Question

A 13 y/o male patient was riding his bike earlier today and accidentally fell off after traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand and subsequently experienced localized pain and swelling to his right wrist. An x-ray of the right wrist shows a distal radial fracture. Now that the results are back, the physician will be ready to discharge the patient home. Which of the following would need to go into this patient's disposition note? (Select all that apply.)

a) F/u with specialist or PCP
b) Consultation note with accepting physician
c) Specific conditions for return to the ED
d) Location in the hospital
e) Condition at the time of disposition
f) Name of the accepting facility
g) Time period for f/u
h) Name of the accepting physician
i) Reason for refusal of tx
j) Timing of disposition
k) Patient mental capacity
l) Mode of transportation
m) Discussion of R/B/A and consequences of refusing tx

Answer 1

The patient's disposition note should include follow up with a specialist or PCP, a consultation note with the accepting physician, specific conditions for return to the ED, and the patient's condition at the time of disposition.

Step-by-step explanation:

The patient's disposition note should include the following:

1. F/u with specialist or PCP: The patient should be advised to follow up with a specialist or primary care physician for further evaluation and management of the wrist fracture.
2. Consultation note with accepting physician: A consultation note should be included in the patient's disposition to communicate with the accepting physician about the patient's condition and treatment plan.
3. Specific conditions for return to the ED: If there are specific conditions or concerns around the patient's recovery that may require a return visit to the emergency department, these should be documented in the disposition note.
4. Condition at the time of disposition: The patient's condition at the time of discharge should be documented, including any improvement or worsening of symptoms.