Critical Results Notification

I will be on medical leave from December 11 to January 19, 2018. Joann O'Connor, Lifebridge POC manager and Megan Mioduszewski,POC specialist will be covering for me. Joann can be reach at ext.25673 or on vocera. Megan can be reach on vocera. Joann and Megan will be on site at NW some days during the week and they can be reach too by calling POC ext.54371 or the lab at ext.55902 or vocera Point of Care Testing.
Please do not leave any emergent email as I won't be able to respond to you immediately.

Thank you,

Alana

When I did the auditing I would not look for documentation from nurses. Since we made a different report that can't tell the difference between a nurse and a different job description we hold everyone to the same standard.

I will be on medical leave from December 11 to January 19, 2018. Joann O'Connor, Lifebridge POC manager and Megan Mioduszewski,POC specialist will be covering for me. Joann can be reach at ext.25673 or on vocera. Megan can be reach on vocera. Joann and Megan will be on site at NW some days during the week and they can be reach too by calling POC ext.54371 or the lab at ext.55902 or vocera Point of Care Testing.
Please do not leave any emergent email as I won't be able to respond to you immediately.

Thank you,

Alana

Within our facility we track:

1) Lab to nursing hospital unit / clinic location time (may be an RN or Patient Care Provider)

2) RN to PCP (ordering clinician or current clinician on duty as in the case of a change of hospitalists from day to day

3) Overall time from Lab to PCP

Our overall time goal from lab to PCP is 40 minutes total.  From lab to RN is 10, and RN's then have 30 minutes to notify the PCP.  Works much better when we are able to communicate directly with the PCP.

We achieve an annual compliance rate of approximately 95-97% in achieving our stated goals.  Our outliers are typically clustered with a specific location and tend to be "after-hours" communication problems.

I will be on medical leave from December 11 to January 19, 2018. Joann O'Connor, Lifebridge POC manager and Megan Mioduszewski,POC specialist will be covering for me. Joann can be reach at ext.25673 or on vocera. Megan can be reach on vocera. Joann and Megan will be on site at NW some days during the week and they can be reach too by calling POC ext.54371 or the lab at ext.55902 or vocera Point of Care Testing.
Please do not leave any emergent email as I won't be able to respond to you immediately.

Thank you,

Alana

We consider the nurses the provider and do not look for further documentation.  We have a stock comment that goes out with the report stating it is a critical value and there is an internal comment that notes the date and time of testing as well as the operator name.  

I will be on medical leave from December 11 to January 19, 2018. Joann O'Connor, Lifebridge POC manager and Megan Mioduszewski,POC specialist will be covering for me. Joann can be reach at ext.25673 or on vocera. Megan can be reach on vocera. Joann and Megan will be on site at NW some days during the week and they can be reach too by calling POC ext.54371 or the lab at ext.55902 or vocera Point of Care Testing.
Please do not leave any emergent email as I won't be able to respond to you immediately.

Thank you,

Alana

When I do the critical POC glucose audit each month these are the items I'm looking for based on our policies:

• Comment code "RN notified" or "MD notified" (CAP COMM 3000)- review medical records


• Follow up random lab glucose for results >400 mg/dL or A Provider declines draw. Our policy to do draw a random glucose for the lab.


• Low glucoses- follow up with a provider and treatment


• Nurses are providers if they have standing orders for medication(ie., sliding scale insulin, Humalog dosing, etc.) (TJC)

Our institution has a multi-disciplinary (Lab, Nursing, Medical Staff, Dietary & Diabetes Education) approach to diabetic patient management.  We recently updated all policies related to glucometer usage, high/low protocols etc. It seems to working very well for our small semi-rural hospital.

I will be on medical leave from December 11 to January 19, 2018. Joann O'Connor, Lifebridge POC manager and Megan Mioduszewski,POC specialist will be covering for me. Joann can be reach at ext.25673 or on vocera. Megan can be reach on vocera. Joann and Megan will be on site at NW some days during the week and they can be reach too by calling POC ext.54371 or the lab at ext.55902 or vocera Point of Care Testing.
Please do not leave any emergent email as I won't be able to respond to you immediately.

Thank you,

Alana