Different hospital but sounds familiar.
?1967 or there abouts
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Maureen
Stettner
Sent: Wednesday,
December 17, 2003 12:05 PM
To: [EMAIL PROTECTED]
Subject: Re: Antipsychotic Med Policy
Congratulations on working at Henry
Ford Hospital.
I am an HFH grad- great school even
though we learned by staffing the hospital. Guess what year I graduated.
----- Original Message -----
Sent: Wednesday,
December 17, 2003 11:39 AM
Subject: Re:
Antipsychotic Med Policy
I do seem to have a habit of
starting a firestorm with a lot of my emails, don't I?
Now where in my original comment did
I suggest NOT STARTING a med when the doc wrote the order. On the other
hand, when the doc wrote the order, the nurse taking it off was responsible for
noting the diagnosis on the diagnosis list. So if there wasn't a
diagnosis on the order sheet, she nailed the doc before he left, or left him a
message on the pager.
Since I started out as a midnight
nurse at Henry Ford Hospital in Detroit, we were required to contact the doc 24
hours a day, when needed, regarding orders, especially if you couldn't read
it. I had no problem at all calling either very late or very early and
reminding the poor soul that I needed a diagnosis for the med. Never
needed to call more than once either . . . . (I wasn't really POPULAR
back then, but we got diagnoses!)
----- Original Message -----
Sent: Tuesday,
December 16, 2003 7:23 PM
Subject: Re: Antipsychotic
Med Policy
I appreciate that it's not rocket
science, or brain surgery. I understand the regulations, and although I am the
person responsible for double checking the pharmacy consultant recommendations,
I am not in the position to determine policy for our facility.
I just wanted to know if other facilities have a
policy of not starting antipsychotic medications without the proper
diagnosis. Our MDs have a wonderful habit of writing orders without a dx,
dictating progress notes and it takes a month or 2 for the progress note to
make it to the chart. By that time, the resident has been receiving the
potentially inappropriate medication for a month or 2. It does not seem
like witholding the med until the physician has supplied the appropriate dx
should be a problem, but, again, I am not the one who gets to decide.
----- Original Message -----
Sent: Tuesday,
December 16, 2003 6:37 PM
Subject: Re: Antipsychotic
Med Policy
Forget
asking surveyors how to comply with regulations. In Los Angeles County
our biggest problem is that they do not know the regulations. This year's
survey team 'want' it one way and next year another [or the same] team tell you
it is all wrong.
Read the regulations and develop a policy that meets the needs of your
residents and the facility. It is not brain surgery.
Delores
Could any of you who are
"lurking" surveyors (Yeah, you, MR), send me some guidance (along
with links to supporting regulations, etc)? Also, what are other
facilities doing as far as P/P for antipsychotic meds?
Do you really think that a surveyor is going to tell you how to fix this? It
has been my experience that the surveyors don't and won't give advice of any
kind.
Delores L. Galias, RN, RHIT
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