Average weekly hours: Average weekly hours worked for a full time Registered Nurse is 35.6 hours Employment by region: The top three regions for employment as a Registered Nurse include: NSW: 31.4%. VIC: 24.0%. QLD: 22.6%.
The severity of the patientâs illness and the intensity of services to be provided should justify the need for an acute level of care. An inpatient admission solely because the patient has been kept in observation status over 23 hours would not be considered medically necessary.
Observation status and transfers of care A hospitalist sees a patient admitted to observation for two days, but then decides to admit the patient to inpatient status. The hospitalist references the history and physical exam from his note for the initial observation visit to support billing initial hospital care. Is this OK? I know that Medicare guidelines specify that a previous review of systems (ROS) and past, family and social history (PFSH) can be referenced in a note by stating the date and location that those occurred in the medical record.