tag:blogger.com,1999:blog-18943510.post8924795201797229632..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Polypharmacy Gone WildDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-18943510.post-38506160204144289532008-06-18T04:36:00.000-05:002008-06-18T04:36:00.000-05:00I would find it hard to believe that any system au...I would find it hard to believe that any system automatically charges patients for PRN medications used for the treatment of hypoglycemia. Any revenue integrity department and all insurance auditors would have a fit with this.<BR/>I also find it hard to believe that such treatment protocols are "cookbook medicine." They are simply a way to quickly treat a patients condition, based on the medical Mike Craycrafthttps://www.blogger.com/profile/10815405803509366404noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-46475795221299679162008-06-14T08:18:00.000-05:002008-06-14T08:18:00.000-05:00wealthandtaste - the orders say to call the MD if ...wealthandtaste - the orders say to call the MD if the blood sugar is not above 70 after those interventions. I do not interpret it to say that you should call the MD just to say what you'd done if what you did worked.<BR/><BR/>Yes, orders like that clutter up the order sets. But one gets used to seeing them and filtering them out after awhile.... but when my patient's blood sugar is 60 at 7am Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-2020513939543212642008-06-13T21:53:00.000-05:002008-06-13T21:53:00.000-05:00Muy buen blogSaludos desde ChileMuy buen blog<BR/>Saludos desde ChileJosé Luis Contrerashttps://www.blogger.com/profile/04960594397886076557noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-24786401063280494792008-06-09T22:07:00.000-05:002008-06-09T22:07:00.000-05:00Charging for a drug that the patient did not recei...Charging for a drug that the patient did not receive would be a fraudulent charge and could get the hospital in serious legal trouble if it occurs regularly.<BR/><BR/>Two charging systems are common.<BR/><BR/>If the hospital uses automated dispensing cabinets (eg, Pyxis), then the patient is charged when the drug is removed by the nurse.<BR/><BR/>If the hospital uses a cart fill system, then the Ed Renfro, PharmDhttps://www.blogger.com/profile/11830471952002542929noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-22576491957966444012008-06-09T19:09:00.000-05:002008-06-09T19:09:00.000-05:00Incorrect.Order written for drug = patient charged...Incorrect.<BR/><BR/>Order written for drug = patient charged for drug.<BR/><BR/>Don't know why, but that's the way it is.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-24373493041881949302008-06-09T18:36:00.000-05:002008-06-09T18:36:00.000-05:00Unless the "glucose" is actually given, I seriousl...Unless the "glucose" is actually given, I seriously doubt the patient is charged for this automatically generated order. Many meds are ordered "prn" and patients do not incur costs for a medication they never receive.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-55067470537718639212008-06-09T12:22:00.000-05:002008-06-09T12:22:00.000-05:00it's so interesting because in the locations i tra...it's so interesting because in the locations i trained in, the endocrinologists were the most disdainful of sliding scales. they wanted to round each day and review the many accuchecks and customize on a daily basis the treatments for each patient.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-26232697794984109502008-06-09T11:02:00.000-05:002008-06-09T11:02:00.000-05:00The Devil is in the Details when designing EMR's. ...The Devil is in the Details when designing EMR's. Imagine what a MAR or Nursing Cardex looks like with all these generalted what if orders spelled out. Its a mess and becomes so cluttered with stuff its hard to pick out the important stuff especially with aging eyes like many Nurses have. The sheer volume leads to scrolling to see whats below all the mess which leads to missed items. It would be ERMursehttps://www.blogger.com/profile/15216450801409103637noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-69038431291839279802008-06-08T18:55:00.000-05:002008-06-08T18:55:00.000-05:00There is no place for tailoring this to the indivi...There is no place for tailoring this to the individual patient.<BR/><BR/>What if some patients are known to respond dramatically to glucose? Does that information get figured in? Does the doctor have to override the automatic order? Is it possible to override the automatic order?<BR/><BR/>Or, more likely, a patient is known to require a lot more than the standard dose of glucose/D50 to raise the Rogue Medichttps://www.blogger.com/profile/07598646309630074992noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-87076014943890544382008-06-08T17:25:00.000-05:002008-06-08T17:25:00.000-05:00You've just experienced life as a hospitalist.Cong...You've just experienced life as a hospitalist.<BR/><BR/>Congratulations.The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76824514054261207422008-06-08T13:09:00.000-05:002008-06-08T13:09:00.000-05:00I just realized i dropped a patient off at your fa...I just realized i dropped a patient off at your facility yesterday... small world. i think the most annoying thing is that residents will be awoken from their call rooms with conversations like this:<BR/><BR/>Nurse: The patient was hypoglycemic and unconscious.<BR/>Resident: Did you give them an amp of D50?<BR/>Nurse: Yes.<BR/>Resident: And are they awake now?<BR/>Nurse: Yes.<BR/>Resident: And Anonymousnoreply@blogger.com