Narcotic Protocol Scenarios

The information that should be obtained from the patient at the time of scheduling the appointment is the reason for the visit, name, DOB, phone number, and insurance information.

Job descriptions, procedure manuals, and office handbooks are critical to the success of a medical office because they

A person from the billing department who will run a report from the last 120 days. The doctor also needs a friendly reminder, to document according to the procedure. The doctor must know that treating patients is not their sole responsibility in an office.

Briefing – This occurs pre-operative and is a meeting that includes all members of the surgery, from technicians, to anesthesiologist, to nurses and surgeons. It is a

When the referral is received from a physician outside the healthcare provider’s network, paper medical records relating to the health issue are requested, including office notes and test results. After the patient’s paper medical records are received by the scheduling office, the scheduler manually reviews the records for the diagnosis and reason for the referral to determine how to appropriately schedule the office visit. For example, if the patient recently suffered a stroke, the patient would be scheduled with a stroke specialist rather than a general neurologist.

Use at least two patient identifiers when providing care. Double checking of ID bands and ID/Driver’s license of patient if possible. Using labels to mark all materials /items needed for the procedures. A two person check off procedure must be implemented. Items requiring labeling include: patient records, signed consents, and all assessments, diagnostic tests and x-rays. Also included should be any item that is needed for the procedure (blood products, devices, and equipment). Using a matching system, so that all items in the procedure area are matched to the patient. The matching system must be completed by a minimum of two staff members. These staff members should include a qualified staff member, nursing staff involved in the procedure, recovery room staff, and discharge staff.

2. Prior to the appointments scheduled, the administrative assistant need to contact the insurance companies of each patient that will be seen. They need to gather their EOB so they know the amount covered by them for the service/procedure as well as the amount that will be patient's

Another way to alleviate the overcrowded schedule is by making patient appointments for every other time slot. If a patient calls in for an

You have already done a great deal to combat prescription drug abuse in the United States. In particular, I appreciate your push to reauthorize your bipartisan legislation, H.R. 3528, the National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act. If that bill passes, I know it would help provide more uniform funding and access within our current system. However, given the magnitude if this epidemic, more substantial reform is necessary.

Academic GI will be responsible for notifying the patient of appt date, time, and location.

This communication is to inform our fellow team member and most especially the physician groups about the intention of the organization to implement the Computerized Physician Order Entry (CPOE) system. The CPOE application will enable our physician provider to enter order directly into the computer system, the CPOE system will replace the old method of order entry that include, written, verbal order/telephone order, and fax. The CPOE system will enable physician to enter specifications about order such as, laboratory, medication, radiology and special procedure orders. Additionally, CPOE offers some the features of the Clinical Decision Support (CDS) at the point of order entry by recommendation dosage calculations, interactions with other medications, and warning of allergic reaction notifications with alternate medication

On my third week of rotation, I learned how to contact the doctor for additional information, refill requests, obtain new prescriptions, and transfer-in prescriptions. However, when I called the doctor office, I usually talked to the nurse or secretary, but not the doctor. I believe it is important to know both federal and state laws when receiving a schedule III through V phone-in prescriptions. I was told to write a schedule III phoned-in prescription, but I did not asked the secretary to fax in the hard copy as well as given the doctor's DEA and address. This caused me to have to call the office again and I did not complete my task that was given to me. It was difficult to get a hold of the secretary after many call backs, so my preceptor

Dear Aziza you are right, now I would like to share one example of my working area that is narcotic policy.

Another incident that almost happened was last week when a request was placed by Ms Pandola Hicks and Rodney to have the on-call staff to report on Sunday because of a set screws and trays that will arrive on the weekend for a scheduled Monday case. The intention of expanding the scope of the on-call coverage is to ensure availability of staff to assist in such incidence. The discretion of approval for non-emergent reprocessing should be coming from the nurse exec or designee. This is not to encourage surgical service to fail to arrange loaner availability accordingly but to provide much needed assistance and prevent patient access delay; as well as serve as blanket protection on management in case the action is deemed necessary.

In order to void miscommunication between the doctor and patients, procedures should be setup to help the doctors collect basic information about the patients. This procedure includes getting patients fill out forms