On Thursday 31 May 2007 21:00, Elizabeth Dodd wrote:
> On Thursday 31 May 2007 17:25, [EMAIL PROTECTED] wrote:
> > that was to stop people ripping off the government by seeing well
> >  nursing home patients.
>
> well, i see them whether they are sick or well on a regular basis. some
> fortnights it's money for jam and other times i have 10 person's medication
> charts to write out, someone else's sick patient to see, relatives to speak
> with, mad patients to calm and it isn't financially viable.

The way we have solved the nursing home problem by now:

1.) nursing home staff collect "cases" until they have at least ten (repeat 
scripts, reviews) or at least one real acute case

2.) nursing staff rings surgery and arranges appointments

3.) on appointment day, nursing staff places nursing files open, medication / 
Webster sheet besides, and all vital obs recorded / documented ready for the 
visiting doctor along with prepared Medicare slips (all progres snotes and 
script records are on our computer system, accessible to the doctors via 
remote login there)

4.) doctor sees such patients, writes all required actions/follow ups/ 
medication changes/test requests into a single sheet for the nursing staff 
(and records progress notes etc. on our own computer system via remote login)

That way, we can provide a good timely service to the local nursing home 
without having to subsidize it out of our own pockets nor bother the patients 
with bills - all a matter of organizing and cooperating

Horst
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