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Public Health Nursing Documentation Guidelines - Indian Health ...

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<strong>Documentation</strong> and Coding <strong>Guidelines</strong> for <strong>Public</strong> <strong>Health</strong> Nurses<br />

ration in services, such as care team meetings to discuss the overall care of<br />

the client.<br />

D3 = Homeless<br />

If the patient is living in a shelter, transitional housing, on the street, or<br />

temporarily living with friends or relatives, use code D3.<br />

Nurses should review Table 1.1.1 in Section 1.1 to learn the clinic codes for typical<br />

PHN services. To view the complete list of clinic codes, go to the Standard Code Book<br />

Tables on the IHS website at http://www.ihs.gov/CIO/scb/. Click on the Standard<br />

Code Book Tables link and then click on the Clinic link under the Table Name heading.<br />

6.5 Provider Codes<br />

In the upper right corner of the PCC form, the public health nurse fills out the provider<br />

codes, which consist of an affiliation code, a discipline code, and the nurse’s initials<br />

or code. The primary provider is the individual responsible for the overall care<br />

of the patient. All other providers get credit as secondary providers. Provider codes<br />

do not take the place of legal signatures. Each nurse is responsible for using the correct<br />

provider code.<br />

Affiliation<br />

The affiliation code designates<br />

whether the nurse works for the<br />

<strong>Indian</strong> <strong>Health</strong> Service, a Tribal<br />

program, or another entity.<br />

Figure 6.5. Affiliation Code, Discipline Code,<br />

and Provider Initials<br />

<strong>Indian</strong> <strong>Health</strong> Service = 1<br />

Contract = 2<br />

Tribal = 3<br />

State = 4<br />

Municipal = 5<br />

Volunteer = 6<br />

National <strong>Health</strong> Service<br />

Corps = 7<br />

Non-<strong>Indian</strong> <strong>Health</strong> Service = 8<br />

Other = 9<br />

<strong>Indian</strong> <strong>Health</strong> Service Page 6-4

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