knowledge of patience before their arrival

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knowledge of patience before their arrival

Postby zack » Thu Mar 13, 2014 7:08 pm

how much patients information do you have prior to the patient arrival, and what is important and why?
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Re: knowledge of patience before their arrival

Postby stars » Fri Mar 14, 2014 5:22 am

[quote="zack"]how much patients information do you have prior to the patient arrival, and what is important and why?

At list medical history, medication history, list problem .doctor order with if need special requirements
To be prepare for everything
:o :o :o :o :shock: ???? who doing direct patient care
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patient info

Postby sleepy2377 » Tue Mar 18, 2014 5:17 am

Sometimes we get detailed info..."LOVE"

And sometimes we get a generic dr order stating what type of study to run"DISLIKE"
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Postby bduce » Tue Mar 18, 2014 5:48 am

We provide our night staff with a detailed summary sheet/s that includes:
Patient identifiers
Requesting physician
Treating physician (can sometimes be different for inpatients)
Study type
Billing type
Patient acuity (we have an acuity system to manage workloads on each night: normal, high, very high - no more than 2 very high or 1 high and 1 very high per night)
Indications for study
Specific instructions for study
Medications
Sleep diagnoses
Co-morbidities
Current therapies & interfaces (if repeat study)
Usual bedtime
Any special needs (hoist for transfers, dietary needs etc)
Alerts (infection control, allergies, male/female staff only etc)
Medical review date (if from another hospital or clinic)
If ward patient we will have an assessment sheet where we have flagged any specific issues such as oxygen, bariatric issues, mobility/transfers/physio assessments, discharge date, consent confirmation, cultural/interpreter issues, comprehension, IV's, IDCs, acute resuscitation plans)

We also provide the hospital chart in addition to this summary sheet. One of the day staff will go through the charts to assess and note all of these issues/instructions that the physician may not have added into our database. Night staff can go through the database for all of the sleep-related interactions.
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patient info

Postby sleepy2377 » Tue Mar 18, 2014 6:24 am

That is better than getting to the lab...doorbell rings and you see a paralyzed nursing home pt. Then you have to try to cajole a cna to stay with the patient.

My back aches just remembering some of these scenarios
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Postby stars » Tue Mar 18, 2014 6:29 am

After we integrated to EMR much easy. No more surprise
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patient info

Postby sleepy2377 » Tue Mar 18, 2014 6:39 am

My primary job has EMR for the doctors and offices in the system, but we also do outside dr referrals, and then we run into problems with not enough information.

I like the idea of EMR making info more central and easier to access for the medical professionals. :D
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Postby stars » Tue Mar 18, 2014 7:06 am

for now when AASM remove direct referral to sleep central as result everybody patient need see doc in sleep center.
I work for hospital lab our EMR include out and in patient
if patient outside net this office must faxed all information . No HP no study
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Re: patient info

Postby somnonaut » Tue Mar 18, 2014 11:23 am

sleepy2377 wrote:My primary job has EMR for the doctors and offices in the system, but we also do outside dr referrals, and then we run into problems with not enough information.

I like the idea of EMR making info more central and easier to access for the medical professionals. :D


Are you an accredited center?
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pt info

Postby sleepy2377 » Wed Mar 19, 2014 7:12 am

yes
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Postby somnonaut » Wed Mar 19, 2014 11:44 am

Something seems to have gone kablooey in your functioning. As an accredited center there needs to be the H&P in place PRIOR to the Medical Director signing off on the appropriateness of the study request. So, why are you getting these blind outside referrals for studies?
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Postby somnonaut » Tue Apr 01, 2014 12:06 am

Meaningful Use Stage 2 of HIPAA is going into effect April 1. One of the measures, Summary of Care (Measure P224), requires eligible providers who transition their patient to another external setting or provider must provide a summary care record for each transition of care or referral. The summary care record will contain information such as patient allergies, medications, immunizations, problem list, encounter diagnoses, laboratory test results, vital signs, smoking status, patient goals, patient instructions, and care team information.
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