RE: Codes for PICC in DR. OFFICE

[Lynn Hadaway]

Title: RE: Codes for PICC in DR. OFFICE

You are correct that there is no oversight for rogue physicians doing things in their offices that are outside of national standards. The only real control is for nurses not to agree to work under these situations, but this means that the nurse must know of these standards. We can also educate patients and families about the credentials and accreditation to ensure safe practice. There also is a set of practice guidelines for outpatient parenteral anti-infective therapy from the Infectious Disease Society of America. Several years ago, Debbie Benvenuto represented INS and I represented AVA, then NAVAN, on the committee that updated these guidelines. There is a huge emphasis on a multidisciplinary approach. Just don't give in to the economic pressure and lower your standards. Lynn

At 5:19 PM -0700 12/1/05, Rakay Dance wrote:

This may sound like sour grapes but I don't understand why an infection control doc can mix antibiotics on his desk or send them home with patients to mix and an infusion pharmacy has such strict guidelines.  We really strive for excellence and are proud of our JCAHO status, but could be put out of business from doc's trying to boost there income.  They don't even have a pharmacist involved.  Also what can you do about an infection control doc that puts every patient on rocephin, invanz or cubicin because of the once a day infusion that is more convient for him.  What about resistant organisms in our community.  What can be done.  The doc laughs and says there are no 'pharmacy police'.   Rakay

 

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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of KayBeth Weibel, CRNI
Sent: Wednesday, November 30, 2005 10:36 AM
To: list serve
Subject: Re: Codes for PICC in DR. OFFICE

 

Hi Shirley,

 

Your hospital may be getting it's information from the 797 guidelines.  We are a home infusion pharmacy that follows the 797 guidelines and we do not need to filter our final products, unless it is TPN or the drug dictates that it be filtered.  We are not required to filter our antibiotics, because our clean room meets the 797 guidelines, and we only dispense one week of product at a time.  Mostly, we are dictated by a drug's stability in solution.

 

KayBeth Weibel, CRNI

Infusion Network

Falmouth, MA

----- Original Message -----

From: Lynn Hadaway

To: Venz, Shirley ; [EMAIL PROTECTED]

Sent: Wednesday, November 30, 2005 11:19 AM

Subject: RE: Codes for PICC in DR. OFFICE

 

I am not aware of any evidence stating that drugs for XX amount fo days requires filtration. There are some meds that must be filtered for all doses and your pharmacy should know which ones these are. Lynn

 

At 3:30 PM -0600 11/29/05, Venz, Shirley wrote:

Can anyone tell me requirements for filtering IV antibiotics administered more than 5 days?  Our hospital has had that policy for years but I can't find evidence of why.

Thanks, Shirley

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Rakay Dance
Sent: Tuesday, November 29, 2005 2:39 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Codes for PICC in DR. OFFICE

Would anyone have codes for a PICC that is placed in a Dr.'s office?  Equipment, nursing time and all.  I would appreciate the help.   RaKay

 

 

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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861