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This is not a MDS question but I was hoping for your input. Does
anyone out there have a follow up plan or some sort of check in place to follow
up on labs? When labs are drawn on our resident's the generate a report to
each nursing station and to the doctor's office. Until just recently our
staff would fax the labs to the doctor's office in addition to lab sending
one. It was decided to save time a money that lab would generate the
reports and send to doc. Here's where the problem comes in, had a resident
with an elevated K+ level 5. something. Lab sends report to doctor, when
nursing gets lab they just file it in the chart. For whatever reason doc
doesn't pay any attention to the report given him by the lab, so no new
order's. Two weeks later pharmacy is doing chart review, finds the
elevated K+ and see's that nothing has been done, we get order to re-check K+
and it is an alert value. The resident is sent to hospital for
treatment. Now administration is saying that we should have caught to
problem and reported it earlier. I agree we should have caught the problem
earlier. We are going back to nursing faxing the reports but is anything
else we can do or someother tool to use to catch future problems that might
occur? Thank's a lot for any input.
Michelle
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Michelle Witges
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