5.4 Present on admission analysis Chapter 5 1 competency V.3 Determine the present on admission (POA) status for the following scenarios A newborn suffers a dislocated shoulder during delivery. What is the POA status for the shoulder dislocation? b. A child fell from the jungle gym at the school playground and was taken to the emergency room for treatment since she was complaining of pain in her elbow. She was diagnosed with a supracondylar fracture of the humerus and was taken directly to the operating room. Immedinedelys after surgery, she experienced severe postoperative nausea and vomiting and was then admitted as an inpatient for rehydration. Assign the POA status for the Supracondylar fracture Post-op nausea and vomiting Fall from jungle gym 2. Determine if the following POA status assignments are correct. If the assigned POA is not correct, indicate what change should be made to correct the assignment. a. Physician notes genetic susceptibility for breast malignancy in patient's record Code assigned was Z15.01 POA assigned was Y b. Patient admitted with chest pain. In the progress note of the second day, the physician states the patient had a mild NSTEMI (non-ST elevation myocardial infarction). Code assigned was 121.4 POA assigned was N c. Three days after hip replacement surgery, the physician documents "Rule out pneumonia" in a progress note after noting fever and cough upon examination. At discharge, the physician documents pneumonia as one of the discharge diagnoses. Code assigned was J18.9 POA assigned was Y Resource Optum360. 2019. Present on Admission Reporting Guidelines. Appendix I in ICD-10-CM Expert fc Hospitals. Salt Lake City: Optum