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Select All That Apply:

Financial insecurity (Z59.86) - Patient has Medicaid or no health insurance and is unable to afford prescription strength medication. Prescribed prescription strength medication.
Disappearance and death of family member (Z63.4)
Domestic abuse or neglect (Z62, Z63)
Food insecurity (Z59.4)
Financial insecurity (Z59.86)
Homelessness (Z59.0)
Imprisonment (Jail / Prison) (Z65)
Low-level literacy and/or illiteracy (Z55.0)
Military deployment status (Z56.82)
Occupational exposure to toxins, smoke, etc. (Z57)
Problems related to unwanted pregnancy (Z64.0)
Problems related to living alone (Z60.2)
Problems related to living in a residential institution (Z59.3)
Transportation insecurity (Z59.82)
Unemployment (Z56.0)
Other:

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Tests Not Ordered Using Clinical Decision Rules: CT Head - New Orleans Criteria CT Head - Canadian CT Head Injury Rule CT Head - PECARN for Pediatrics CT Cervical Spine - NEXUS CT Cervical Spine - Canadian C-Spine Injury Rule CT Chest Angiogram - Wells Criteria for PE RLQ US or CT A/P - Alvarado Score for Pediatric Appendicitis US Extremity - Wells for DVT Knee Xray - Ottawa Knee Rule Ankle Xray - Ottawa Ankle Rule Other: Other: Other: Other:

Common ED Imaging Tests: CT Head CT Maxillofacial / Orbits CT Cervical Spine CT Chest CT Abdomen / Pelvis US Extremity US Right Upper Quadrant US Renal MRI Brain MRI Cervical Spine MRI Thoracic Spine MRI Lumbar Spine MRI Abdomen

XRay Chest XRay Neck Soft Tissue XRay Shoulder XRay Elbow XRay Wrist / Hand XRay Hip / Pelvis XRay Knee XRay Ankle / Foot

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Select All That Apply:

Spouse / Partner / Significant Other Parent Other Family Member Guardian Surrogate Other:

EMS Law Enforcement Physician / Nurse / Health Care Practicioner Caregiver Witness

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Choose A Common Clinical Decision Tool: Chest Pain - Used HEART score to risk stratify patient for admission. (mdcalc.com launch) Pneumonia - Used PSI/PORT score to risk stratify patient for admission. (mdcalc.com launch) Pneumonia - Used CURB-65 score to risk stratify patient for admission. (mdcalc.com launch) Pulmonary Embolism - Used PESI score to risk stratify patient for admission. (mdcalc.com launch) Syncope - Used Canadian Syncope score to risk stratify patient for admission. (mdcalc.com launch) UGIB - Used Glasgow-Blatchford Bleeding score to risk stratify patient for admission. (mdcalc.com launch) LGIB - Used Oakland score to risk stratify patient for admission. (mdcalc.com launch) Sepsis - Patient presented with sepsis and improved with ER interventions, considered admission and made shared decision to not to admit.

- OR -

Identify The Diagnosis (Pneumonia, Cellulitis, Syncope, etc): and Pick A Reason: Shared Decision - Discussed with patient benefits and drawbacks of admission and made a shared decision not to admit. Improvement - Patient initially met criteria for hospitalization and after ER interventions patient improved. Patient Declined - Patient met criteria for hospitalization and declined admission. Other:

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