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Thank you, Rena.
That's exactly the answer to my question, (although not necessarily the
one I was hoping for.) ;-)
Holly
----- Original Message -----
Sent: Wednesday, December 17, 2003 12:42
PM
Subject: Re: Stop the Stereotypes/More
Antipsych stuff
As a standard of practice, it would not be
appropriate for a facility to develop a policy to delay implementation of a
category of physician orders. The facility may adopt a policy developed
in conjunction with the medical director that outlines the components that the
order should contain. The nurses who receive the orders - either via
T.O. or in person at the nurses station - should be trained to read the order
before contact with the physician is broken (either before the nurse hangs up
the phone or before the physician leaves the facility) and to obtain any
needed clarifications on the spot. This should occur for all orders, not
just psychotropic meds.
Rena
Rena R. Shephard, MHA, RN, FACDONA,
RAC-C
Chair, American Association of Nurse Assessment
Coordinators
[EMAIL PROTECTED]
Subj: Re: Stop the Stereotypes/More Antipsych stuff
Date: 12/16/03 6:39:28 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
Very true, Glo. And I am sorry if my original post
sparked any anti-surveyor sentiments. Once again, for the record, I was just
trying to get some confirmation about whether it is "acceptable" or "legal"
to have a policy of not initiating a new antipsychotic medication until the
MD has given an appropriate diagnosis. Our docs have been using
depression and agitation, and then get snarky with me when I try to
clarify. Seems as though it would be easier to have it on paper,
saying, "Dear Doctor. Your order for Risperdal for Resident Sally Swearsalot
has been noted. In order to begin this medication, please indicate the
appropriate diagnosis from the list below. Regulations require that
one of these diagnoses be present in order to justify use of this
med."
Thanks, y'all, for bearing
with me. I am just trying to understand this.
Holly F. Sox,
RN, RAC-C
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent: Tuesday,
December 16, 2003 9:27 PM
Subject: Re: Stop the
Stereotypes
It is true some surveyors are very and some are
not. However, it is my understanding that they are not allowed to give
advice per the Federal govt. I believe it is stated in the State
operations manual. Gloglo
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