Originally Posted by Miss Mab
We have some computerized entry so he will put in cardiac monitor, pulse ox, etc. (yeah, already on 'em since they got here two HOURS ago and I ordered all the labs and xray before you added these important orders to the bottom of the list-----duh doc, thanks) and I know part of that is CYA but it's irritating since it's always already done. Like the "we should watch the BP" doc. Really? Who'd a thunk?
We recently had someone come down from the group of people who audit the charts and charge the patients for all of the stuff we do, and for us if there is no order for the cardiac monitor, then they can't charge for it. So they lose money if the doctor doesn't order it. So now if we put the patient on the monitor and the doctor doesn't order it, we have to write a verbal order for the monitor.
At one point they added up all the money the nurses in our ED were losing the department by our charting alone, and it was $33,000 for stuff like THAT.