|
HFH hasn't moved or changed since I was born!
It has recently (last 15 years) expanded. You graduated from HFH in
'67? I'm impressed. I was still in high school!
----- Original Message -----
Sent: Wednesday, December 17, 2003 12:21
PM
Subject: RE: Antipsychotic Med
Policy
Different hospital
but sounds familiar. ?1967 or there abouts
-----Original
Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Maureen Stettner
Sent: Wednesday, December
17, 2003 12:05
PM
To: [EMAIL PROTECTED]
Subject: Re: Antipsychotic Med
Policy
Congratulations on working at
Henry Ford Hospital.
I am an HFH grad- great school
even though we learned by staffing the hospital. Guess what year I
graduated.
----- Original Message -----
Sent:
Wednesday, December 17, 2003 11:39 AM
Subject: Re:
Antipsychotic Med Policy
I do seem to have a habit of
starting a firestorm with a lot of my emails, don't I?
Now where in my original comment
did I suggest NOT STARTING a med when the doc wrote the order. On the
other hand, when the doc wrote the order, the nurse taking it off was
responsible for noting the diagnosis on the diagnosis list. So
if there wasn't a diagnosis on the order sheet, she nailed the doc before he
left, or left him a message on the pager.
Since I started out as a
midnight nurse at Henry Ford Hospital in Detroit, we were required to
contact the doc 24 hours a day, when needed, regarding orders, especially if
you couldn't read it. I had no problem at all calling either very late
or very early and reminding the poor soul that I needed a diagnosis for the
med. Never needed to call more than once either . . . . (I
wasn't really POPULAR back then, but we got
diagnoses!)
----- Original
Message -----
Sent:
Tuesday, December 16, 2003 7:23 PM
Subject: Re:
Antipsychotic Med Policy
I appreciate that
it's not rocket science, or brain surgery. I understand the regulations,
and although I am the person responsible for double checking the pharmacy
consultant recommendations, I am not in the position to determine policy
for our facility.
I just wanted to know if other
facilities have a policy of not starting antipsychotic medications without
the proper diagnosis. Our MDs have a wonderful habit of writing
orders without a dx, dictating progress notes and it takes a month or 2
for the progress note to make it to the chart. By that time, the
resident has been receiving the potentially inappropriate medication for a
month or 2. It does not seem like witholding the med until the
physician has supplied the appropriate dx should be a problem, but, again,
I am not the one who gets to decide.
----- Original
Message -----
Sent:
Tuesday, December 16, 2003 6:37 PM
Subject: Re:
Antipsychotic Med Policy
Forget asking surveyors how
to comply with regulations. In Los Angeles County our biggest
problem is that they do not know the regulations. This year's
survey team 'want' it one way and next year another [or the same] team
tell you it is all wrong.
Read the regulations and develop
a policy that meets the needs of your residents and the facility.
It is not brain
surgery.
Delores
Could
any of you who are "lurking" surveyors (Yeah, you, MR), send me some
guidance (along with links to supporting regulations, etc)?
Also, what are other facilities doing as far as P/P for antipsychotic
meds?
Do
you really think that a surveyor is going to tell you how to fix this?
It has been my experience that the surveyors don't and won't give advice
of any kind.
Delores
L. Galias, RN, RHIT
STATEMENT OF CONFIDENTIALITY:
The
information contained in this electronic message and any attachments to
this message are intended for the exclusive use of the addressee(s) and
may contain confidential or privileged information. If you are not the
intended recipient, please notify D. Galias, RN, RHIT immediately at
[EMAIL PROTECTED] and destroy all copies of this message and any
attachments. Thank you for your
cooperation
|
