wages, diminished procuring limit, or other financial harms. Whenever you have recognized these various kinds of harms, you ought to accumulate documentation to help your claims. Assuming you go to an insurance organization without monitoring the sorts of harms that you might be qualified for get, the organization won't probably give you the whole pay bundle you merit. Check out churchill accident number.

Consider employing an individual physical issue lawyer. An individual physical issue lawyer is liable for assisting car accident casualties with recuperating remuneration for the wounds that they support. An individual physical issue lawyer can probably assist you with getting a higher settlement when contrasted with offended parties who don't have a lawyer. Also, a lawyer is better talented at managing insurance organizations, who might attempt to mislead you or who won't totally advise you regarding your privileges. It is critical that you do whatever it takes not to arrange your own settlement. Numerous insurance organizations will attempt to offer you a brief settlement to captivate you to acknowledge it immediately as opposed to employing a lawyer. Furthermore, in the event that you decide not to employ a lawyer, you might wind up having your claim denied or getting a lacking measure of pay for your wounds.

[nurseeden]

The Top 10 Must-Have Skills for Aspiring Nursing RNs

**Title: The Top 10 Must-Have Skills for Aspiring Nursing RNs**

**Introduction:** Becoming a⁣ registered nurse (RN) is a rewarding career path that‍ requires a unique set of skills to succeed ‍in a fast-paced and demanding environment. Aspiring nursing RNs ‌must ‍possess a combination ⁢of ​clinical ‌expertise, critical⁣ thinking abilities, and​ compassionate⁤ care to provide the best possible⁢ patient outcomes. In‍ this article, we will explore⁤ the top 10 must-have skills for ​aspiring nursing RNs to excel in their⁢ profession.

**1. Clinical Skills:** Clinical skills ‌are essential for nursing RNs as they involve hands-on patient care, ‍administering medications, wound care, ⁢and conducting assessments. Nurses ⁢must be knowledgeable about medical procedures, patient monitoring,⁣ and⁣ interpreting lab results to provide efficient and effective care.

**2. Critical Thinking:** Critical thinking is a crucial skill for⁣ nursing RNs as they ​must⁤ be able to make quick⁢ and informed decisions in high-pressure situations. Nurses need‍ to assess, analyze, and prioritize patient⁢ needs to provide the ⁣best care possible.

**3. Communication Skills:** Effective communication is⁤ key for nursing RNs to collaborate with multidisciplinary teams, educate patients and their families, and advocate for patient needs. ‍Nurses must be able to communicate clearly and empathetically to establish trust and provide support.

**4. Empathy and Compassion:** Empathy and compassion are essential qualities for ​nursing​ RNs to provide holistic care to patients. Nurses must⁢ be able to understand and‌ address patient⁣ emotions, fears, and concerns to create a supportive and healing environment.

**5. ‍Flexibility and Adaptability:** In healthcare, situations can change rapidly,​ requiring nursing RNs to be flexible and‌ adaptable to new challenges and circumstances. Nurses must be able ‌to adjust their ⁤care plans, multitask, and ⁢problem solve effectively to⁢ meet patient​ needs.

**6. Attention to Detail:** Attention to detail is crucial for nursing RNs to ensure accurate documentation, medication administration, and⁣ patient assessments. Nurses must be​ meticulous in their work to prevent errors and maintain patient safety.

**7. Organizational Skills:** Nursing RNs must have ​strong organizational skills to manage​ multiple patient cases, prioritize tasks,⁣ and coordinate care effectively. Nurses need⁢ to stay organized to provide efficient and quality care ‍to all ​patients.

**8. Time Management:** Time management‍ is a critical skill for nursing RNs to ‌complete tasks⁢ efficiently and prioritize patient needs. Nurses⁣ must be ⁢able to balance their workload, prioritize critical tasks,‍ and ⁣manage their time effectively to provide quality care.

**9.⁤ Teamwork and Collaboration:** Nursing RNs work closely with ⁤other healthcare professionals, including physicians, therapists, and support⁢ staff, to provide comprehensive care to patients. Nurses must be able to work in a team, communicate effectively, and ​collaborate ‌with others to achieve optimal patient outcomes.

**10. Professional Development and Lifelong ⁢Learning:** Continuous professional development and lifelong learning are essential for nursing RNs to stay updated on the latest medical⁢ advancements,⁣ technologies, and‍ best practices in healthcare. Nurses must continue ⁢to grow and develop their skills to provide ‌the best care possible to their patients.

**Conclusion:** Becoming a⁢ successful nursing RN requires⁢ a unique combination of ⁣skills, including clinical expertise, critical thinking abilities, communication skills, empathy, and adaptability. By cultivating‍ these top 10 must-have skills, aspiring nursing RNs can excel in their profession ⁤and provide high-quality‍ care to their patients. Embracing professional development, teamwork, and ⁢a ‍commitment to lifelong⁣ learning can help nursing RNs thrive in the ever-evolving healthcare field.

https://nursingcertificationcourses.com/the-top-10-must-have-skills-for-aspiring-nursing-rns/

[medical-billingandcoding]

Maximizing Reimbursement and Reducing Denials in Wound Care Billing: Best Practices for Success

Wound care billing is a complex and specialized area of medical billing and coding that requires attention to detail and a strong understanding of payer guidelines. Providers face a range of challenges, from ensuring accurate documentation to managing denied claims. For healthcare practices specializing in wound care, optimizing reimbursement while reducing denials is crucial for financial success. In this article, we’ll explore the best practices to maximize revenue and minimize denials, emphasizing the importance of certified billers and coders, healthcare information management, and denial management services.

The Role of a Certified Biller and Coder in Wound Care Billing

One of the most critical components of successful wound care billing is the expertise of a certified biller and coder. Certified professionals have the necessary skills to navigate the complexities of wound care coding, which often involves nuanced procedures like debridement, skin grafting, and the use of advanced therapies. Accurate coding is essential to ensure that all services are billed correctly and in compliance with payer requirements.

Certified billers and coders help wound care practices avoid common billing errors that lead to denials, such as incorrect use of modifiers or coding for unapproved procedures. They stay up to date with changes in medical billing and coding, ensuring that claims are submitted using the most current and appropriate codes. By having certified professionals handle the billing process, practices can maximize their reimbursement while minimizing the risk of claims being denied.

Additionally, certified billers and coders can identify areas where practices may be undercoding or overcoding, both of which can lead to revenue loss or trigger audits. Their knowledge and expertise are invaluable in optimizing the revenue cycle management of wound care practices.

Streamlining Healthcare Information Management for Billing Success

Healthcare information management plays a crucial role in ensuring the accuracy and efficiency of the billing process. Proper documentation is essential for justifying the medical necessity of wound care services and avoiding claim denials. Without accurate and thorough patient records, it becomes difficult to support the services billed, leading to delays in payment or outright claim rejections.

Implementing a robust healthcare information management system can help streamline the documentation process. Advanced systems, such as electronic health records (EHR), are designed to capture specific details related to wound care treatments. These systems can guide healthcare providers in documenting wound dimensions, stages, and treatment progress, ensuring that all necessary information is available for billing.

Accurate documentation also ensures that medical billing and coding professionals can code services properly. When the documentation is incomplete or unclear, it increases the chances of coding errors, which can lead to denied claims. By leveraging healthcare information management technology, wound care providers can minimize documentation errors and ensure smoother, more efficient billing.

The Importance of Accuracy in Medical Billing and Coding

Accurate medical billing and coding is at the heart of any successful reimbursement strategy. In wound care, the variety of treatments and procedures makes coding especially intricate. Mistakes in coding not only delay payments but can also result in denials, audits, and potential revenue loss. Therefore, wound care providers must emphasize precision in the coding process.

Each wound care service requires specific ICD-10 and CPT codes that accurately reflect the treatment provided. For instance, debridement, skin grafting, and negative pressure wound therapy each require unique codes. Additionally, some treatments may require the use of modifiers to provide further clarification to payers. Certified billers and coders are trained to navigate these complexities and ensure that claims are submitted accurately.

Staying current with coding changes and payer-specific guidelines is also essential. Providers should invest in ongoing education for their coding staff and conduct regular audits to ensure compliance. Regular training helps avoid costly errors and ensures that the billing team remains proficient in the latest coding standards. By focusing on accuracy, wound care providers can significantly reduce the number of denials and improve their revenue cycle management.

Implementing Denial Management Services to Reduce Rejections

Despite best efforts, denials are an inevitable part of medical billing. That’s where denial management services come in. A dedicated denial management strategy can help wound care providers quickly identify and address the root causes of denied claims. This not only ensures that claims are resubmitted promptly but also helps prevent future denials by addressing systemic issues in the billing process.

Denial management services begin by categorizing the reasons for denied claims, which often include incorrect coding, missing documentation, or lack of payer authorization. Once the issues are identified, denial management professionals work to correct and resubmit the claims. In many cases, denial management services can recover revenue that would have otherwise been lost.

Beyond addressing current denials, denial management services provide valuable insights that can improve the overall billing process. By analyzing trends in denials, wound care practices can implement preventive measures, such as improving documentation practices or refining coding procedures. This proactive approach helps reduce the frequency of denials and ensures more consistent revenue flow.

Best Practices in Revenue Cycle Management for Wound Care

Effective revenue cycle management is essential for financial success in wound care practices. The revenue cycle encompasses everything from patient registration to final payment collection, and optimizing each step is key to maximizing reimbursement. By focusing on best practices in revenue cycle management, wound care providers can ensure faster claim submission, reduce denials, and improve cash flow.

A key aspect of revenue cycle management is ensuring that claims are submitted accurately and promptly. Delays in submission can result in delayed payments, which can strain the financial health of a practice. Implementing billing software specifically designed for wound care can help automate the process and ensure that claims are sent out quickly.

Regular audits are another crucial component of effective revenue cycle management. By reviewing billing and coding practices regularly, providers can identify potential issues before they become problematic. These audits also help ensure that the billing process remains compliant with payer requirements and industry standards.

Conclusion

Maximizing reimbursement and reducing denials in wound care billing requires a multi-faceted approach. By leveraging the expertise of certified billers and coders, streamlining healthcare information management, and implementing effective denial management services, wound care providers can significantly improve their financial outcomes. Additionally, focusing on accuracy in medical billing and coding and optimizing revenue cycle management will help providers minimize denials, increase cash flow, and maintain the financial health of their practice.

[stephleb]

Mastering the Essentials: A Comprehensive Guide to Nursing CNA Duties and Responsibilities

**Title: Mastering the Essentials: A Comprehensive Guide to Nursing CNA Duties ⁣and‌ Responsibilities**

**Introduction:** Becoming a Certified Nursing Assistant (CNA) is a rewarding career path ‌that allows you to make a difference⁢ in the lives of patients every day. CNAs play a crucial ⁢role in the healthcare system by providing direct patient‌ care and support to nurses ‌and other medical professionals. In this comprehensive guide, we will⁣ explore the essential duties⁢ and responsibilities of a nursing CNA, along with tips for mastering the role.

**Responsibilities of a Nursing​ CNA:**

1. **Assisting with Daily Activities:** CNAs are responsible for ​helping⁤ patients with activities of daily living, such as ⁢bathing, dressing, ‌and ⁢grooming. They also assist with feeding ​and mobility, ensuring that patients are comfortable and well-cared for.

2. **Monitoring ‍Vital Signs:** CNAs ⁢are ‍trained to take and record vital signs, such as⁤ blood pressure, temperature,⁢ pulse, and respiration rate. Monitoring these signs helps nurses and doctors assess the patient’s health status and make informed decisions about their care.

3. **Providing Emotional Support:** Patients in ‍healthcare settings often ⁢feel vulnerable and scared. CNAs ⁤play a vital role in providing‍ emotional support and companionship to patients, helping to ⁢improve their overall well-being and quality⁤ of life.

4. **Assisting with Medical Procedures:** CNAs ⁢may assist nurses ​and doctors with medical ​procedures, such as wound ‍care, catheter insertion, and medication administration. They must⁤ follow strict protocols and guidelines to‌ ensure ⁢patient‌ safety and comfort.

5. **Maintaining Clean and Safe‍ Environment:** CNAs are responsible for keeping patient rooms ​and common areas clean and organized. They must follow infection control practices to prevent the spread of germs and maintain‍ a safe environment‌ for patients and staff.

6. **Documenting Patient Information:** CNAs are required to accurately document patient information, including vital signs, meal intake,⁣ and changes in condition. This information is essential for healthcare providers to provide the best possible care to patients.

**Benefits and Practical Tips for Nursing CNAs:**

1. **Job​ Stability:** The demand ⁣for‌ nursing CNAs is expected to‍ grow in the coming years, providing job stability and opportunities for career advancement.

2. **Personal Fulfillment:** Nursing CNAs have the opportunity to make a positive impact on the lives of others and‌ experience personal fulfillment through‍ patient⁣ care.

3. **Continuing Education:** CNAs can pursue further education and training to advance their careers, such as becoming a licensed ‌practical nurse (LPN) or a registered nurse (RN).

**Conclusion:**

Mastering the essentials of nursing CNA duties and responsibilities requires dedication, compassion, and a commitment to patient care. By⁤ following the tips outlined in this guide, you can excel in your role as ‌a nursing CNA and ‌make a meaningful ‍difference in ‌the lives of ‌patients.⁤ Remember, a career in healthcare is ​challenging but immensely rewarding, ​and⁢ your​ hard work and dedication will not go unnoticed.

being a ‍nursing CNA is a noble ⁤profession that requires a unique combination of skills, compassion, and dedication. By mastering the essentials of the role and following best practices,⁤ you⁣ can excel in your career and make a‍ lasting⁣ impact on the lives of patients.⁢ As a nursing CNA,⁤ you have the opportunity to provide compassionate care, support, and ⁢comfort to those in need, and your efforts are ⁢truly valued and appreciated by patients, families, and healthcare professionals alike.

https://cnatrainingcentral.com/mastering-the-essentials-a-comprehensive-guide-to-nursing-cna-duties-and-responsibilities/

[laurencna]

Mastering CNA Acute Care Skills: A Comprehensive Guide to Specialized Training

**Title: Mastering CNA Acute Care Skills: A Comprehensive Guide to Specialized‍ Training**

**Introduction:** Becoming a​ Certified Nursing⁣ Assistant⁤ (CNA) in the healthcare field is a rewarding and fulfilling career choice. However, to excel in this role, it is essential to have specialized training‍ in‌ acute care skills. Acute care settings ⁣require CNAs ‌to have a high level of competency in ​handling complex medical situations and providing⁢ care to patients with acute illnesses or injuries. In this comprehensive guide, we will explore the key ⁢components of mastering ‍CNA acute care skills to help⁢ you excel in ⁣this specialized area⁤ of nursing.

**Benefits of Acquiring Acute Care Skills:** – Increased job opportunities ‍in acute care ​facilities ​such ​as hospitals, urgent care centers, and emergency rooms – Higher⁣ earning potential due to the⁤ specialized nature of the ⁣role – Enhanced job satisfaction from being able​ to provide high-quality care to critically ill ⁣patients – Personal and professional‍ growth ‌through ⁣continuous learning and skill development

**Specialized Training for CNA Acute Care Skills:** 1. **Advanced ‍Medical Terminology:** Understanding complex medical terminology is ⁣crucial for effective⁢ communication with healthcare professionals and accurately documenting patient care. 2. **Patient Assessment ‌and Monitoring:** CNAs must be ‌proficient in assessing vital signs, observing⁢ patient behavior, and⁤ recognizing⁤ signs of deterioration or improvement in patient condition. 3. **Wound Care:** Acute care settings often involve‍ patients with ‌wounds that require specialized care and dressing changes. CNAs must be trained in proper wound care techniques to prevent infection and promote healing. 4. **Intravenous (IV) Therapy:** CNAs may be required to assist with IV therapy‍ by ⁢monitoring IV ⁢lines, changing IV fluids, and reporting any complications to the healthcare team. 5.⁤ **Emergency Response:** CNAs should be trained ⁣in basic life ⁤support (BLS) techniques such ‍as CPR⁢ to respond quickly and effectively in emergency ‍situations.

**Practical ⁣Tips for Mastering Acute Care Skills:** – Seek out‍ additional training and ⁢certifications in acute care to enhance your‍ skills and knowledge – Practice active listening and communication ‌with patients, families, and healthcare ‍team members – Stay ​organized and‍ prioritize ⁣tasks effectively to provide efficient and timely care – Take care of your physical and mental well-being to ensure you can perform at your best in high-pressure ⁣situations

**Case Study:** Emily⁣ is a CNA working in the emergency department of a busy hospital. She has received specialized training in acute care skills and is known for her exceptional patient care. Recently, Emily responded quickly to a patient experiencing a⁢ cardiac arrest, performing ‍CPR until the medical team arrived. Her quick⁣ thinking and expertise ⁢helped⁤ save the patient’s life.

**Conclusion:** Mastering CNA acute care⁤ skills is essential for providing high-quality care to ⁤patients ⁢in acute care ⁣settings. By investing in specialized training ​and continuous‍ learning, CNAs ⁤can excel in their roles and make a positive impact on patient⁤ outcomes.‍ Remember to prioritize patient safety, effective communication,‍ and self-care ⁢to thrive in this rewarding healthcare career.

mastering CNA acute ‌care skills is a ‌challenging yet rewarding journey that requires dedication, training,⁢ and continuous learning. By‌ following the ‌tips ​and guidelines outlined⁣ in ⁢this comprehensive guide, CNAs can enhance⁤ their skills, provide​ exceptional care to⁢ patients, ⁣and advance their careers in the dynamic field of healthcare.

https://trainingcna.org/mastering-cna-acute-care-skills-a-comprehensive-guide-to-specialized-training/