Park Features. 1  Plant Life. Eastern Hemlock, Butternut, Tamarack, Black Willow, Norway Spruce, Black Locust, Northern White Cedar, Witch Hazel, Big Tooth Aspen, Eastern White Pine, Red Pine, Scots Pine, Black Cherry, White Ash, Yellow Ash, Yellow Birch, Beech, Sugar Maple, American Elm, American Basswood, American Hornbeam.
5 Although observation care is not meant to exceed 24 hours, and should only in rare and exceptional cases exceed 48 hours, it is not uncommon for patients to be under observation longer than these time periods.
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.