Q&A Chart auditing Body Area

[brownlee47]

When auditing by 95 guidelines, what do you include or look for in the documentation for the head area?

 

[Tamara Lucus]

Here are some things I expect to see documented if it isn't marked "normal".
1. Inspection of head and face-overall appearance, scars, lesions
2. palpation/percussion of face-sinus tenderness or absence of tenderness
3. exam of salivary glands
4. assessment of facial strength

If documentation says "NCAT-normocephalic atraumatic", I count this as musculoskeletal.

 

[Laureen]

I've been told I have a strong face

Seriously tho - nice reply Tammy!