Flonase Case Study

The patient then asked if he can dose today and this writer says "yes," but this writer will have to address it with her Supervisor and TEAM because this writer cannot remove a Director Hold. The patient reports that he has to be at work at 7am and cannot be late. This writer validated the patient feeling, but reiterate the comment and escorted the patient to the lobby area.

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

On 03/11/2016 SC met with Pa in her apartment for a RA visit. Pa 's Agency Model PAS aide was not present while SC was there. The Pa appeared poorly groomed and dressed in dark color clothes. The apartment was dirty and cat litter and feces on the table and

This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."

The patient went as far to admit that she currently is having a hard time breathing, but has an appointment with her gynecologist on Monday. This writer advised the patient that if she has difficulties breathing she will need to go to the ER immediately and be medically assessed by Nursing. The patient started crying about she does not want to be medically assessed as she needs to return her boyfriend vehicle so that he can work. This writer informed the patient about the seriousness of her health comes first. This writer called Nursing Chrystal, but no response. Then this writer and the patient went to the Nursing Director office to be medically assessed. According to the Nursing Director, she advised the patient to go to the ER first and will not be dosed today unless she provides proof of documentations of her visit. Again, the patient fussed and then says, " I am fine, it's not serious," however, the patient was advised to follow medical

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her

D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.

This writer and the Program Director met with the patient to share an explanation about dosing time arrangement. According to the Program Director, she provided the patient with an explanation as to why he will have to dose between 9am-11:30am due to patient #394 and her husband medical issues. If the patient returns back to work and needs to dose at an earlier time, the patient must provide proof his work schedule for the dosing time arrangement to be changed again. The patient requested for assistance from the clinic to preschedule his Logisticare transportation of which the Program Director and this writer agreed to assist him with. After the discussion with the Program Director, the patient was not pleased and began to get emotional as he feels victimized again. This writer explained to the patient, the patient reason for the dosing arrangement is due to the allegation and safety reason. However, the patient understood the purpose of the arrangement, but he was more concern about getting the earlier appointment rather than a later time. This reiterate about what the Program Director mentioned about if the need to change the dosing time, the patient needs to provide proof for such request. The patient provided this writer with a copy of his ER visit dated for 02/23/2017 of which the patient did in fact received one pill of Klonopin.

Would you please resubmit the patient DOS 09122017 v#15852640. The patient guarantor just call me very upsed b/c he receive the EOB and he said that we are billing ot his insurance one E&M CODE that we are not suppost to be billed b/c that was a procedure order that the patient needs to get done outside and not at WFH. I review the office notes and the provider order a ECHO exam of heart(93307) but, the provider by mistake select this procedure as a billed procedure and PMG FWD to the payer. Would you please re-bill the service back to the payer with the billing correction ASAP so the patient can get done this procedure. I advise the guarantor that are we are going to make the necessary corrections ASAP. The guarantor understood and he said

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason. Housing: Client doesn’t have any housing program at this time. Client Mr. Diaz

D-The patient arrived to the clinic emotional and was advised to see this writer. According to the patient, she's upset about her DCF case, her supervised visit with her son that hasn't occurred yet, loss of employment, and owing $80. 00 for her rent. This writer provided support, validated the

SC end call with Pa and placed call to PowerBack Rehab and spoke with Gwen a receptionist. SC identified-self, where SC is calling from and stated reasons for calling. SC requested to know the Pa’s admission and discharged dates to PowerBack rehab. Gwen reported that the Pa was admitted to the facility on 12/22/2015 and discharge home on 1/22/2016. SC asked the reason for Pa’s stay and Gwen stated she was unable to access that information and forward SC to the social service department where SC got Stephanie Black VM. SC left a detailed message with contact information and ended call. SC placed called to Hahnemann Hospital admission department and spoke with Yolanda. SC Identified self and sated reason for calling. Yolanda verified Pa’s stated claims of the date she was admitted and discharged. The Pa was admitted to the hospital on 12/14/2015 for surgery and discharged to PowerBack rehab on 12/22/2015. SC thanks Yolanda and ended call. SC then placed call to PPL and was on hold for some time but later spoke with Quincy. SC identified self and stated reason for calling. The SC asked Quincy if the DCW was paid for any day(s) from

Acchione advised he could not wait until 10/17/16 for his package to arrive and requested a week’s worth of medication on an overnight shipment. The mail order representative requested an order to be sent out to the member. Later, on 10/12/16, Mail Order customer service received a call from the plan inquiring about Mr. Acchione order that he never received. The mail order representative advised that both medications Allopurinol and Omeprazole was shipped out on 9/29/16 and according to the tracking number was estimated to deliver on 10/3/16. The plan connected Mr. Acchione on the call with mail order and the member advised the mail order representative that an overnight delivery request was made earlier on 10/12/16. The mail order representative researched the request for an overnight delivery, but advised the shipping information was not yet available. The mail order representative advised the member an interim fill for a 10 day supply at a retail pharmacy until the member received his order delivery on 10/17/16. The mail order representative confirmed with the pharmacist that a 10 supply could be processed on 10/13/16 and a reshipment request can be placed on 10/18/16. The member requested to have his medication filled at a retail pharmacy because the reshipment of a full supply could not be completed until 10/18/16. A 10 day supply request was placed at a local pharmacy on behalf of the member. I hope that the member no longer experiences any more issues going

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper