We had 2 incidences - One where the nurse did not notify the MD when a resident 
complained of chest pain - it was relieved by gingerale (which was also documented) 
surveyors felt should have been reported despite relief because it was "chest pain" - 
can't say I disagree, but I will add Rt. had no negative outcome. Other one was a Rt. 
who had some vascular changes noted in leg - MD called and ordered doppler - could not 
be done for 48 hours - no documentation that MD was notified of the wait time (nurse 
states she did notify - she did not document - MD was called by surveyor and stated 
she was not notified) - we did have a negative outcome with this resident -so hard to 
argue - Sorry I am so defensive - but you know how that goes.
Holly QI in CT

> -----Original Message-----
> From: mdsc [SMTP:[EMAIL PROTECTED]
> Sent: Tuesday, January 27, 2004 10:06 PM
> To:   [EMAIL PROTECTED]
> Subject:      Re: Physician Notification Guidelines
> 
> Failure to Notify physician of what?
> 
>       ----- Original Message ----- 
>       From: Holly McGran <mailto:[EMAIL PROTECTED]> 
>       To: AANAC List Serve (E-mail) <mailto:[EMAIL PROTECTED]> 
>       Sent: Tuesday, January 27, 2004 7:43 AM
>       Subject: Physician Notification Guidelines
> 
> 
> 
>       We recently received a deficiency on "Failure to Notify Physician". My 
> question to the group is - does any one have any guidelines on Physician 
> Notification they would be willing to share? We found one on the AMDA website that 
> was pretty good, but are looking for as many resources as possible. Any help would 
> be appreciated. Thanks in advance.
>       Holly QI in CT
>       
>       /----------------------------------------------------------
>       The Case Mix Discussion Group is a free service of the
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>       Be sure to visit the AANAC website. Accurate answers to your
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>       -----------------------------------------------------------/
>       
>       
> 
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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