I have often had a question about the best way to use the ROS or what is considered best practice. I see everyone do it a different way. I mostly see it done via the ED for coding.
When you are working up a patient or seeing an acute patient, do you:
Ask ROS that would cover far back, like
HEENT: Multiple ear infections as a child, denies eye issues, + strep throats in the past
GU: Denies yeast infections,, + UTIs as a child
or do you make it pertain more to the problem you are working with:
Patient has fever and abdominal pain:
ROS:
HEENT: Denies throat pain, ear pain, congestion
GU: positive for dysuria (if not in the HPI)
________________
I recall being taught that WNL in an exam meant "We Never Looked." and was not to be used
The ED will say the following A LOT:
A 10-point ROS was done and was all negative except for that in the HPI. (Is that worth anything other than coding)?
