----- Original Message -----
Sent: Friday, February 13, 2004 10:04
AM
Subject: f/u plan
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
This message is confidential, intended only for the named recipient(s)
and may contain information that is privileged or exempt from disclosure under
applicable law. If this message contains protected health information (PHI),
it should not be forwarded to any other recipient without the authorization of
the original sender and should be encrypted when possible. If you are
not the intended recipient(s), you are notified that the dissemination,
distribution or copying of this message is strictly prohibited. If you receive
this message in error, or are not the named recipient(s), please notify the
sender at either the email address or telephone number above and delete this
email from your computer.
Thank You.
Michelle Witges
---
Outgoing mail is certified Virus Free.
Checked by AVG
anti-virus system (
http://www.grisoft.com).
Version: 6.0.588
/ Virus Database: 372 - Release Date: 2/13/2004
